Identifying Distinct Latent Classes of Adverse Childhood Experiences Among US Children and Their Relationship with Childhood Internalizing Disorders

Child Psychiatry and Human Development
Daphne Lew, Hong Xian

Abstract

This study aimed to determine the relationship between latent classes of adverse childhood experience (ACEs) and internalizing disorders (anxiety and depression) among US children. The 2016 National Survey of Children's Health data for children aged 6-17 was used. Latent class analysis was performed to identify distinct sub-types of ACE exposures and survey-weighted logistic regression models were employed to determine whether these classes were associated with any or comorbid childhood internalizing disorders, after controlling for meaningful covariates. Four latent classes were identified: income hardship, divorce, mental health or substance abuse exposure, and high ACEs overall. Children in three of the four classes were significantly more likely to have any childhood internalizing disorder when compared to children reporting no ACEs, while children in all classes were significantly more likely to have a comorbid history of anxiety and depression. Thus, children exposed to ACEs should receive necessary mental health screenings and treatments.

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Citations

Jan 3, 2020·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Jeesun JungFalk W Lohoff
Jan 16, 2020·Journal of Developmental Origins of Health and Disease·Maria B OspinaGerald F Giesbrecht
May 29, 2020·Journal of Developmental Origins of Health and Disease·Maria B OspinaGerald F Giesbrecht
Jul 24, 2020·Child Psychiatry and Human Development·L Villanueva, A Gomis-Pomares

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