Dominguez Maribel G, Brown Louis D
Department of Public Health, University of Texas at El Paso, P.O. Box 960581, El Paso, Texas, 79996 USA.
Department of Health Promotion and Behavioral Sciences, School of Public Health in El Paso, The University of Texas Health Science Center at Houston, Texas, US.
J Child Adolesc Trauma. 2022 Jan 22;15(3):595-604. doi: 10.1007/s40653-022-00437-6. eCollection 2022 Sep.
This study explores the relations between adverse childhood experiences (ACEs), mental health and resilience among Hispanic adults living in the United States - Mexico Border region. Numerous studies have investigated the negative impact of ACEs on adult mental health, but the concept of resilience as a protective factor for mental health in the Hispanic communities has limited consideration in ACE treatment interventions. The proposed study addresses this gap in knowledge by investigating relations between ACEs, resilience, and mental health. An online survey was administered to 221 university students to assess the relationship between ACEs, mental distress and resilience. Using hierarchical linear regression, three models were estimated. First, including demographics, second including ACEs and low resilience, followed by the interaction of ACEs and resilience. Analyses indicate that ACEs were associated with mental distress (B = 1.02, 95% CI 0.37 - 1.68, 0.01) and low resilience was associated with mental distress (B = 5.37, 95% CI 3.15 - 7.59, .01). The interaction between ACEs and low resilience was also related to mental distress (B = 1.32, 95% CI 0.17 - 2.47, 0.03), indicating that ACEs had a larger association with mental distress among respondents with low resilience. Findings highlight the importance of the direct association between resilience and mental distress, along with the moderating influence of resilience on the relation between ACEs and mental health. Interventions promoting resilience may be effective in reducing mental distress, especially among individuals with a history of ACEs.
本研究探讨了生活在美国 - 墨西哥边境地区的西班牙裔成年人童年不良经历（ACEs）、心理健康与心理韧性之间的关系。众多研究调查了ACEs对成人心心理健康的负面影响，但心理韧性作为西班牙裔社区心理健康保护因素的概念在ACE治疗干预中考虑有限。拟议的研究通过调查ACEs、心理韧性和心理健康之间的关系来填补这一知识空白。对221名大学生进行了在线调查，以评估ACEs、心理困扰和心理韧性之间的关系。使用分层线性回归估计了三个模型。首先，纳入人口统计学变量，其次纳入ACEs和低心理韧性，随后是ACEs与心理韧性的交互作用。分析表明，ACEs与心理困扰相关（B = 1.02，95%置信区间0.37 - 1.68，P = 0.01），低心理韧性与心理困扰相关（B = 5.37，95%置信区间3.15 - 7.59，P = 0.01）。ACEs与低心理韧性之间的交互作用也与心理困扰相关（B = 1.32，95%置信区间0.17 - 2.47，P = 0.03），表明在心理韧性低的受访者中，ACEs与心理困扰的关联更大。研究结果突出了心理韧性与心理困扰之间直接关联的重要性，以及心理韧性对ACEs与心理健康关系的调节作用。促进心理韧性的干预措施可能对减轻心理困扰有效,尤其是在有ACEs病史的个体中。
