Adverse Childhood Experiences (ACEs) and depressive symptoms in an urban community college population
Choose format
RIS BIB ENDNOTEPublication date: 10.12.2024
Art of Healing, Volume 39 (2024), Volume 39 Issue 2, pp. 13-21
https://doi.org/10.4467/18982026SZL.24.009.20701Authors
Adverse Childhood Experiences (ACEs) and depressive symptoms in an urban community college population
Adverse Childhood Experiences (ACEs), including family dysfunction, abuse, neglect, and community- instigated stress (Urban ACEs), are linked to negative health outcomes. This study examined self-reported trauma and depressive symptoms among urban community college students in the USA, using a descriptive correlational design with a convenience sample. Trauma was assessed through both conventional ACEs and Urban ACEs, and depressive symptoms were measured using the PHQ-9. Results indicated significant trauma (ACE μ = 3.59, Urban ACE μ = 2.15) and depressive symptoms (PHQ-9 μ = 9.30). Demographic analysis showed that students identifying as gender “other” and those of Hispanic ethnicity exhibited heightened vulnerability to trauma. The addition of childhood trauma to the inherent challenges faced by urban community college students creates an excess burden. Therefore, assessment of childhood trauma and the provision of psychosocial resources are critical to promoting the success and well-being of these students.
ACES Aware (2020). Implementing ACEs screening in healthcare settings, https://training.acesaware.org/aa/ (accessed: 16.09.2020).
American Association of Community Colleges (AACC) (2013). American Association of Community Colleges Community college fact sheet – 2013, http://www.aacc.nche.edu/AboutCC/Documents/FactsPrint.pdf (accessed: 20.12.2024).
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., Text Revision).
Anders S.L., Frazier P.A., Shallcross S.L. (2012). Prevalence and effects of life event exposure among undergraduate and community college students. Journal of Counseling Psychology, 59(3), 449–457, https://doi.org/10.1037/a0027753.
Brett E.I., Espeleta H.C., Lopez S.V., Leavens E.L., Leffingwell T.R. (2018). Mindfulness as a mediator of the association between adverse childhood experiences and alcohol use and consequences. Addictive Behaviors, 8492–8498, http://doi:10.1016/j.addbeh.2018.04.002.
Brumley L.D., Jaffee S.R., Brumley B.P. (2017). Pathways from childhood adversity to problem behaviors in young adulthood: The mediating role of adolescents’ future expectations. Journal of Youth and Adolescence, 46(1), 1–14, http://dx.doi.org/10.1007/s10964-016-0597-9.
Chang E.C., Chang O.D., Lucas A.G., Li M., Beavan C.B., Eisner R.S., McManamon B.M., Rodriguez N.S., Katamanin O.M., Bourke E.C., de la Fuente A., Cardenoso O., Wu K., Yu E.A., Jeglic E.L., Hirsch J.K. (2019). Depression, loneliness, and suicide risk among Latino college students: A test of a psychosocial interaction model. Social Work, 64(1), 51–60, https://doi.org/10.1093/sw/swy052.
Eisenberg D., Hunt J., Speer N. (2013). Mental health in American colleges and universities: Variation across student subgroups and across campuses. The Journal of Nervous and Mental Diseases, 201(1), 60–67.
Felitti V.J., Anda R.F., Nordenberg D., Williamson D.F., Spitz A.M., Edwards V., Koss M.P., Marks J.S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.
Forster M., Grigsby T.J., Rogers C.J., Benjamin S.M. (2018). The relationship between family-based adverse childhood experiences and substance use behaviors among a diverse sample of college students. Addictive Behaviors, 76, 298–304. https://doi.org/10.1016/j.addbeh.2017.08.037.
Hughes K., Bellis M.A., Hardcastle K.A., Sethi D., Butchart A., Mikton C., Jones L., Dunne M.P. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. The Lancet Public Health, 2(8), e356–e366, https://doi.org/10.1016/S2468-2667(17)30118-4.
