Song Jihee
Florida Department of Children and Families, Tallahassee, FL, 32303, USA.
Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL, 32611, USA.
Child Psychiatry Hum Dev. 2023 Dec 18. doi: 10.1007/s10578-023-01645-3.
There is limited existing research on whether specific combinations of Adverse Childhood Experiences (ACEs) are associated with different psychiatric disorders among adolescents with ADHD. This study aimed to address this gap by identifying classes of ACEs and examining their association with behavioral problems, anxiety, and depression in adolescents with ADHD aged 11-17 (n = 1,806), using data from the 2018 National Survey of Children's Health (NSCH). A latent class analysis revealed a four-class solution: (1) low-risk ACEs (61.6%), (2) moderate-risk ACEs (25.2%), (3) high discrimination and neighborhood violence exposure (7.6%), and (4) high-risk ACEs (5.6%). The "high-risk ACEs" and the "high discrimination and neighborhood violence exposure" class showed a higher likelihood of behavioral problems and depression, and anxiety and depression respectively. These findings provide some insight into the ACE patterns that are more likely to be associated with mental health problems among adolescents with ADHD.
关于童年不良经历（ACEs）的特定组合是否与患有注意力缺陷多动障碍（ADHD）的青少年的不同精神障碍相关，现有研究有限。本研究旨在通过识别ACEs类别并利用2018年全国儿童健康调查（NSCH）的数据，研究11至17岁患有ADHD的青少年（n = 1806）中ACEs与行为问题、焦虑和抑郁之间的关联，以填补这一空白。潜在类别分析揭示了一个四类解决方案：（1）低风险ACEs（61.6%），（2）中度风险ACEs（25.2%），（3）高歧视和邻里暴力暴露（7.6%），以及（4）高风险ACEs（5.6%）。“高风险ACEs”类别和“高歧视和邻里暴力暴露”类别分别显示出行为问题和抑郁、焦虑和抑郁的较高可能性。这些发现为更可能与患有ADHD的青少年心理健康问题相关的ACE模式提供了一些见解。
