Lindsey M Weiler, Ana Mireya Díaz-Howard, Sarah J Racz, Haoran Zhou, Yunqi He, Gilly McIntyre, Heather N Taussig
{"title":"儿童福利参与青少年不良童年经历与心理健康的关系","authors":"Lindsey M Weiler, Ana Mireya Díaz-Howard, Sarah J Racz, Haoran Zhou, Yunqi He, Gilly McIntyre, Heather N Taussig","doi":"10.1007/s40653-025-00703-3","DOIUrl":null,"url":null,"abstract":"<p><p>Mental health problems are increasing among U.S. adolescents. Numerous studies have linked adverse childhood experiences (ACEs) to these growing concerns. Studies in this rapidly expanding field are calling for the inclusion of contextually and developmentally relevant ACEs, such as discrimination and bullying, alongside conventional ACEs, such as maltreatment. The current study assesses the association between an expanded set of ACEs and mental health functioning among adolescents with child welfare involvement. Participants included 245 racially/ethnically diverse youth (ages 12-15; 60.5% female) and their parents/caregivers. Multi-informant measures of ACEs and adolescent functioning (e.g., internalizing behaviors, dissociative symptoms, social problems) were used. Based on extant literature, 21 candidate ACEs were selected for possible inclusion in an expanded ACE index. Fourteen ACEs were positively associated with at least one mental health variable and included in the index: physical abuse, sexual abuse, physical neglect, witnessing domestic violence, witnessing community violence, termination of parental rights, number of caregiver transitions, number of school changes, peer emotional bullying, peer physical bullying, cyberbullying, physical violence due to discrimination, emotional/relational dating violence, and sexual/physical dating violence. The resulting index was positively associated with all outcome variables. Subgroup analyses examined the association between ACEs and mental health functioning within different sociodemographic groups, finding relatively comparable effects. These results underscore the need to consider ACEs specific to adolescence and population/context. Findings also suggest that some ACEs - although likely still impactful in other ways-may be less influential for adolescent mental health functioning among youth with child welfare involvement.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"18 3","pages":"759-777"},"PeriodicalIF":2.0000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433423/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Association between Adverse Childhood Experiences (ACEs) and the Mental Health of Adolescents with Child Welfare Involvement.\",\"authors\":\"Lindsey M Weiler, Ana Mireya Díaz-Howard, Sarah J Racz, Haoran Zhou, Yunqi He, Gilly McIntyre, Heather N Taussig\",\"doi\":\"10.1007/s40653-025-00703-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Mental health problems are increasing among U.S. adolescents. Numerous studies have linked adverse childhood experiences (ACEs) to these growing concerns. Studies in this rapidly expanding field are calling for the inclusion of contextually and developmentally relevant ACEs, such as discrimination and bullying, alongside conventional ACEs, such as maltreatment. The current study assesses the association between an expanded set of ACEs and mental health functioning among adolescents with child welfare involvement. Participants included 245 racially/ethnically diverse youth (ages 12-15; 60.5% female) and their parents/caregivers. Multi-informant measures of ACEs and adolescent functioning (e.g., internalizing behaviors, dissociative symptoms, social problems) were used. Based on extant literature, 21 candidate ACEs were selected for possible inclusion in an expanded ACE index. Fourteen ACEs were positively associated with at least one mental health variable and included in the index: physical abuse, sexual abuse, physical neglect, witnessing domestic violence, witnessing community violence, termination of parental rights, number of caregiver transitions, number of school changes, peer emotional bullying, peer physical bullying, cyberbullying, physical violence due to discrimination, emotional/relational dating violence, and sexual/physical dating violence. The resulting index was positively associated with all outcome variables. Subgroup analyses examined the association between ACEs and mental health functioning within different sociodemographic groups, finding relatively comparable effects. These results underscore the need to consider ACEs specific to adolescence and population/context. Findings also suggest that some ACEs - although likely still impactful in other ways-may be less influential for adolescent mental health functioning among youth with child welfare involvement.</p>\",\"PeriodicalId\":44763,\"journal\":{\"name\":\"Journal of Child & Adolescent Trauma\",\"volume\":\"18 3\",\"pages\":\"759-777\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-03-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433423/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Child & Adolescent Trauma\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s40653-025-00703-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"FAMILY STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child & Adolescent Trauma","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40653-025-00703-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
The Association between Adverse Childhood Experiences (ACEs) and the Mental Health of Adolescents with Child Welfare Involvement.
Mental health problems are increasing among U.S. adolescents. Numerous studies have linked adverse childhood experiences (ACEs) to these growing concerns. Studies in this rapidly expanding field are calling for the inclusion of contextually and developmentally relevant ACEs, such as discrimination and bullying, alongside conventional ACEs, such as maltreatment. The current study assesses the association between an expanded set of ACEs and mental health functioning among adolescents with child welfare involvement. Participants included 245 racially/ethnically diverse youth (ages 12-15; 60.5% female) and their parents/caregivers. Multi-informant measures of ACEs and adolescent functioning (e.g., internalizing behaviors, dissociative symptoms, social problems) were used. Based on extant literature, 21 candidate ACEs were selected for possible inclusion in an expanded ACE index. Fourteen ACEs were positively associated with at least one mental health variable and included in the index: physical abuse, sexual abuse, physical neglect, witnessing domestic violence, witnessing community violence, termination of parental rights, number of caregiver transitions, number of school changes, peer emotional bullying, peer physical bullying, cyberbullying, physical violence due to discrimination, emotional/relational dating violence, and sexual/physical dating violence. The resulting index was positively associated with all outcome variables. Subgroup analyses examined the association between ACEs and mental health functioning within different sociodemographic groups, finding relatively comparable effects. These results underscore the need to consider ACEs specific to adolescence and population/context. Findings also suggest that some ACEs - although likely still impactful in other ways-may be less influential for adolescent mental health functioning among youth with child welfare involvement.
期刊介绍:
Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives.
Among the topics examined in the Journal of Child & Adolescent Trauma:
The effects of childhood maltreatment
Loss, natural disasters, and political conflict
Exposure to or victimization from family or community violence
Racial, ethnic, gender, sexual orientation or class discrimination
Physical injury, diseases, and painful or debilitating medical treatments
The impact of poverty, social deprivation and inequality
Barriers and facilitators on pathways to recovery
The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.