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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Mood Disorders | Research article

Adverse childhood experiences and their relationship to gender and depression among young adults in Iraq: a cross-sectional study

Authors: Ameel F. Al Shawi, Yassen T. Sarhan, Mahasin A. Altaha

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Adverse childhood experiences (ACEs) are considered as universal public health problem that associate with mental disorders and risky behaviors during adulthood. The aims of the paper are to estimate the prevalence of Adverse childhood experiences (ACEs) among young adults in Iraq as well as to estimate the association between ACEs and depression.

Methods

A convenience sample of young adults of 18–20 years was chosen from centre and west of Iraq, mainly from universities. The adverse childhood experiences were measured by Adverse Childhood Experiences Questionnaire. A depression scale was derived from the Depression, Anxiety and Stress Scales (DASS). Statistical tests: chi square was used to measure the association between adverse childhood experiences and other variables like gender and depression. Odds ratios were computed to estimate the risk for depression. A P value of less than 0.05 was considered statistically significant.

Results

The total number of participants was 401, 38.9% of the subjects were men, while 61.1% were women. The mean age of the participants was 18.88 ± 0.745. The results revealed that the most common forms of ACEs among the subjects were physical neglect (19.8%) and emotional neglect (19.2%) followed by physical abuse (17.21%) while sexual abuse was 7.52%.
There was statistically significant association between most forms of adverse childhood experiences especially emotional abuse, emotional neglect, physical abuse and physical neglect with depression.

