Association of childhood threat and deprivation with depressive symptoms and the moderating role of current economic status among middle-aged and older adults in China

Lin, Li; Cao, Bing; Chen, Weiqing; Li, Jinghua; Zhang, Yuying; Guo, Vivian Yawei

doi:10.1007/s00127-022-02384-x

Cited by 8 publications

(4 citation statements)

References 57 publications

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“…In addition, mothers with experiences of ACEs usually practiced negative parenting styles towards their children [24,44], which could subsequently lead to more behavioral and health problems in children, as well as reduced scores of children's HRQOL [25][26][27]. Furthermore, ACEs have been demonstrated to be linked to poorer educational attainment, financial hardship, and higher odds of depression in mothers [45][46][47], which were all associated with impaired HRQOL in their children [48,49]. These possible mechanisms indicated opportunities and means that might stop the intergenerational impact of maternal ACEs on their offspring.…”

Section: β (95% Ci) By Number Of Maternalmentioning

confidence: 99%

Maternal adverse childhood experiences and health-related quality of life in preschool children: a cross-sectional study

Chen

Lin

et al. 2023

Child Adolesc Psychiatry Ment Health

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Background The intergenerational association between maternal adverse childhood experiences (ACEs) and their children’s health-related quality of life (HRQOL) is underexplored. This study aimed to examine such association in Chinese preschool children and to test the moderation role of children’s sex. Methods A cross-sectional study was conducted among 4243 mother–child dyads who attended randomly selected preschools. Mothers self-reported their experience of 12 forms of ACEs, including emotional abuse, physical abuse, emotional neglect, physical neglect, intimate partner violence, substance abuse in the household, incarcerated household member, mental illness in household, parental death, parental separation or divorce, bullying, and community violence. Children’s HRQOL was evaluated through mother report of the Pediatric Quality of Life Inventory version 4.0. Linear regression models were established to estimate the associations between maternal ACEs and their children’s HRQOL sub-scores and total scores. Stratified analysis and test for interaction were further conducted to evaluate whether the associations were moderated by children’s sex. Results Of the included mothers, 85.8% (n = 3641) had reported exposure to at least one ACE, and 22.3% (n = 948) were exposed to three or more ACEs. Compared to children of mothers without any ACE exposure, those of mothers with 1, 2, or ≥ 3 ACEs all had significantly lower scores of physical, social, and school functioning, as well as lower psychosocial health summary score and total scale score in both crude and adjusted models. However, only children of mothers with two or more ACEs had significantly poorer emotional functioning when compared to their counterparts whose mothers had no ACE exposure. A significant dose-response pattern was also observed between the number of maternal ACEs and children’s HRQOL sub-scores and total scores. Stratified analysis revealed sex-specific pattern between maternal ACEs and their children’s HRQOL. Nonetheless, children’s sex was not a significant moderator. Conclusions Our study showed that preschool children of mothers who had any experience of ACEs were at risk of poorer HRQOL. Our findings indicated that screening maternal ACEs in young children and promoting targeted interventions might be a feasible way to mitigate or stop the potential negative intergenerational health and wellbeing implications of ACEs.

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Section: β (95% Ci) By Number Of Maternalmentioning

confidence: 99%

Maternal adverse childhood experiences and health-related quality of life in preschool children: a cross-sectional study

Chen

Lin

et al. 2023

Child Adolesc Psychiatry Ment Health

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“…3,4 Previous studies on the relationship between childhood difficulties characterized by deprivation of cognitive and social input, such as poor socioeconomic circumstance or parental absence, and depressive symptoms in old age have reported a moderating effect of income in adulthood. 5,6 However, most studies have used income as an objective measurement with a monetary value such as household disposable income or consumption expenditure, [5][6][7] focusing on how individuals are affected by the social structure surrounding them. Yet, how an individual's subjective evaluation on his or her midlife income based on the role of human agency from the life course perspective has not been sufficiently explored.…”

Section: Introductionmentioning

confidence: 99%

“…By applying the life course perspective, recent empirical research has uncovered the association between early‐life difficulties and their continuous and cumulative negative effects on various outcomes in mid and late life including major health indicators 3,4 . Previous studies on the relationship between childhood difficulties characterized by deprivation of cognitive and social input, such as poor socioeconomic circumstance or parental absence, and depressive symptoms in old age have reported a moderating effect of income in adulthood 5,6 . However, most studies have used income as an objective measurement with a monetary value such as household disposable income or consumption expenditure, 5–7 focusing on how individuals are affected by the social structure surrounding them.…”

Section: Introductionmentioning

confidence: 99%

Long‐term effects of childhood difficulties on depressive symptoms among older adults: Role of adulthood income and income satisfaction

