The Differential Impact of Emotional Support on Social Problem‐Solving and Mental Health Among Latina Immigrant Survivors of Adverse Childhood Experiences.

Adverse childhood experiences (ACEs) are often positively associated with mental health conditions. We examined whether emotional support attenuates the association between ACE clusters and both social problem solving and mental health assessments (depression, anxiety, post‐traumatic stress disorder...

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Publicado en:Research in Nursing & Health Vol. 49; no. 4; pp. 341 - 353
Autores principales: Lopez, Laura Mata, Smith, Owen, Sanchez‐Roman, Maria Jose, Escobar‐Acosta, Lia, Alvarez, Carmen
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/nur.70038
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        atl: The Differential Impact of Emotional Support on Social Problem‐Solving and Mental Health Among Latina Immigrant Survivors of Adverse Childhood Experiences.
      aug:
        au:
          Lopez, Laura Mata
          Smith, Owen
          Sanchez‐Roman, Maria Jose
          Escobar‐Acosta, Lia
          Alvarez, Carmen
        affil: School of Nursing, Johns Hopkins University, Baltimore Maryland,, USA
      sug:
        subj:
          Immigrants
          Hispanic Americans
          Women Psychosocial Factors
          Survivors Psychosocial Factors
          Adverse Childhood Experiences
          Support, Psychosocial
          Problem Solving
          Mental Health Evaluation
          Social Problems
          Human
          United States
          Funding Source
          Female
          Adult
          Cross Sectional Studies
          Convenience Sample
          Questionnaires
          Scales
          Data Analysis Software
          Cluster Analysis
          Chi Square Test
          Analysis of Variance
          Post Hoc Analysis
          Mediation Analysis
          Confidence Intervals
          Anxiety
          Depression
          Emotions
          Health Promotion
          Wellness
          Adult: 19-44 years
          Female
      ab: Adverse childhood experiences (ACEs) are often positively associated with mental health conditions. We examined whether emotional support attenuates the association between ACE clusters and both social problem solving and mental health assessments (depression, anxiety, post‐traumatic stress disorder (PTSD) symptoms). A convenience sample of 336 Latina immigrant women completed questionnaires about their ACEs, emotional support, social problem‐solving, and depression, anxiety, and PTSD symptoms. Using PROCESS SPSS Macro version 4.0 we conducted four separate moderation analyses. We identified 5 ACEs clusters from our sample (n = 336): Global ACEs (15.5%), Community Violence and Physical Abuse (23.8%), Physical and Emotional Abuse (21.4%), Household Dysfunction with Physical and Emotional Abuse (16.7%), and Low ACEs (22.6%). Emotional support served as a protective moderator with differential effects, providing the greatest benefit to women who experienced high levels of abuse. For social problem‐solving abilities, significant interactions emerged for the Physical and Emotional Abuse and Household Dysfunction clusters, indicating that as emotional support increases, the difference in social problem‐solving between these high‐ACE clusters and the Low ACEs cluster decreased. For PTSD symptoms, women in the Global ACEs cluster showed significantly higher symptoms than the Low ACEs group when emotional support was low. The clusters did not differ at high emotional support levels, indicating that adequate social support can reduce the negative effects of ACEs on both PTSD symptoms and effective problem‐solving. These findings underscore the need for trauma‐informed, culturally responsive care models that integrate ACE screening and guide future interventions to strengthen social support networks for ACE survivors.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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