Conclusion

ACEs are not uncommon among young adults in Iraq and are associated with depression in adulthood. National programmes to support mental health rehabilitation might be necessary to reduce the effect of ACEs among Iraqi people, especially for adolescents and young adults.
Literature
2.
go back to reference Hughes K, Bellis MA, Hardcastle KA, Sethi D, et al. The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health. 2017;2:e356–66.CrossRef Hughes K, Bellis MA, Hardcastle KA, Sethi D, et al. The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health. 2017;2:e356–66.CrossRef
3.
go back to reference Wiehn J, Hornberg C, Fischer F. How adverse childhood experiences relate to single and multiple health risk behaviors in German public university students: a cross-sectional analysis. BMC Public Health. 2018;18:1005.CrossRef Wiehn J, Hornberg C, Fischer F. How adverse childhood experiences relate to single and multiple health risk behaviors in German public university students: a cross-sectional analysis. BMC Public Health. 2018;18:1005.CrossRef
4.
go back to reference Dube SR, Miller JW, Brown DW, Giles WH, Felitti VJ, Dong M, Anda RF. Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. J Adolesc Health. 2006;38:444. e1–e10.CrossRef Dube SR, Miller JW, Brown DW, Giles WH, Felitti VJ, Dong M, Anda RF. Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. J Adolesc Health. 2006;38:444. e1–e10.CrossRef
6.
go back to reference Chapman DP, Whitfield CL, Felitti VJ, Dube SR, Edwards VJ, Anda RF. Adverse childhood experiences and the risk of depressive disorders in adulthood. J Affect Disord. 2004;15(2):217–25.CrossRef Chapman DP, Whitfield CL, Felitti VJ, Dube SR, Edwards VJ, Anda RF. Adverse childhood experiences and the risk of depressive disorders in adulthood. J Affect Disord. 2004;15(2):217–25.CrossRef
9.
go back to reference Bellis MA, Hughes K, Leckenby N, Jones L, et al. Adverse childhood experiences and associations with health-harming behaviors in young adults: surveys in eight eastern European countries. Bull World Health Organ. 2014;92:641–655B.CrossRef Bellis MA, Hughes K, Leckenby N, Jones L, et al. Adverse childhood experiences and associations with health-harming behaviors in young adults: surveys in eight eastern European countries. Bull World Health Organ. 2014;92:641–655B.CrossRef
11.
go back to reference AlShawi AF, Lafta RK. Effect of adverse childhood experiences on physical health in adulthood: results of a study conducted in Baghdad city. J Fam Community Med. 2015;22:78–84.CrossRef AlShawi AF, Lafta RK. Effect of adverse childhood experiences on physical health in adulthood: results of a study conducted in Baghdad city. J Fam Community Med. 2015;22:78–84.CrossRef
13.
go back to reference Basto-Pereira, M., Queiroz-Garcia, I., Maciel, L., et al. . international study of pro/antisocial behavior in young adults ( in press). sagepub.com. 2019 journals-permissions httpDs:O//dIo: i1.o0r.g1/107.171/1770/6190639379171919885500741. Basto-Pereira, M., Queiroz-Garcia, I., Maciel, L., et al. . international study of pro/antisocial behavior in young adults ( in press). sagepub.com. 2019 journals-permissions httpDs:O//dIo: i1.o0r.g1/107.171/1770/6190639379171919885500741.
14.
go back to reference Dube SR, Felitti VJ, Dong M, et al. Childhood abuse, neglect and household dysfunction and the risk of illicit drug use: the adverse childhood experiences study. Pediatrics. 2003;110:564–72.CrossRef Dube SR, Felitti VJ, Dong M, et al. Childhood abuse, neglect and household dysfunction and the risk of illicit drug use: the adverse childhood experiences study. Pediatrics. 2003;110:564–72.CrossRef
15.
go back to reference Felitti VJ, Anda RF, Nordenberg D, Williamson DF, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14(4):245–58.CrossRef Felitti VJ, Anda RF, Nordenberg D, Williamson DF, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14(4):245–58.CrossRef
17.
go back to reference Pezirkianidis C, Karakasidou E, Lakioti A, Stalikas A, Galanakis M. Psychometric properties of the depression, anxiety, stress scales-21 (DASS-21) in a Greek sample. Psychology. 2018;9:2933–50.CrossRef Pezirkianidis C, Karakasidou E, Lakioti A, Stalikas A, Galanakis M. Psychometric properties of the depression, anxiety, stress scales-21 (DASS-21) in a Greek sample. Psychology. 2018;9:2933–50.CrossRef
18.
go back to reference Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2. Sydney: Psychology Foundation of Australia; 1995. [Google Scholar] [Ref list]. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2. Sydney: Psychology Foundation of Australia; 1995. [Google Scholar] [Ref list].
20.
go back to reference Soares AL, Howe DL, Matijasevich A, et al. Adverse childhood experiences: prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse Negl. 2016;51:21–30.CrossRef Soares AL, Howe DL, Matijasevich A, et al. Adverse childhood experiences: prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse Negl. 2016;51:21–30.CrossRef
22.
go back to reference Al-shawi AF, Al-Hemiary AJ, Al-Diwan JK, Tahir DH. Post-traumatic stress disorder among university students in Baghdad: a preliminary report. Iraqi J Comm Med. 2011;24:287–90. Al-shawi AF, Al-Hemiary AJ, Al-Diwan JK, Tahir DH. Post-traumatic stress disorder among university students in Baghdad: a preliminary report. Iraqi J Comm Med. 2011;24:287–90.
23.
go back to reference Almuneef M, Hollinshead D, Saleheen H, AlMadani S, Derkash B, et al. Adverse childhood experiences and association with health, mental health, and risky behavior in the kingdom of Saudi Arabia. Child Abuse Negl. 2016;60:10–7.CrossRef Almuneef M, Hollinshead D, Saleheen H, AlMadani S, Derkash B, et al. Adverse childhood experiences and association with health, mental health, and risky behavior in the kingdom of Saudi Arabia. Child Abuse Negl. 2016;60:10–7.CrossRef
24.
go back to reference Heim C, Newport DJ, Heit S, Graham YP, et al. Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. JAMA. 2000;284(5):592–7.CrossRef Heim C, Newport DJ, Heit S, Graham YP, et al. Pituitary-adrenal and autonomic responses to stress in women after sexual and physical abuse in childhood. JAMA. 2000;284(5):592–7.CrossRef
25.
go back to reference Ahmed AS. Post-traumatic stress disorders, resilience and vulnerability. Adv Psychiatr Treat. 2007;13(5):369–75 Google Scholar.CrossRef Ahmed AS. Post-traumatic stress disorders, resilience and vulnerability. Adv Psychiatr Treat. 2007;13(5):369–75 Google Scholar.CrossRef
26.
go back to reference Collishaw S, Pickles A, Messer J, Rutter M, Shearer C, Maughan B. Resilience to adult psychopathology following childhood maltreatment: evidence from a community sample. Child Abuse Negl. 2007;31:211–29.CrossRef Collishaw S, Pickles A, Messer J, Rutter M, Shearer C, Maughan B. Resilience to adult psychopathology following childhood maltreatment: evidence from a community sample. Child Abuse Negl. 2007;31:211–29.CrossRef
Metadata
Title
Adverse childhood experiences and their relationship to gender and depression among young adults in Iraq: a cross-sectional study
Authors
Ameel F. Al Shawi
Yassen T. Sarhan
Mahasin A. Altaha
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7957-9

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