Network analysis of the association between adverse childhood experiences and mental health status in college students

LIU Ailou; ZHAI Ruyue; ZHANG Libin

doi:10.16835/j.cnki.1000-9817.2024303

Volume 45 Issue 10

Oct. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(10): 1481-1485

LIU Ailou, ZHAI Ruyue, ZHANG Libin. Network analysis of the association between adverse childhood experiences and mental health status in college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1481-1485. doi: 10.16835/j.cnki.1000-9817.2024303

Citation:

LIU Ailou, ZHAI Ruyue, ZHANG Libin. Network analysis of the association between adverse childhood experiences and mental health status in college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(10): 1481-1485. doi: 10.16835/j.cnki.1000-9817.2024303

Citation:

PDF( 893 KB)

Network analysis of the association between adverse childhood experiences and mental health status in college students

doi: 10.16835/j.cnki.1000-9817.2024303

1.
School of Education, Hubei Normal University, Huangshi (435002), Hubei Province, China

Received Date: 2024-06-05
Rev Recd Date: 2024-08-19

Available Online: 2024-11-02

Publish Date: 2024-10-25

Abstract

Abstract

Objective To investigate the relationship between adverse childhood experiences (ACEs) and mental health status through network analysis in college students, so as to provide empirical evidence for the development of targeted intervention programs. Methods From October to November 2023, a survey was conducted on 1 974 college students from three universities in Hubei Province by using ACEs Questionnaire and Symptom Checklist-90 (SCL-90). The network analysis method was used to construct a network structure to analyze the association between ACEs and SCL-90 symptom factors among college students. Results The network structure of SCL-90 symptom factors and ACEs was stable, each forming a relatively tight cluster; there were 89 non-zero edges between ACEs and SCL-90 symptom factors. Emotional neglect-depression played a significant pathway role in connecting the ACEs and SCL-90 symptom factors network. Depression, anxiety, and interpersonal sensitivity of SCL-90 symptom factors had the highest centrality in the ACEs and SCL-90 symptom factors network. Emotional neglect and physical neglect in ACEs and depression and psychoticism in SCL-90 symptom factors had a high node bridge expected influence, acting as Touchpoints to activate the whole network. Conclusion Early identification and intervention of emotional and physical neglect, with a focus on depression, anxiety, and interpersonal sensitivity symptoms of childhood neglected individuals, which is beneficial for improving the overall mental health level of college students.
- Meatal health,
- Child abuse,
- Life change events,
- Students

FullText(HTML)

References(24)