Jaworska-Andryszewska P., Rybakowski J.K. (2019). Childhood trauma in mood disorders: Neurobiological mechanisms and implications for treatment. Pharmacological Reports, 71(1), 112–120, https://doi.org/10.1016/j.pharep.2018.09.002.
Karatekin C. (2018). Adverse childhood experiences (ACEs), stress and mental health in college students. Stress & Health: Journal of the International Society for the Investigation of Stress, 34(1), 36–45, https://doi.org/10.1002/smi.2761.
McEwen C.A., Gregerson S.F. (2019). A critical assessment of adverse childhood experiences study at 20 years. American Journal of Preventive Medicine, 56(6), 790–794, https://doi.org/10.1016/j.amepre.2018.12.016.
Merritt M.B., Cronholm P., Davis M., Dempsey S., Fein J., Kuykendall S.A., Pachter L., Wade R. (2013, September 18). Findings from the Philadelphia Urban ACE Survey. Public Health Management Corporation Research, https://www.rwjf.org/en/insights/our-research/2013/09/findings-from-the-philadelphia-urban-ace-survey.html (accessed: 1.08.2020).
Metzler M., Merrick M.T., Klevens J., Ports K.A., Ford D.C. (2017). Adverse childhood experiences and life opportunities: Shifting the narrative. Children & Youth Services Review, 72, 141–149, https://doi.org/10.1016/j.childyouth.2016.10.021.
Newcomb M.E., Hill R., Buehler K., Ryan D.T., Whitton S.W., Mustanski B. (2020). High burden of mental health problems, substance use, violence, and related psychosocial factors in transgender, non-binary, and gender diverse youth and young adults. Archives of sexual behavior. The Official Publication of the International Academy of Sex Research, 49(2), 645, https://doi.org/10.1007/s10508-019-01533-9.
Petruccelli K., Davis J., Berman T. (2019). Adverse childhood experiences and associated health outcomes: A systematic review and meta-analysis. Child Abuse & Neglect, 97, https://doi.org/10.1016/j.chiabu.2019.104127.
Rimes K.A., Goodship N., Ussher G., Baker D., West E. (2019). Non-binary and binary transgender youth: Comparison of mental health, selfharm, suicidality, substance use and victimization experiences. International Journal of Transgenderism, 20(2–3), 230–240, https://doi.org/10.1080/15532739.2017.1370627.
Wade R., Cronholm P.F., Fein J.A., Forke C.M., Davis M.B., Harkins-Schwarz M., Pachter L.M., Bair-Merritt M.H. (2016). Household and Community-Level Adverse Childhood Experiences and Adult Health Outcomes in a Diverse Urban Population. Baltimore: Kennedy Krieger Institute.
Waite R., Ryan R.A. (2020). Adverse Childhood Experiences: What Students and Health Professionals Need to Know. London–New York: Routledge.
Windle M., Haardörfer R., Getachew B., Shah J., Payne J., Pillai D., Berg C.J. (2018). A multivariate analysis of adverse childhood experiences and health behaviors and outcomes among college students. Journal of American College Health, 66(4), 246–251, https://doi.org/10.1080/07448481.2018.1431892.
Wolitzky-Taylor K., Sewart A., Vrshek-Schallhorn S., Zinbarg R., Mineka S., Hammen C., Bobova L., Adam E., Craske M. (2017). The effects of childhood and adolescent adversity on substance use disorders and poor health in early adulthood. Journal of Youth & Adolescence, 46(1), 15–27, https://doi.org/10.1007/s10964-016-0566-3.
Information: Art of Healing, Volume 39 (2024), Volume 39 Issue 2, pp. 13-21
Article type: Original article
Titles:
Community College of Philadelphia
Frances Payne Bolton School of Nursing,
Case Western Reserve University
United States of America
Georgetown University School of Nursing
United States of America
Frances Payne Bolton School of Nursing,
Case Western Reserve University
United States of America
Published at: 10.12.2024
Received at: 07.03.2024
Accepted at: 15.09.2024
Article status: Open
Licence: CC BY
Article financing:
Percentage share of authors:
Information about conflict of interests:
Article corrections:
-Publication languages:
EnglishView count: 411
Number of downloads: 211