ArticleBMC psychiatry2025
Adverse childhood experiences and mental health: the mediating role of perceived social support and coping strategies.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Prenatal clinicians' perspectives on trauma-informed care competency and training.BMC medical education · 2026Article
- Physical exercise and psychological resilience in the link between adverse childhood experiences and non-suicidal self-injury: chain mediation and network analysis in college students.Frontiers in psychiatry · 2026Article
- Associations Between Adverse Childhood Experiences and Prenatal Depression Mediated Through Family Communication in Chinese Pregnant Women: Causal Mediation Analysis.Depression and anxiety · 2026Article
- Associations of adverse childhood experiences with mental health and behaviors among adolescents.BMC public health · 2025Article
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5 authors.
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Abstract
backgroundAdverse childhood experiences (ACEs) are significant risk factors for poor mental health in adolescence. However, the mechanisms linking ACEs to depression, anxiety, and stress remain underexplored in low-resource settings like Bangladesh. To examine the associations between ACEs and mental health and investigate the mediating effects of perceived social support and coping strategies among adolescents.
methodsA cross-sectional survey was conducted among 1139 high-school graduates in Bangladesh. Self-administered questionnaires assessed ACEs, perceived social support, coping strategies, and symptoms of depression, anxiety, and stress. Structural equation modeling evaluated direct and indirect pathways and logistic regression identified risk factors associated with depression, anxiety, and stress.
resultsACEs were positively associated with elevated stress (β = 0.459, p< 0.001) and negatively associated with family (β = -0.339), friend (β =-0.239), and support from other significant persons (e.g. a close friend or mentor) (β = -0.199), as well as active (β = -0.345) and emotional coping (β = -0.221; all p< 0.001). Family support fully mediated the associations between ACEs and both depression (β = 0.042, p = 0.002) and anxiety (β = 0.063, p < 0.001), and partially mediated the association with stress (β = 0.217, p< 0.001). Active coping similarly fully mediated the ACE-depression (β = 0.017, p = 0.007) and ACE-anxiety (β = 0.025, p = 0.003) associations, while partially mediating the ACE-stress link (β = 0.125, p < 0.001). Friend support and emotion-focused coping showed smaller but significant partial mediation effects for anxiety (β = 0.020, p = 0.041; β = 0.013, p = 0.013, respectively) and stress (β = 0.027, p= 0.021 for emotion-focused coping), while their indirect effects on depression were not statistically significant. Females had higher odds of all mental health problems. Psychological abuse was associated with worse mental health outcomes, and sexual abuse significantly increased stress risk.
conclusionSocial support and active coping strategies buffer the effect of ACEs on mental health. Interventions should prioritize enhancing family support and promoting active coping, among adolescents.
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