Patterns of adverse childhood experiences and depressive symptoms: self-esteem as a mediating mechanism.

PURPOSE: There is a growing interest in the co-occurring natures of adverse childhood experiences (ACEs) and unmeasured types of adversity. The current body of knowledge may also lack plausible mechanisms linking ACEs to mental health in young adulthood. This study aims to identify early adversity patterns using expanded ACEs items and investigate the pathway of ACEs and self-esteem to depressive symptoms in young adulthood. METHODS: Data were obtained from the National Longitudinal Study of Adolescent and Adult Health, including a nationally representative sample in the U.S. (N = 10,702). We identified the ACEs patterns and estimated the direct and indirect associations between ACEs and depressive symptoms through self-esteem, using a latent class analysis with a distal outcome. RESULTS: This study identified four distinct groups of ACEs that include Child Maltreatment, Household Dysfunction, Violence, and Low Adversity. The Child Maltreatment class showed a significantly higher risk of depressive symptoms compared to other ACEs groups. Self-esteem mediated the negative association of child maltreatment with depressive symptoms. The Violence class presented a significantly higher risk of depressive symptoms than Low Adversity, but no mediation of self-esteem was found. CONCLUSION: The study highlights the profound consequence of child abuse/neglect and identifies self-esteem as a plausible mediating mechanism. Researchers and practitioners should increase collaboration efforts to prevent early adversity exposures and detrimental effects on mental health.

The longitudinal effects of grandchild care on depressive symptoms and physical health of grandmothers in South Korea: a latent growth approach.

OBJECTIVES: This study examined longitudinal effects of grandmothers' patterns in caring for their grandchildren, and observed the influence of these patterns on grandmothers' depressive symptoms and self-rated health status, using latent growth curve models. METHOD: Four waves of the large-scale Korean Longitudinal Study of Aging data were used for this study. The total sample consisted of 1,948 female participants, who have at least one grandchild, and who were age 50-74 in 2006. The study employed the multiple-group latent growth curve using Mplus to analyze if patterns of grandchild care predicted developmental trajectories of depressive symptoms and self-rated health over time. RESULTS: Grandmothers who stopped raising grandchildren reported more depressive symptoms over time than did grandmothers who never raised grandchildren. However, this pattern was not found in the group with income more than 60 percent of the median income in Korea, but this pattern was found in the group with income below 60 percent of the median. CONCLUSION: Findings from the latent growth curve modeling indicate how caring for grandchildren affected grandmothers' depressive symptoms and self-rated health status from a longitudinal perspective. Implications for future research and policies on grandchild care are discussed.

The Influence of Adverse Childhood Experiences on Suicidal Behaviors in South Korea: The Mediating Effects of Depressive Symptoms and Latent Class Analysis.

This study examines the relationship between patterns of adverse childhood experiences (ACEs) and suicidal behaviors. It investigates the role of depressive symptoms as an underlying mechanism between patterns of ACEs and suicidal behaviors in South Korea. Data came from the 2012 Korean General Social Survey (KGSS), a nationally representative sample in South Korea (N = 1,048). The dependent variables included two suicidal behaviors: suicidal thoughts and a suicide plan or attempt. The independent variable was the patterns of ACEs identified using ten binary indicators of childhood adversity. The mediating variable of depressive symptoms was measured using the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Covariates were also included to control for socio-demographic characteristics: age, gender, education, and household income. This study conducted a latent class analysis (LCA) to classify different patterns of ACEs and then employed path analysis to examine mediating effects of depressive symptoms in the relationship between ACEs and suicidal behavior. Among the results, three latent classes of ACEs were identified-child maltreatment, child maltreatment and family dysfunction, and low ACEs. The child maltreatment and child maltreatment and family dysfunction classes were more likely to have suicidal thoughts and to plan or attempt suicide compared to the low ACEs class. Path analysis also showed significant indirect pathways from ACEs exposure to suicidal behaviors through depressive symptoms. This evidence corroborates previous research that shows family dysfunction and child maltreatment as detrimental factors leading to depressive symptoms and suicidal behaviors. Practitioners and policy-makers should therefore consider childhood life experiences when assessing suicidal behaviors in health prevention and intervention strategies.

Patterns of Adverse Childhood Experiences and Mental Health: Evidence From College Students in Korea.

Adverse childhood experiences (ACEs) are concerning exposures that may have detrimental effects on mental health. Much of the prior evidence on ACEs comes from the U.S and western developed countries. In light of the limited knowledge of ACEs in other social contexts and the interconnection among adversities, this study aims to identify distinct patterns of co-occurring ACEs and examines the associations between those adversities and mental health in South Korea. We used data from a national sample of Korean college students recruited via non-probability quota sampling in 2019 (N = 1037). The dependent variables included three measures of mental health assessed by the Brief Symptom Inventory depression symptoms, anxiety symptoms, and somatization symptoms. The independent variable was the patterns of ACEs identified using 14 indicators of childhood adversity. We conducted a Latent Class Analysis with a distal outcome, using the Bolck, Croons, and Hagenaars method. The analysis found four patterns of ACEs: extreme adversity (8%), family violence (20.3%), economic adversity (10.4%), and low adversity (61.3%). The extreme adversity group exhibited multiple exposures, including interpersonal violence in home environments, economic hardship, and bullying victimization by peers. The results suggest that the extreme adversity and family violence groups showed significantly worse mental health symptoms than the economic adversity and low adversity groups. Also, the extreme adversity group reported significantly higher levels of depression symptoms and somatization symptoms than the family violence group. This study expands the current understanding of ACEs and their harmful effects on mental health in young adulthood specific to Korea while comparing them with other social contexts. Researchers and practitioners should recognize the co-occurrence of child adversities, rather than overestimating sole adversity, to develop effective strategies for promoting mental health.

