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Journal article
Associations of threat and deprivation-related childhood exposures with children's mental health and flourishing: The moderating role of family resilience
Children and youth services review, Vol.166, 107912
2024
Abstract
Introduction
The association of adverse childhood experience (ACE) with physical and mental well-being is predominantly examined using a cumulative ACE score. However, less is known how different dimensions of adversity (e.g., threat and deprivation) may uniquely predict children’s mental health and development. We examined (i) whether two aspects of ACE – threat and deprivation – are differently associated with children’s anxiety, depression, and flourishing and (ii) whether family resilience and connection index (FRCI) moderates these associations.
Methods
We analyzed data from the National Survey of Children’s Health (2017–20). The analytic sample consisted of 81,626 children (6–17 years). Logistic regression with survey weights was used to obtain odds ratios (OR) and 95 % confidence intervals (CI) adjusting for sociodemographic factors.
Results
The experience of threat-only ACE and deprivation-only ACE showed differential associations with anxiety, depression, and child flourishing. For example, children who experienced threat-only ACE had a 4.2-fold higher odds of depression (OR=4.2; 95 % CI: 3.37–5.24), and those who experienced deprivation-only ACE had a 2.4-fold (OR=2.4; 95 % CI: 1.98–2.92) higher odds of depression compared to those exposed to neither threat nor deprivation experience. Experiencing both a threat and deprivation showed larger than an additive association with all outcomes. Further, interaction models suggest that the associations of threat and deprivation-type ACE with all outcomes significantly differed by the levels of FRCI.
Conclusions
Threat and deprivation dimensions of adversity were differentially associated with mental health and flourishing outcomes in childhood. Family resilience appears to be protective against the negative effect of threat and deprivation dimensions of ACE on children’s mental health and developmental outcomes.
Details
- Title
- Associations of threat and deprivation-related childhood exposures with children's mental health and flourishing: The moderating role of family resilience
- Authors/Creators
- Helal Uddin (Author) - University of DhakaAzharul Islam (Author) - University of DhakaLutfun Nahar Lata (Author) - The University of MelbourneShamsun Nahar (Author) - Texas Womans Univ, Dept Social Work, Denton, TX 76204 USAM. Zakir Hossin (Author) - Karolinska InstitutetJalal Uddin (Author) - Dalhousie University
- Publication Details
- Children and youth services review, Vol.166, 107912
- Publisher
- Elsevier Ltd.
- Number of pages
- 7
- Identifiers
- 991005857792907891
- Copyright
- © 2024 The Author(s).
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 6 Social Sciences
- 6.24 Psychiatry & Psychology
- 6.24.93 Trauma and PTSD
- Web Of Science research areas
- Family Studies
- Social Work
- ESI research areas
- Social Sciences, general