Lee,

Kang,

Lee

et al. 2024

Geriatrics Gerontology Int

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AimThis study examines how childhood difficulties are associated with late‐life depression. Using the concept of agency within the structure of the life course perspective, this study investigates how subjective income satisfaction in adulthood plays a role in the relationship between adulthood objective income and late‐life depressive symptoms among older adults who have experienced childhood difficulties.MethodsUsing data from two waves (2006, 2021) of the Korean Welfare Panel Study (N = 1822), we identified respondents with and without childhood difficulties, and performed a series of hierarchical zero‐inflated Poisson regression models.ResultsChildhood difficulties (β, 0.07; 95% confidence interval [CI], 0.04–0.11), adulthood low income (β, 0.17; 95% CI, 0.13–0.21), and low income satisfaction (β, 0.16; 95% CI, 0.12–0.21) are associated with an increased level of depressive symptoms in late life. In the context of the association between objective income level and late‐life depressive symptoms, the buffering effect of income satisfaction in adulthood was found among the respondents who had experienced childhood difficulties (β, 0.22; 95% CI, 0.09–0.34).ConclusionsChildhood difficulties are a critical risk factor impacting late‐life psychological well‐being. How an individual subjectively evaluates his or her economic status in adulthood plays a major role in mitigating the negative impact of childhood difficulties on late‐life health inequality. Interventions to reduce the risk of childhood difficulties and their negative long‐lasting impact may alleviate individuals' exposure to depression in late life. Geriatr Gerontol Int 2024; ••: ••–••.

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“…Since the seminal ACE study conducted by Felitti and his colleagues (Felitti et al, 1998 ), decades of research has consistently demonstrated that ACEs were associated with a wide range of behavioural and health outcomes in children and adolescent, including internalizing and externalizing behavioural problems, chronic physical diseases, and mental disorders (Lowthian et al, 2021 ; Anda et al, 1999 ; Elsenburg et al, 2017 ; Liming & Grube, 2018 ). The detrimental impact of ACEs could even persist into adulthood, leading to morbidity and mortality later in life (Lin et al, 2022 ; Lin et al, 2022 ; Wang et al, 2021 ; Lin et al, 2022 ; Lin et al, 2022 ). Previous evidence has also shown a link between ACEs and reduced health-related quality of life (HRQOL) (Vink et al, 2019 ; Balistreri, 2015 ; Meinck et al, 2017 ; Jud et al, 2013 ; Flaherty et al, 2013 ; Luo et al, 2022 ), a multidimensional concept that could reflect an individual’s overall well-being across physical, psychological, and social dimensions (Guyatt et al, 1993 ).…”

Section: Introductionmentioning

confidence: 99%

Adverse childhood experiences, problematic internet use, and health-related quality of life in Chinese adolescents

Chen

Lin

Feng

et al. 2023

European Journal of Psychotraumatology

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Background: The influence of adverse childhood experiences (ACEs) on an individual’s health is substantial. However, the associations between ACEs, problematic internet use (PIU), and health-related quality of life (HRQOL) in adolescents remain underexplored. Objective: To assess the association between ACEs and HRQOL in Chinese adolescents and to evaluate the mediating role of PIU in this association. Method: A sample of 6,639 adolescents (3,457 boys and 3,182 girls) aged between 11–20 years (mean [SD] age: 14.5 [1.6] years) were recruited from 6 junior and senior middle schools using a proportional sampling approach in a cross-sectional study. Data on ACE exposure was collected through the short form of Childhood Trauma Questionnaire, the ACE-International Questionnaire, and two additional questions. HRQOL was assessed by the Pediatric Quality of Life Inventory version 4.0. The associations between ACEs and HRQOL were estimated using linear regression models. Mediation analysis was further conducted to explore the possible mediating role of PIU in the association between ACEs and HRQOL. Results: Our study collected 13 different ACEs. We found that adolescents exposed to any ACE had significantly lower scores in all HRQOL dimensions, psychosocial health summary scale, and total scale, than those without such exposure. Specifically, adolescents with ≥ 3 ACE exposure had a total scale score that was 14.70 (95%CI: 15.53 to 13.87) points lower than their non-exposed counterparts. Mediation analysis identified PIU as a significant mediator, with the proportion of the total effect attributable to PIU ranging from 14.38% for social functioning to 17.44% for physical functioning. Conclusions: Exposure to ACEs was associated with poorer HRQOL in Chinese adolescents, underscoring the importance to prevent ACEs and their negative impacts on adolescent well-being. These findings also highlighted the need of promoting appropriate internet use among adolescents exposed to ACEs, in order to avert potential impairment in their HRQOL. HIGHLIGHTS Adolescents with adverse childhood experiences have poorer health-related quality of life. The association between adverse childhood experiences and health-related quality of life shows a dose–response pattern. Problematic internet use partially mediates the associations between adverse childhood experiences and health-related quality of life in adolescents.

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Association of childhood threat and deprivation with depressive symptoms and the moderating role of current economic status among middle-aged and older adults in China

Cited by 8 publications

References 57 publications

Maternal adverse childhood experiences and health-related quality of life in preschool children: a cross-sectional study

Maternal adverse childhood experiences and health-related quality of life in preschool children: a cross-sectional study

Long‐term effects of childhood difficulties on depressive symptoms among older adults: Role of adulthood income and income satisfaction

Adverse childhood experiences, problematic internet use, and health-related quality of life in Chinese adolescents

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