In “The Association of Adverse Childhood Experiences with Anxiety and Depression for
Children and Youth, 8 to 17 Years of Age”, we found that adverse childhood experiences
(ACEs), which encompass abuse, neglect, and household dysfunction before the age of
18, were associated with significantly higher odds of anxiety and depression.
1
Based on 2016–2017 National Survey of Children's Health data, our study provided
prevalence estimates for current anxiety (9%) and current depression (4%) among children
and youth.
1
We found that 8% of children experienced 4 or more ACEs and the two most common types
were parental divorce/separation (31%) and economic hardship (25%).
1
By examining the outcomes of anxiety and depression separately, we found that the
magnitude of association between nearly all ACE exposures and depression were stronger
than those with anxiety. Thus, our study highlighted the importance of examining the
impact of ACEs on internalizing behaviors, such as anxiety and depression, by specific
condition for comprehensive pediatric prevention and treatment efforts.
1
Since we submitted our publication in September 2019, researchers have provided updated
prevalence estimates and examined the impact of ACEs on co-occurring anxiety and depression.
In this progress report, we discuss literature that updates and expands our prior
work.Keywords
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References
- The association of adverse childhood experiences with anxiety and depression for children and youth, 8 to 17 years of age.Acad Pediatr. 2020; 20: 600-608https://doi.org/10.1016/j.acap.2020.02.012
- Prevalence and correlates of mental health disorders among children & adolescents in U.S.Child Youth Serv Rev. 2022; 136106441https://doi.org/10.1016/j.childyouth.2022.106441
- Independent and cumulative impacts of adverse childhood experiences on adolescent subgroups of anxiety and depression.Child Youth Serv Rev. 2021; 122105885https://doi.org/10.1016/j.childyouth.2020.105885
- Adverse childhood experiences, neighborhood support, and internalizing and externalizing mental disorders among 6-17 years old US children: evidence from a population-based study.Community Ment Health J. 2022; 58: 166-178https://doi.org/10.1007/s10597-021-00808-7
- Positive childhood experiences can moderate the impact of adverse childhood experiences on adolescent depression and anxiety: Results from a cross-sectional survey.Child Abuse Neglect. 2022; 125105511https://doi.org/10.1016/j.chiabu.2022.105511
- Role of individual, family, and community resilience in moderating effects of adverse childhood experiences on mental health among children.J Dev Behav Pediatr. 2022; 43: e452-e462https://doi.org/10.1097/DBP.0000000000001076
- The mediating role of anxiety/depression symptoms between adverse childhood experiences (ACEs) and somatic symptoms in adolescents.J Adolesc. 2022; 94: 133-147https://doi.org/10.1002/jad.12012
- The interaction of adverse childhood experiences and resiliency on the outcome of depression among children and youth, 8-17 year olds.Child Abuse Negl. 2020; 107104616https://doi.org/10.1016/j.chiabu.2020.104616
- The intersection of depressive symptoms, adverse childhood experiences, and protective factors among adolescents: epidemiological evidence from Minnesota, 2016 and 2019.Adversity Resilience Sci. 2022; 3: 21-36https://doi.org/10.1007/s42844-022-00052-2
- Preventing adverse childhood experiences campaign toolkit.Campaign Mater. 2021; (Accessed October 5, 2022. Available at:)
Article info
Publication history
Published online: December 01, 2022
Accepted:
November 26,
2022
Received:
October 20,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
The authors have no conflicts of interest to report.
Identification
Copyright
Copyright © 2022 by Academic Pediatric Association
