Adverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement

This study aimed to investigate the protective effect of family functioning, social capital, and civic engagement on mental health in adolescents with adverse childhood experiences (ACEs). Parents of adolescents aged 12 to 17 years (N = 20,708) who participated in the 2015-2016 National Survey of Ch...

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Autores principales: Wenhua Lu, Yunyu Xiao
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Publicado: New Prairie Press 2019
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spelling oai:doaj.org-article:e414fcdf07bc4bc1a34fc072ef3a5f9c2021-11-30T21:33:40ZAdverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement10.4148/2572-1836.10352572-1836https://doaj.org/article/e414fcdf07bc4bc1a34fc072ef3a5f9c2019-03-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1035&amp;context=hbrhttps://doaj.org/toc/2572-1836This study aimed to investigate the protective effect of family functioning, social capital, and civic engagement on mental health in adolescents with adverse childhood experiences (ACEs). Parents of adolescents aged 12 to 17 years (N = 20,708) who participated in the 2015-2016 National Survey of Children’s Health were surveyed about their children’ ACEs (e.g., parental divorce, being a victim of violence, living with anyone who had substance abuse) and current mental health disorders, including depression, anxiety, and behavioral problems. Parents were further asked about their family functioning, perceived social capital, and adolescents’ civic engagement. Structural equation modeling was conducted to test the hypothesized pathways using Mplus 8.0.Based on parents’ report, about 55% of adolescents have experienced at least one kind of ACE. The final structural model proved an excellent fit to the data (CFI = 0.96, RMSEA = 0.009, WRMR = 1.12). A significantly positive relationship was found between adolescents’ ACEs and current mental disorders (β = 0.13, p < 0.05), and the effect was partially mediated by family functioning (β = 0.10, p < 0.001) and civic engagement (β = 0.01, p < 0.05), but not by social capital (β = 0.01, p = 0.12). Low household income (β = -0.24, p < 0.001) and low parent education (β = -0.05, p < 0.05) significantly increased adolescents’ likelihood of having ACEs. Early assessment and interventions for children with ACEs are necessary to prevent the development of mental disorders in adolescence, especially for minority adolescents and those of low socioeconomic status. Safe, nurturing, and supportive home and social environments can help mitigate the detrimental impact of childhood adversity.Wenhua LuYunyu XiaoNew Prairie Pressarticlefamily functioningsocial capitalcivic engagementmental healthadolescentsSpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 2, Iss 1 (2019)
institution DOAJ
collection DOAJ
language EN
topic family functioning
social capital
civic engagement
mental health
adolescents
Special aspects of education
LC8-6691
Public aspects of medicine
RA1-1270
spellingShingle family functioning
social capital
civic engagement
mental health
adolescents
Special aspects of education
LC8-6691
Public aspects of medicine
RA1-1270
Wenhua Lu
Yunyu Xiao
Adverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement
description This study aimed to investigate the protective effect of family functioning, social capital, and civic engagement on mental health in adolescents with adverse childhood experiences (ACEs). Parents of adolescents aged 12 to 17 years (N = 20,708) who participated in the 2015-2016 National Survey of Children’s Health were surveyed about their children’ ACEs (e.g., parental divorce, being a victim of violence, living with anyone who had substance abuse) and current mental health disorders, including depression, anxiety, and behavioral problems. Parents were further asked about their family functioning, perceived social capital, and adolescents’ civic engagement. Structural equation modeling was conducted to test the hypothesized pathways using Mplus 8.0.Based on parents’ report, about 55% of adolescents have experienced at least one kind of ACE. The final structural model proved an excellent fit to the data (CFI = 0.96, RMSEA = 0.009, WRMR = 1.12). A significantly positive relationship was found between adolescents’ ACEs and current mental disorders (β = 0.13, p < 0.05), and the effect was partially mediated by family functioning (β = 0.10, p < 0.001) and civic engagement (β = 0.01, p < 0.05), but not by social capital (β = 0.01, p = 0.12). Low household income (β = -0.24, p < 0.001) and low parent education (β = -0.05, p < 0.05) significantly increased adolescents’ likelihood of having ACEs. Early assessment and interventions for children with ACEs are necessary to prevent the development of mental disorders in adolescence, especially for minority adolescents and those of low socioeconomic status. Safe, nurturing, and supportive home and social environments can help mitigate the detrimental impact of childhood adversity.
format article
author Wenhua Lu
Yunyu Xiao
author_facet Wenhua Lu
Yunyu Xiao
author_sort Wenhua Lu
title Adverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement
title_short Adverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement
title_full Adverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement
title_fullStr Adverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement
title_full_unstemmed Adverse Childhood Experiences and Adolescent Mental Disorders: Protective Mechanisms of Family Functioning, Social Capital, and Civic Engagement
title_sort adverse childhood experiences and adolescent mental disorders: protective mechanisms of family functioning, social capital, and civic engagement
publisher New Prairie Press
publishDate 2019
url https://doaj.org/article/e414fcdf07bc4bc1a34fc072ef3a5f9c
work_keys_str_mv AT wenhualu adversechildhoodexperiencesandadolescentmentaldisordersprotectivemechanismsoffamilyfunctioningsocialcapitalandcivicengagement
AT yunyuxiao adversechildhoodexperiencesandadolescentmentaldisordersprotectivemechanismsoffamilyfunctioningsocialcapitalandcivicengagement
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