Excessive digital devices use as an intermediate variable between heterogeneous adverse childhood experiences and psychopathology in US adolescents: a latent class cross-sectional analysis.
Background: Adverse childhood experiences (ACEs) represent a significant public health concern in the US. While research has established links between ACEs and psychopathology, the behavioral mechanisms intermediating this relationship in adolescents remain limited, particularly regarding digital de...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 34; no. 11; pp. 3549 - 3565 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
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Springer Nature
Nov2025
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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=189593509&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189593509 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Nov2025 vid: 34 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 189593509 185707777 189593509 189593509 10.1007/s00787-025-02777-8 189593509 ppf: 3549 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Excessive digital devices use as an intermediate variable between heterogeneous adverse childhood experiences and psychopathology in US adolescents: a latent class cross-sectional analysis. aug: au: Lu, Zékai affil: https://ror.org/01pxwe438 Department of Sociology, McGill University, Montreal, Canada sug: subj: Psychopathology In Adolescence Adverse Childhood Experiences Risk Factors Technology Addiction Complications Digital Technology Risk Assessment Human United States Cross Sectional Studies Structural Equation Modeling Adolescence Descriptive Statistics Logistic Regression Anxiety Depression Conceptual Framework Socioeconomic Factors Domestic Violence Substance Use Disorders Odds Ratio Correlational Studies Confidence Intervals Family Characteristics Adolescent: 13-18 years ab: Background: Adverse childhood experiences (ACEs) represent a significant public health concern in the US. While research has established links between ACEs and psychopathology, the behavioral mechanisms intermediating this relationship in adolescents remain limited, particularly regarding digital device usage behaviors in the technological era. Objective: I examined the intermediate role of excessive digital device use (EDDU) in the relationship between heterogeneous ACEs and psychopathology in a nationally representative sample of US adolescents. Methods: Data from the 2021–2023 National Survey of Children's Health included 50,285 adolescents (=14.47 ± 1.7, 49% girls, weighted N = 23,930,493). Latent class analysis identified ACE patterns. Logistic regression models and the Karlson-Holm-Breen method assessed associations between ACE classes, EDDU, and disorders, controlling for sociodemographic factors and accounting for complex survey design. Results: Four distinct ACE classes emerged: Low ACE Exposure (LAE), Economic and Family Hardship (EFH), Community and Discrimination Stress (CDS), and Pervasive ACEs Exposure (PAE). Compared to LAE, PAE showed the strongest association with EDDU (OR = 2.28, 95% CI [1.89,2.74]) and with depression (OR = 7.72, 95% CI [6.28,9.48]) and anxiety (OR = 5.36, 95% CI [4.43,6.47]). EDDU significantly intermediated the relationship between ACE classes and all three disorders, showing stronger effects for internalizing disorders than for ADHD. Conclusions: ACE patterns show heterogeneous associations with adolescent EDDU and psychopathology in this cross-sectional analysis. Statistical relationships between ACEs, EDDU, and mental health problems suggest potential behavioral pathways that warrant longitudinal investigation. While causal relationships cannot be established, these findings highlight digital device use as a potentially relevant factor when supporting adolescents with adverse childhood experiences. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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