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Gender differences in adverse childhood experiences, resilience and internet addiction among Tunisian students: Exploring the mediation effect.

作者信息

Mlouki Imen, Majdoub Mariem, Hariz Emna, Silini Ahlem, Mrabet Houcem Elomma, Rezg Nejla, El Mhamdi Sana

机构信息

Preventive and Community Medicine, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.

Department of Preventive and Community Medicine, Taher Sfar University Hospital, Mahdia, Tunisia.

出版信息

PLOS Glob Public Health. 2024 Jan 18;4(1):e0002556. doi: 10.1371/journal.pgph.0002556. eCollection 2024.


DOI:10.1371/journal.pgph.0002556
PMID:38236830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10795992/
Abstract

Adverse Childhood Experiences (ACEs) are a common public health issue with a variety of consequences, including behavioral addiction such as Internet Addiction (IA). Despite widespread recognition of this issue, the underlying mechanisms are not well studied in recent literature. Additionally, studies have indicated gender disparities in the prevalence and manifestation of ACEs and IA. The objective of this study was to investigate the mediating effect of resilience on the link between ACEs and IA among high-school students according to gender in Mahdia city (Tunisia). We conducted a cross-sectional survey for two months (January- February 2020), among 2520 schooled youth in Mahdia city (Tunisia). The Arabic-language edition of the World Health Organisation ACE questionnaire was used. The validated Arabic versions of the Adolescent Psychological Resilience Scale and the Internet Addiction Test were the screening tools for resilience and IA. Data were analyzed according to gender. The majority of youth (97.5%) were exposed to at least one ACE with the most prevalent being emotional neglect (83.2%). Exposure to extra-familial ACEs was also high reaching 86.9% with higher rates among boys for all types of social violence. Internet addiction was common among students (50%) with higher prevalence for boys (54.4% vs 47.7%for girls, p = 0.006). Resilience scores were86.43 ± 9.7 for girls vs 85.54 ± 9.79 for boys. The current study showed that resilience mediated the link between ACEs, especially intrafamilial violence, and internet addiction (%mediated = 15.1). According to gender, resilience had a significant mediating role on internet addiction for girls (%mediated = 17) and no significant role for boys. The mediating effect of resilience in the relationship between ACEs and cyberaddiction among schooled adolescents in the region of Mahdia (Tunisia) has been identified.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/006a/10795992/cb6069849edf/pgph.0002556.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/006a/10795992/cb6069849edf/pgph.0002556.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/006a/10795992/cb6069849edf/pgph.0002556.g001.jpg

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引用本文的文献

[1]
Prevalence and factors associated with resilience in Peruvian adolescent schoolchildren during the early post-pandemic context: a cross-sectional study.

Front Psychiatry. 2025-7-25

[2]
Association between adverse childhood experiences and masculinity with well-being: moderating role of behavioural emotional regulation among men of three nations.

Sci Rep. 2025-4-28

本文引用的文献

[1]
Adverse childhood experiences and sleep disorders among Tunisian adolescents: The mediating role of internet addiction.

Child Abuse Negl. 2023-2

[2]
Relationship between behavioral inhibition/activation system and Internet addiction among Chinese college students: The mediating effects of intolerance of uncertainty and self-control and gender differences.

Front Public Health. 2022

[3]
Impact of Adverse Childhood Experiences on Resilience and School Success in Individuals With Autism Spectrum Disorder and Attention-Deficit Hyperactivity Disorder.

Cureus. 2022-11-26

[4]
Post-COVID-19 Psychiatric Symptoms in the Elderly: The Role of Gender and Resilience.

J Pers Med. 2022-12-6

[5]
Relationship Between Adverse Childhood Experiences and Resilience in College Students in China.

J Fam Violence. 2023

[6]
Adverse childhood experiences and resilience among adult women: A population-based study.

Elife. 2022-2-1

[7]
Does Resilience Mediate the Association of Adverse Early Childhood Experiences With Emotional and Behavioural Problems?

Int J Public Health. 2021

[8]
Trends in Prevalence of Tobacco Use by Sex and Socioeconomic Status in 22 Sub-Saharan African Countries, 2003-2019.

JAMA Netw Open. 2021-12-1

[9]
Health Promotion and Wellness in Neurologic Physical Therapy: Strategies to Advance Practice.

J Neurol Phys Ther. 2022-4-1

[10]
Impulsivity mediates the impact of early life adversity on high risk behaviors among Tunisian adolescents.

Prev Med Rep. 2021-5-29

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