Xue Jiao, Huang Hai, Zhou Chunyan, Feng Wenting, Ge Yanwei, Hu Yue
Department of Psychology, Institute of Education, China University of Geosciences, Wuhan, China; Wuhan Mental Health Center, Wuhan, China.
Department of Psychology, Institute of Education, China University of Geosciences, Wuhan, China; Wuhan Mental Health Center, Wuhan, China.
Child Abuse Negl. 2024 Dec;158:107091. doi: 10.1016/j.chiabu.2024.107091. Epub 2024 Oct 24.
Adverse childhood experiences (ACEs) are widespread in East Asia, heightening the susceptibility to psychological and behavioral complications in adulthood.
To identify polyvictimization patterns among Chinese college students and investigate the associations between diverse patterns and symptoms of depression, short-form video addiction (SVA), and life satisfaction.
This study encompassed 13,307 college students from four urban centers in China (M = 20.2; 46.4 % female).
Latent class analysis (LCA) was employed to discern patterns of ACEs among college students. The three-step method (R3step) was utilized to explore the influence of demographic characteristics on the distribution of latent classes. Additionally, the automatic Bolck-Croon-Hagenaars (BCH) Method was deployed to investigate the latent classes effect on distal outcomes.
Left-behind experience was the most common ACE among Chinese college students. Four ACEs patterns were identified: 1) No/Very Low ACEs class (N = 8936, 67.2 %); 2) Parental Absence class (N = 430, 3.2 %); 3) Low/Moderate ACEs class (N = 3565, 26.8 %); and 4) High Violence and Left-behind class (N = 376, 2.8 %). The findings revealed a progressive escalation in healthy outcomes associated with the four ACEs patterns. Specifically, from the first class to the fourth, the severity of associated consequences (depression, life satisfaction and SVA) intensified.
Distinct ACEs patterns correlate with varying degrees of mental health issues. Compared to participants solely separated from parents, those exposed to abuse and neglect demonstrate more pronounced mental health challenges and addiction susceptibilities.
童年不良经历（ACEs）在东亚地区广泛存在，增加了成年后患心理和行为并发症的易感性。
识别中国大学生中的多重受害模式，并调查不同模式与抑郁症状、短视频成瘾（SVA）和生活满意度之间的关联。
本研究涵盖了来自中国四个城市中心的13307名大学生（平均年龄=20.2岁；46.4%为女性）。
采用潜在类别分析（LCA）来识别大学生中的ACEs模式。运用三步法（R3step）探讨人口统计学特征对潜在类别分布的影响。此外，采用自动Bolck-Croon-Hagenaars（BCH）方法来研究潜在类别对远端结果的影响。
留守儿童经历是中国大学生中最常见的ACEs。确定了四种ACEs模式：1）无/极低ACEs类别（N=8936，67.2%）；2）父母缺位类别（N=430，3.2%）；3）低/中度ACEs类别（N=3565，26.8%）；4）高暴力和留守儿童类别（N=376，2.8%）。研究结果显示，与这四种ACEs模式相关的健康结果呈逐步上升趋势。具体而言，从第一类到第四类，相关后果（抑郁、生活满意度和SVA）的严重程度加剧。
不同的ACEs模式与不同程度的心理健康问题相关。与仅与父母分离的参与者相比，遭受虐待和忽视的参与者表现出更明显的心理健康挑战和成瘾易感性。
