Independent and cumulative impacts of adverse childhood experiences on adolescent subgroups of anxiety and depression

Isak Kim, Angélica Galván and Nayoung Kim

Children and Youth Services Review, 2021, vol. 122, issue C

Abstract: The purpose of this study is to investigate the independent and cumulative impacts of Adverse Childhood Experiences (ACEs) on the subgroups of anxiety and depression among 12–17 aged adolescents in the U.S. A sample of 21,496 cases was derived from the 2017–2018 National Survey of Children’s Health (NSCH). Four adolescent subgroups were identified depending on their mental health condition: Anxiety-only (7.2%), Depression-only (1.5%), Anxiety-Depression (6.3%), and None (85.0%). All sociodemographic characteristics such as sex, age, race/ethnicity, and family structure had significant associations with the subgroups. Two multinomial logistic regression analyses were conducted to examine the independent and cumulative effects of ACEs on the subgroups. The findings suggested having a family member with severe mental illness showed the strongest relationship with the development of anxiety, depression, and both. A dose–response relationship was found between cumulative ACEs and the subgroups, with Anxiety-Depression as the most prevalent group when adolescents had multiple ACEs. Implications for service providers and future research are discussed.

Keywords: Anxiety; Depression; Comorbidity; Adverse childhood experiences; Adolescence (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (5)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0190740920323070
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:cysrev:v:122:y:2021:i:c:s0190740920323070

DOI: 10.1016/j.childyouth.2020.105885

Access Statistics for this article

Children and Youth Services Review is currently edited by Duncan Lindsey

More articles in Children and Youth Services Review from Elsevier
Bibliographic data for series maintained by Catherine Liu ().