Longitudinal Patterns of Grandchild Care in South Korea.

This study examined the longitudinal patterns of grandchild care to observe the influence of factors related to social participation, financial support to grandparents, demographic characteristics, and family structure on classifying the grandchild care. The rate of grandparent care for grandchildren was increasing, and the amount of time commitment for grandchild care was large in South Korea. Understanding how grandchild care unfolds over time and who is likely to provide ongoing grandchild care helps to advance the knowledge about grandparents providing grandchild care. The total sample consisted of 333 South Korean grandparents derived from the 3 waves of nationally representative data. This study utilized growth mixture modeling to identify latent classes of longitudinal patterns of grandchild care, and ran a multinomial logistic regression to examine the relationships between factors related to grandparents, adult children, and family structure and the identified latent classes. Grandchild care was classified into one of three categories: low-level decrease, high-level decrease, and low-to-high increase. Grandparents in the group of low-to-high increase were more likely to have higher financial dependence on adult children and have lower social participation than grandparents in other groups. Findings indicate that there are distinct subgroups among grandparents who care for their grandchildren. Additionally, those in the three classifications varied according to financial support received from adult children, social participation, and personal and family structure. Our findings inform policymakers to provide older adults a means to maintain their self-sufficiency. The community needs to provide programs and resources for working parents on behalf of grandchild care.

The Impact of Childhood and Adult Educational Attainment and Economic Status on Later Depressive Symptoms and Its Intergenerational Effect.

This study aimed to investigate a process accounting for the socioeconomic inequality in depressive symptoms from generation to generation. To examine the process, this study utilized data from three generations of grandparents, mothers, and daughters. This study employed data from the Korean Longitudinal Survey of Women and Families, collected from a large-scale national representative sample in South Korea. Conducting pathway analysis, the study tested direct and indirect pathways between mother's socioeconomic status (SES) experienced in childhood and their offspring's depressive symptoms through maternal SES and depressive symptoms in adulthood. This study found that early economic hardship increased the risk of depressive symptoms in daughters through maternal low education and depressive symptoms (ß = 0.03, p < 0.05), which was consistent with the theoretical framework, which relied on a life-course model highlighting that early life experiences affect later adult health and can potentially have effects across generations. This finding suggests that interventions that work with maternal education and depression may benefit from efforts to break the likelihood of continuity of depressive symptoms into the next generation, especially for their own daughters.

Long-term outcomes of young adults exposed to maltreatment: the role of educational experiences in promoting resilience to crime and violence in early adulthood.

This study investigates whether positive educational experiences in midadolescence mitigate the impact of exposure to substantiated maltreatment and reduces young adult antisocial behavior. While there is theoretical and empirical support for the mediating or moderating role of educational experiences on maltreatment and antisocial outcomes, few prospective studies exist. In this exploratory study, data are from the Rochester Youth Development Study (RYDS), a longitudinal panel study of 1,000 adolescents. The original sample included 73% males, and 85% African American or Hispanic youth of whom about 20% were maltreated. Measures in this study are from a combination of interview data and official records collected through age 23. Outcomes include self-reported crime and violence, arrest, and partner violence perpetration. Educational variables include midadolescent self-report of high school graduation, educational aspiration, college expectation, school commitment, teacher attachment, self-reported grades, school GPA, attendance, and an additive index of all school assets. Multivariate path analysis controlled for gender, race/ethnicity, poverty, and early antisocial behavior. Path analysis examined whether educational experiences mediated the impact of maltreatment on antisocial outcomes. Although maltreatment was significantly predictive of criminal and violent behaviors, it only was weakly associated with educational experiences. The impact of maltreatment on arrest was weakly mediated (reduced) by educational GPA and by high school graduation. The additive index also mediated the impact of maltreatment on crime and violence. Maltreatment's impact on partner violence was also weakly mediated by school GPA. Interaction terms were used to test for moderation: only one significant effect was found: school GPA protects maltreated youth from perpetration of partner violence as young adults. Although there are few significant effects in a number of models, the research is consistent with a focus on promoting school achievement and completion among urban youth in general, in conjunction with addressing earlier antisocial behavior problems.

Intergenerational continuities and discontinuities in intimate partner violence: a two-generational prospective study.

This study focuses on intergenerational continuity in violent partner relationships. We investigate whether exposure to caregiver intimate partner violence (IPV) during adolescence leads to increased involvement in IPV during early adulthood (age 21-23) and adulthood (age 29-31). We also investigate whether this relationship differs by gender. Although there is theoretical and empirical support for intergenerational continuity of relationship violence, there are few prospective studies of this issue. We use data from the Rochester Youth Development Study (RYDS), a longitudinal study of the development of antisocial behavior in a community sample of 1,000 urban youth followed from age 14 to adulthood. The original sample includes 73% men and 85% African American or Hispanic youth. Measures come from a combination of interviews and official records. The Conflict Tactics Scale (CTS) is used to assess IPV and severe IPV in the youth and parent generations. Analyses controlled for child physical abuse, race/ethnicity as well as parent education, family stability, and poverty. In multivariate models, adolescent exposure to caregiver severe IPV resulted in significantly increased risk of relationship violence in early adulthood (age 21-23). Furthermore, there is an indirect effect of adolescent exposure to severe IPV on later adult involvement in IPV (age 29-31), mediated by involvement in a violent relationship in early adulthood. These results were largely invariant by gender. However, we observed a direct pathway between IPV exposure and adult IPV for women (marginally significant) suggesting that adolescent exposure to caregiver IPV may set in motion women-specific processes.