The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds

Background—Adverse childhood experiences (ACEs) are common among children. Little is known on how resilience factors and positive childhood experiences (PCEs) may moderate the relationship between ACEs and childhood depression. Objective—Our study fills this gap by providing recent, nationally re...

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Glavni avtor: Chowdhury, Mohiuddin Ahsanul Kabir
Format: Article
Jezik:angleščina
Izdano: Author manuscript 2025
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Online dostop:https://repository.auw.edu.bd/handle/123456789/880
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author Chowdhury, Mohiuddin Ahsanul Kabir
author_facet Chowdhury, Mohiuddin Ahsanul Kabir
author_sort Chowdhury, Mohiuddin Ahsanul Kabir
collection institutional Repository
description Background—Adverse childhood experiences (ACEs) are common among children. Little is known on how resilience factors and positive childhood experiences (PCEs) may moderate the relationship between ACEs and childhood depression. Objective—Our study fills this gap by providing recent, nationally representative estimates of ACE and PCE exposure for ages 8-17 and examines the associations between ACE exposure and PCEs on the outcome of depression. Participants and Setting—Data were drawn from the nationally representative 2016-2017 National Survey of Children’s Health (NSCH) and included a total sample of 40,302 children and adolescents. Methods—Chi square analysis and multivariate logistic regressions were performed to assess associations of depression with 9 ACE and 6 PCE exposures. Additive and multiplicative interactions were examined between ACE exposure and PCEs (resiliency measures) on depression. Survey sampling weights and SAS survey procedures were used. Results—Our study found that 4% of children had current depression and those with an ACE count greater than four had increased odds (aOR: 2.29; CI: 1.74-3.02). Multivariate regressions demonstrated associations between depression and low resiliency as well as significant interactions between ACE exposure and three PCEs. Children who were exposed to greater than four ACEs and did not exhibit resilience had 8.75 higher odds of depression (CI: 5.23-14.65) compared to those with less than four ACEs and some resilience. Conclusions—These findings illustrate the need for the promotion of PCEs and the building of resiliency for combatting depression and reducing the impact of trauma in children and adolescents.
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spelling 123456789-8802026-02-18T06:15:30Z The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds Chowdhury, Mohiuddin Ahsanul Kabir Adverse childhood experiences; depression; resilience; positive childhood experiences; pediatrics Background—Adverse childhood experiences (ACEs) are common among children. Little is known on how resilience factors and positive childhood experiences (PCEs) may moderate the relationship between ACEs and childhood depression. Objective—Our study fills this gap by providing recent, nationally representative estimates of ACE and PCE exposure for ages 8-17 and examines the associations between ACE exposure and PCEs on the outcome of depression. Participants and Setting—Data were drawn from the nationally representative 2016-2017 National Survey of Children’s Health (NSCH) and included a total sample of 40,302 children and adolescents. Methods—Chi square analysis and multivariate logistic regressions were performed to assess associations of depression with 9 ACE and 6 PCE exposures. Additive and multiplicative interactions were examined between ACE exposure and PCEs (resiliency measures) on depression. Survey sampling weights and SAS survey procedures were used. Results—Our study found that 4% of children had current depression and those with an ACE count greater than four had increased odds (aOR: 2.29; CI: 1.74-3.02). Multivariate regressions demonstrated associations between depression and low resiliency as well as significant interactions between ACE exposure and three PCEs. Children who were exposed to greater than four ACEs and did not exhibit resilience had 8.75 higher odds of depression (CI: 5.23-14.65) compared to those with less than four ACEs and some resilience. Conclusions—These findings illustrate the need for the promotion of PCEs and the building of resiliency for combatting depression and reducing the impact of trauma in children and adolescents. 2025-07-31T06:29:09Z 2025-07-31T06:29:09Z 2020 Article https://repository.auw.edu.bd/handle/123456789/880 en application/pdf Author manuscript
spellingShingle Adverse childhood experiences; depression; resilience; positive childhood experiences; pediatrics
Chowdhury, Mohiuddin Ahsanul Kabir
The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds
title The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds
title_full The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds
title_fullStr The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds
title_full_unstemmed The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds
title_short The Interaction of Adverse Childhood Experiences and Resiliency on the Outcome of Depression Among Children and Youth, 8-17 year olds
title_sort interaction of adverse childhood experiences and resiliency on the outcome of depression among children and youth 8 17 year olds
topic Adverse childhood experiences; depression; resilience; positive childhood experiences; pediatrics
url https://repository.auw.edu.bd/handle/123456789/880
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