The risk of male adult alcohol dependence: The role of the adverse childhood experiences and ecological executive function

Liu, Zengxun; Yang, Ying; Shi, Zhenchun; Liu, Jin-Tong; Wang, Yang

doi:10.1016/j.comppsych.2016.04.006

Cited by 21 publications

(17 citation statements)

References 25 publications

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“…ACEs are pervasive in Chinese populations, with prior studies showing between 31% and 94% of Chinese adults report at least one ACE (Li, Cao, Cao, & Liu, 2015;Wei, 2013). Although the wide variations in reported rates may be attributed to the diverse and convenient participant samples across studies, the findings were largely consistent with studies conducted elsewhere, where ACEs were found to associate with poorer health outcomes (Liu, Yang, Shi, Liu, & Wang, 2016;Wei, 2013). Given the occurrence, cooccurrence, and definitions of ACEs may vastly differ by geographic and sociocultural norms (Kessler et al, 2010), an in-depth understanding of how ACEs are experienced and perceived across cultures is essential to determine the health needs and trajectories of people exposed to ACEs in different contexts.…”

Section: Childhood Adversity and Resilience In The Chinese Culturesupporting

confidence: 82%

Childhood Adversity, Resilience, and Mental Health: A Sequential Mixed-Methods Study of Chinese Young Adults

Chan

Shevlin

et al. 2019

J Interpers Violence

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Resilience is a key health protective factor for those with adverse childhood experiences (ACEs), but little research has explored how it manifests in early adulthood or across cultures. The purpose of this study was to generate a fuller understanding of resilience and its contribution to the relationships between mental health problems and ACEs among Chinese young adults in Hong Kong. Using a sequential explanatory mixed-methods design, 433 Chinese young adults aged 18 to 24 years were surveyed online to examine the relationships between ACEs, resilience, and mental health problems (depression, anxiety, maladjustment, and posttraumatic stress symptoms). Among them, 34 participants with ACEs were purposively selected and interviewed to explore cultural factors that influenced their resilience. Quantitative data were analyzed using multiple hierarchical regression analyses; qualitative data were analyzed using a qualitative descriptive approach. Higher cumulative ACE exposure was associated with higher severity of adjustment disorder and odds for screening positive for posttraumatic stress disorders, but not for symptoms of depression or anxiety. Resilience significantly contributed to explaining variances across all mental health outcomes over and beyond ACEs and in a protective fashion. Four themes emerged from qualitative interviews: (a) Privacy, emotional restraint, and “saving face”; (b) Conforming to preserve harmony; (c) A will to excel; and (d) Viewing adversity as a matter of luck. These findings suggest Chinese young adults’ resilience was influenced by cultural norms of restraint, conformity, competition, and superstition. The present study provides a model for future studies using a mixed-methods design to deeply examine resilience among younger people exposed to early adversities within sociocultural, historical, or geographical contexts.

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Section: Childhood Adversity and Resilience In The Chinese Culturesupporting

confidence: 82%

Childhood Adversity, Resilience, and Mental Health: A Sequential Mixed-Methods Study of Chinese Young Adults

Chan

Shevlin

et al. 2019

J Interpers Violence

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“…ACEs were assessed using the Adverse Childhood Experiences International Questionnaire (ACE-IQ) developed by the World Health Organization [21]. The ACE-IQ questionnaire has good reliability and validity in China [22, 23]. It includes four subcategories: neglect, abuse, violence, and family dysfunction.…”

Section: Methodsmentioning

confidence: 99%

Associations between adverse childhood experiences and health outcomes in adults aged 18–59 years

et al. 2019

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BackgroundAdverse childhood experiences (ACEs) have been associated with poor health status later in life. The objective of the present study was to examine the relationship between ACEs and health-related behaviors, chronic diseases, and mental health in adults.MethodsA cross-sectional study was performed with 1501 residents of Macheng, China. The ACE International Questionnaire (ACE-IQ) was used to assess ACEs, including psychological, physical, and sexual forms of abuse, as well as household dysfunction. The main outcome variables were lifetime drinking status, lifetime smoking status, chronic diseases, depression, and posttraumatic stress disorder. Multiple logistic regression models were used to examine the associations between overall ACE score and individual ACE component scores and risk behaviors/comorbidities in adulthood after controlling for potential confounders.ResultsA total of 66.2% of participants reported at least one ACE, and 5.93% reported four or more ACEs. Increased ACE scores were associated with increased risks of drinking (adjusted odds ratio [AOR] = 1.09, 95% confidence intervals [CI]: 1.00–1.09), chronic disease (AOR = 1.17, 95% CI: 1.06–1.28), depression (AOR = 1.37, 95% CI: 1.27–1.48), and posttraumatic stress disorder (AOR = 1.32, 95% CI: 1.23–1.42) in adulthood. After adjusting for confounding factors, the individual ACE components had different impacts on risk behavior and health, particularly on poor mental health outcomes in adulthood.ConclusionsACEs during childhood were significantly associated with risk behaviors and poor health outcomes in adulthood, and different ACE components had different long-term effects on health outcomes in adulthood.

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“…smoking, physical inactivity, and >50 sexual partners) have been replicated across diverse populations. Similarly, the limited research conducted in Chinese populations has shown that greater ACE exposure is associated with increased risks for poor health outcomes in adulthood, including alcohol misuse (Liu et al, 2016;Xiao et al, 2008), somatic symptoms (Wong et al, 2015), and drug-induced psychosis (Ding et al, 2014).…”

Section: Patterns Of Ace Exposurementioning

confidence: 99%

“…One possible reason for the large discrepancies in reported rates is the diverse and convenient participant samples, but another potentially more compelling reason is the differences in the inclusion and measurement of different forms of ACEs across studies. For example, across the eight studies, four omitted ACEs related to peer, community, and collective violence (Liu, Yang, Shi, Liu, & Wang, 2016;Wong, Fong, & Chan, 2015;Xiao, Dong, Yao, Li, & Ye, 2008;Xue, Lin, Sun, & Cao, 2017); two also excluded physical and emotional neglect (Ding, Lin, Zhou, Yan, & He, 2014;Wei, 2013), and one also excluded sexual abuse (Xue, Gao, & Cao, 2016). One study further reduced ACEs into four broad categories and reported on the overall prevalence of family, community, school, and personal adversity (Li et al, 2015).…”

mentioning

confidence: 99%

Examining patterns of adversity in Chinese young adults using the Adverse Childhood Experiences—International Questionnaire (ACE-IQ)

Chan

Chien

et al. 2019

Child Abuse & Neglect

110

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The risk of male adult alcohol dependence: The role of the adverse childhood experiences and ecological executive function

Cited by 21 publications

References 25 publications

Childhood Adversity, Resilience, and Mental Health: A Sequential Mixed-Methods Study of Chinese Young Adults

Childhood Adversity, Resilience, and Mental Health: A Sequential Mixed-Methods Study of Chinese Young Adults

Associations between adverse childhood experiences and health outcomes in adults aged 18–59 years

Examining patterns of adversity in Chinese young adults using the Adverse Childhood Experiences—International Questionnaire (ACE-IQ)

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