The Association of Adverse Childhood Experiences With Anxiety and Depression for Children and Youth, 8 to 17 Years of Age.
To determine the prevalence of anxiety and depression and examine their association with adverse childhood experiences (ACEs) among children and adolescents ages 8 to 17 years old. Using data from the 2016-2017 National Survey of Children's Health, we conducted a cross-sectional study design with a...
| Publicado en: | Academic Pediatrics Vol. 20; no. 5; pp. 600 - 609 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jul2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143824947&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143824947 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Jul2020 vid: 20 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 143824947 143824947 143824947 10.1016/j.acap.2020.02.012 143824947 ppf: 600 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Association of Adverse Childhood Experiences With Anxiety and Depression for Children and Youth, 8 to 17 Years of Age. aug: au: Elmore, Amanda L. Crouch, Elizabeth affil: Department of Epidemiology and Biostatistics (AL Elmore), Arnold School of Public Health, University of South Carolina, Columbia, SC sug: subj: Adverse Childhood Experiences In Infancy and Childhood Adverse Childhood Experiences In Adolescence Anxiety Epidemiology Depression Epidemiology Human Male Female Child Adolescence Child Behavior Adolescent Behavior Prevalence United States Funding Source Cross Sectional Studies Caregiver Attitudes Multivariate Analysis Odds Ratio Confidence Intervals Mental Disorders Diagnosed in Childhood Diagnosis Mental Disorders Diagnosed in Childhood Symptoms Adverse Childhood Experiences Prevention and Control American Academy of Pediatrics Health Screening Pediatric Care Descriptive Statistics Parents Socioeconomic Factors Comparative Studies Child: 6-12 years Adolescent: 13-18 years Male Female ab: To determine the prevalence of anxiety and depression and examine their association with adverse childhood experiences (ACEs) among children and adolescents ages 8 to 17 years old. Using data from the 2016-2017 National Survey of Children's Health, we conducted a cross-sectional study design with a total sample of 39,929. Our exposure and outcome variables included caregiver report of 9 ACE exposures and current anxiety or current depression. Survey sampling weights and SAS survey procedures were implemented to produce nationally representative results. Our study found that 9% of children had current anxiety while 4% had current depression. Multivariate analysis concluded that all ACE measures were associated with significantly higher odds of both anxiety and depression. Children exposed to 4 or more ACEs had higher odds of anxiety (adjusted odds ratio [aOR] = 1.7; 95% confidence interval [CI], 1.4–2.1) and depression (aOR = 2.2; 95% CI, 1.7–2.9) than children with exposure to fewer than four ACEs. Assessment of the outcomes of anxiety and depression separately showed differential impacts of ACE exposures as associations were stronger with depression for almost all ACE categories. Our study demonstrates a differential association between ACEs and anxiety and depression. This highlights the importance of assessing the impact of ACEs on internalizing behaviors separately. These findings are significant for pediatric providers as diagnosis and treatment for mental health disorders are vital components of pediatric care and further support the American Academy of Pediatrics' recommendation to screen for ACEs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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