Effects of expanded adverse childhood experiences including school bullying, childhood poverty, and natural disasters on mental health in adulthood.

Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE

Original Publication: London : Nature Publishing Group, copyright 2011-

Adverse Childhood Experiences*/statistics & numerical data ; Adverse Childhood Experiences*/psychology ; Bullying*/psychology ; Bullying*/statistics & numerical data ; Poverty* ; Mental Health* ; Natural Disasters*; Humans ; Male ; Female ; Middle Aged ; Adult ; Japan/epidemiology ; Aged ; Child ; Schools ; Psychological Distress ; Prevalence ; Adolescent ; Young Adult

The study aimed to examine the association of expanded adverse childhood experiences (ACEs) with psychological distress in adulthood. The data from nation-wide online cohort was used for analysis. Community dwelling adults in Japan were included. The ACEs was assessed by 15 items of ACE-J, including childhood poverty and school bullying. Severe psychological distress was determined as the score of Kessler 6 over 13. Multivariable logistic regression analysis was conducted, by using sample weighting. A total of 28,617 participants were analyzed. About 75% of Japanese people had one or more ACEs. The prevalence of those with ACEs over 4 was 14.7%. Those with ACEs over 4 showed adjusted odds ratio = 8.18 [95% CI 7.14-9.38] for severe psychological distress. The prevalence of childhood poverty was 29% for 50-64 year old participants and 40% of 65 or older participants. The impact of childhood poverty on psychological distress was less than other ACEs in these age cohorts. Bullying was experienced 21-27% in young generations, but 10% in 65 or older participants. However, the impact on psychological distress in adulthood was relatively high in all age groups. ACEs have impacted mental health for a long time. Future research and practice to reduce ACEs are encouraged.
(© 2024. The Author(s).)

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19K19439 JSPS Grant-in-Aid for Young Scientists; 19FA1005 Health Labour Sciences Research Grant; 19FG2001 Health Labour Sciences Research Grant; 22FA2001 Health Labour Sciences Research Grant; 22FA1010 Health Labour Sciences Research Grant; 17H03589 Japan Society for the Promotion of Science; 19K10671 Japan Society for the Promotion of Science; 19K10446 Japan Society for the Promotion of Science; 18H03107 Japan Society for the Promotion of Science; 18H03062 Japan Society for the Promotion of Science; 20H00040 Japan Society for the Promotion of Science; 21H04856 Japan Society for the Promotion of Science; 21H03203 Japan Society for the Promotion of Science

Keywords: Anxiety; Depression; Life-course; Maltreatment; Public health

Date Created: 20240526 Date Completed: 20240526 Latest Revision: 20240529

20240529

PMC11128446

10.1038/s41598-024-62634-7

38797740