Saint Luke's College of Health Sciences at Rockhurst University, 624 Westport Road, Kansas City, MO 64111, USA.
Saint Luke's Health System, 901 E. 104th St. KCMO, 64134, USA.
J Prof Nurs. 2021 Mar-Apr;37(2):291-297. doi: 10.1016/j.profnurs.2021.01.007. Epub 2021 Jan 20.
BACKGROUND/SIGNIFICANCE: The 10-point Adverse Childhood Experiences (ACEs) score measures childhood exposure to traumatic events. An ACEs score of 4 or higher has been associated with long-term physical and mental health problems, and increased mortality. It is unclear if the rates of undergraduate nursing students experiencing ACEs is different from the general population, and what impact ACEs has on nursing students' depression, anxiety and stress.
The purpose of this study was to assess the rate of ACEs in nursing students and to examine the relationship between ACEs and perceived depression, anxiety, and stress among undergraduate nursing students.
This is a descriptive correlational study to determine Adverse Childhood Experiences (ACEs) scores and Modified Depression Anxiety and Stress Scale (DASS-21) scores for undergraduate pre-licensure students at a private mid-western college. Students' ACEs scores were correlated with DASS-21 scores and demographic data.
409 students volunteered to participate in the study. Seventeen percent of students had high ACEs scores (≥4). Those students with high ACEs scores also scored statically significantly higher on the DASS-21 items relating to depression, anxiety, and stress.
CONCLUSION/IMPLICATIONS: Results from this study demonstrated that many nursing students have experienced ACEs and nursing students with ACEs scores of 4 or higher had higher rates of depression, anxiety, and stress. These findings should drive faculty in nursing programs to acknowledge the prevalence of ACEs among their nursing students and recognize that impact on the mental health of students.
背景/意义：10 点不良童年经历（ACEs）评分衡量儿童时期经历创伤事件的情况。ACEs 评分达到 4 或更高与长期的身心健康问题和死亡率增加有关。目前尚不清楚本科护理专业学生经历 ACEs 的比率是否与普通人群不同，以及 ACEs 对护理学生的抑郁、焦虑和压力有何影响。
本研究旨在评估护理学生的 ACEs 发生率，并探讨 ACEs 与本科护理学生感知抑郁、焦虑和压力之间的关系。
这是一项描述性相关性研究，旨在确定中西部一所私立学院护理专业预注册学生的不良童年经历（ACEs）评分和改良抑郁焦虑压力量表（DASS-21）评分。学生的 ACEs 评分与 DASS-21 评分和人口统计学数据相关联。
409 名学生自愿参加了这项研究。17%的学生 ACEs 评分较高（≥4）。那些 ACEs 评分较高的学生在与抑郁、焦虑和压力相关的 DASS-21 项目上的得分也显著更高。
结论/意义：本研究的结果表明，许多护理学生经历过 ACEs，ACEs 评分达到 4 或更高的护理学生抑郁、焦虑和压力的发生率更高。这些发现应该促使护理专业的教师认识到 ACEs 在其护理学生中的普遍存在，并认识到这对学生心理健康的影响。