References

[1]	CHAN H W Q, SUN C F R. Irrational beliefs, depression, anxiety, and stress among university students in Hong Kong[J]. J Am Coll Health, 2021, 69(8): 827-841. doi: 10.1080/07448481.2019.1710516
[2]	陈雨濛, 张亚利, 俞国良. 2010—2020中国内地大学生心理健康问题检出率的元分析[J]. 心理科学进展, 2022, 30(5): 991-1004. CHEN Y M, ZHANG Y L, YU G L. Prevalence of mental health problems among college students in Chinese mainland from 2010 to 2020: a Meta-analysis[J]. Adv Psychol Sci, 2022, 30(5): 991-1004. (in Chinese)
[3]	林扬千. 精疲力竭的突围: 大学生内卷化现象的表现、危害及应对[J]. 当代青年研究, 2021(3): 88-93. doi: 10.3969/j.issn.1006-1789.2021.03.013 LIN Y Q. An exhausted breakout: the manifestation, harm and countermeasures of the phenomenon of university students involution[J]. Contemp Youth Res, 2021(3): 88-93. (in Chinese) doi: 10.3969/j.issn.1006-1789.2021.03.013
[4]	FELITTI V J, ANDA R F, NORDENBERG D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study[J]. Am J Prev Med, 1998, 14(4): 245-258. doi: 10.1016/S0749-3797(98)00017-8
[5]	WOLF J, REINHARD M A, GOERIGK S, et al. Suicidal behaviors and adverse childhood experiences: a cross-diagnostic study in persistent depressive disorder and borderline personality disorder[J]. Psychiatry Res, 2023, 330: 115562. doi: 10.1016/j.psychres.2023.115562
[6]	SHI X, MENG Y, CHENG B, et al. Association between traumatic events with suicidality among adolescents: a large-scale cross-sectional study of 260 423 participants[J]. Psychiatry Res, 2024, 333: 115762. doi: 10.1016/j.psychres.2024.115762
[7]	万宇辉, 陶芳标. 从童年期不良经历的视角认识青少年心理行为问题[J]. 中国学校卫生, 2020, 41(4): 484-489. doi: 10.16835/j.cnki.1000-9817.2020.04.002 WAN Y H, TAO F B. Recognizing psychological and behavior problems among adolescents from the perspective of adverse childhood experiences[J]. Chin J Sch Health, 2020, 41(4): 484-489. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.04.002
[8]	PETRUCCELLI K, DAVIS J, BERMAN T. Adverse childhood experiences and associated health outcomes: a systematic review and Meta-analysis[J]. Child Abuse Negl, 2019, 97: 104127. doi: 10.1016/j.chiabu.2019.104127
[9]	WANG S, XU H, ZHANG S, et al. Mediating effects of self-esteem in the relationship between childhood maltreatment and non-suicidal self-injury among adolescents: the roles of sex and only-child status[J]. Soc Sci Med, 2020, 249: 112847. doi: 10.1016/j.socscimed.2020.112847
[10]	BORSBOOM D. Possible futures for network psychometrics[J]. Psychometrika, 2022, 87(1): 253-265. doi: 10.1007/s11336-022-09851-z
[11]	HARKONMÄKI K, KORKEILA K, VAHTERA J, et al. Childhood adversities as a predictor of disability retirement[J]. J Epidemiol Commun Health, 2007, 61(6): 479-484. doi: 10.1136/jech.2006.052670
[12]	BORSBOOM D. A network theory of mental disorders[J]. World Psychiatry, 2017, 16(1): 5-13. doi: 10.1002/wps.20375
[13]	COSTANTINI G, EPSKAMP S, BORSBOOM D, et al. State of the art personality research: a tutorial on network analysis of personality data in R[J]. J Res Pers, 2015, 54: 13-29. doi: 10.1016/j.jrp.2014.07.003
[14]	汪向东, 王希林, 马弘. 心理卫生评定量表手册(增订版)[M]. 北京: 中国心理卫生杂志社, 1999: 244-245. WANG X D, WANG X L, MA H. Mental health rating scale manual(updated version)[M]. Beijing: Chinese Mental Health Journal, 1999: 244-245. (in Chinese)
[15]	肖琴. 安徽省医学生儿童期不良经历与相关风险行为的关联研究[D]. 合肥: 安徽医科大学, 2008. XIAO Q. Study on related factors of adverse childhood experiences of medical college students in Anhui Province[D]. Hefei: Anhui Medical University, 2008. (in Chinese)
[16]	ROBINAUGH D J, MILLNER A J, MCNALLY R J. Identifying highly influential nodes in the complicated grief network[J]. J Abnormal Psychol, 2016, 125(6): 747. doi: 10.1037/abn0000181
[17]	JONES P J, MA R, MCNALLY R J. Bridge centrality: a network approach to understanding comorbidity[J]. Multivariate Behav Res, 2021, 56(2): 353-367. doi: 10.1080/00273171.2019.1614898
[18]	EPSKAMP S, FRIED E I. A tutorial on regularized partial correlation networks[J]. Psychol Methods, 2018, 23(4): 617. doi: 10.1037/met0000167
[19]	WEI X, JIANG H, WANG H, et al. The relationship between components of neuroticism and problematic smartphone use in adolescents: a network analysis[J]. Pers Indiv Diff, 2022, 186: 111325. doi: 10.1016/j.paid.2021.111325
[20]	美国精神医学学会. DSM-5精神障碍诊断与统计手册[M]. 张道龙, 刘春宇, 童慧琦, 等译. 北京: 北京大学出版社, 2014. American Psychiatric Association. DSM-5 diagnostic and statistical manual of mental disorders[M]. ZHANG D L, LIU C Y, TONG H Q, et al. Translated. Beijing: Peking University Press, 2014. (in Chinese)
[21]	秦红霞, 许燕, 史慧玥, 等. 童年期创伤对大学生抑郁的影响: 早期适应不良图式和负性生活事件的作用[J]. 心理学探新, 2020, 40(3): 277-282. QIN H X, XU Y, SHI H Y, et al. The effect of childhood trauma on depression: effect of early maladaptive schemas and negative life events[J]. Psychol Explor, 2020, 40(3): 277-282. (in Chinese)
[22]	严娜, 邓宇, 张曹辰, 等. 大学生校园负性事件及家庭环境与抑郁症状的关联性[J]. 现代预防医学, 2022, 49(19): 3603-3608. YAN N, DENG Y, ZHANG C C, et al. Depression and its relationship with negative school events and family environment among college students[J]. Mod Prev Med, 2022, 49(19): 3603-3608. (in Chinese)
[23]	魏士琳, 徐滨, 阴晓娟, 等. 童年期情感忽视与大学生情绪调节策略: 使用偏好及脑结构基础[J]. 心理发展与教育, 2024, 40(3): 357-366. WEI S L, XU B, YIN X J, et al. Childhood emotional neglect experience and undergraduates' emotion regulation strategies: preference and its brain structure[J]. Psychol Dev Educ, 2024, 40(3): 357-366. (in Chinese)
[24]	CLARK L A, WATSON D. Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications[J]. J Abnorm Psychol, 1991, 100(3): 316. doi: 10.1037/0021-843X.100.3.316