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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Stress begets stress: the association of adverse childhood experiences with psychological distress in the presence of adult life stress

Authors: Mercy Manyema, Shane A. Norris, Linda M. Richter

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Adverse childhood experiences (ACES) have been linked to poor health and well-being outcomes, including poor mental health such as psychological distress. Both ACEs and psychological distress pose a significant public health burden, particularly in low to middle income countries. Contemporaneous stress events in adulthood may also impact psychological distress. The aims of this study were to describe the prevalence of ACEs and psychological distress and to assess the separate and cumulative effect of ACEs on psychological distress, while accounting for the effect of adult stress.

Methods

In this cross-sectional study, we used retrospectively measured ACEs from a sample of 1223 young adults aged between 22 and 23 years (52% female) from the Birth to Twenty Plus Study. Psychological distress and adult life stress were measured with a six-month recall period. Hierarchical logistic regression was employed to assess the associations between the exposures and outcome.

Results

Nearly 90% of the sample reported at least one ACE and 28% reported psychological distress. The median number of ACEs reported was three (range 0–11). After accounting for demographic and socio-economic factors, all ACEs were individually associated with psychological distress except for parental divorce and unemployment. The individual ACEs increased the odds of PD by between 1.42 and 2.79 times. Compared to participants experiencing no ACEs, those experiencing one to five ACEs were three times more likely to report psychological distress (AOR 3.2 95% CI: 1.83–5.63), while participants who experienced six or more ACEs had nearly eight times greater odds of reporting psychological distress (AOR 7.98 95% CI: 4.28–14.91). Interaction analysis showed that in the absence of adult life stress, the effect of low ACEs compared to high ACEs on PD was not significantly different.

Discussion and conclusion

The prevalence of ACEs in this young adult population is high, similar to other studies in young adult populations. A significant direct association exists between ACEs and psychological distress. Adult life stress seems to be a mediator of this relationship. Interventions targeted at psychological distress should address both early life adversity and contemporary stress.
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Literature
1.
Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, et al. The enduring effects of abuse and related adverse experiences in childhood. Eur Arch Psychiatry Clin Neurosci. 2006;256(3):174–86.CrossRefPubMed
2.
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;82(2):217–25.CrossRefPubMed
3.
Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF, Giles WH. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the adverse childhood experiences study. JAMA. 2001;286(24):3089–96.CrossRefPubMed
4.
Edwards VJ, Holden GW, Felitti VJ, Anda RF. Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the adverse childhood experiences study. Am J Psychiatry. 2003;160(8):1453–60.CrossRefPubMed
5.
Nurius PS, Green S, Logan-Greene P, Borja S. Life course pathways of adverse childhood experiences toward adult psychological well-being: a stress process analysis. Child Abuse Negl. 2015;45:143–53.CrossRefPubMedPubMedCentral
6.
Schilling EA, Aseltine RH, Gore S. Adverse childhood experiences and mental health in young adults: a longitudinal survey. BMC Public Health. 2007;7(1):30.CrossRefPubMedPubMedCentral
7.
Jewkes RK, Dunkle K, Nduna M, Jama PN, Puren A. Associations between childhood adversity and depression, substance abuse and HIV and HSV2 incident infections in rural south African youth. Child Abuse Negl. 2010;34(11):833–41.CrossRefPubMedPubMedCentral
8.
9.
10.
Bellis M, Hughes K, Leckenby N, Hardcastle K, Perkins C, Lowey H. Measuring mortality and the burden of adult disease associated with adverse childhood experiences in England: a national survey. J Public Health. 2014;37(3):445–54.CrossRef
11.
Soares ALG, Howe LD, Matijasevich A, Wehrmeister FC, Menezes AM, Gonçalves H. Adverse childhood experiences: prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse Negl. 2016;51:21–30.CrossRefPubMedPubMedCentral
12.
Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The global burden of mental, neurological and substance use disorders: an analysis from the global burden of disease study 2010. PLoS One. 2015;10(2):1–14.CrossRef
13.
Ferrari AJ, Norman RE, Freedman G, Baxter AJ, Pirkis JE, Harris MG, et al. The burden attributable to mental and substance use disorders as risk factors for suicide: findings from the global burden of disease study 2010. PLoS One. 2014;9(4):e91936.CrossRefPubMedPubMedCentral
14.
Hay SI, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: a systematic analysis for the global burden of disease study 2016. Lancet. 2017;390(10100):1260–344.CrossRef
15.
Tomlinson M, Grimsrud AT, Stein DJ, Williams DR, Myer L. The epidemiology of major depression in South Africa: results from the South African Stress Health study. SAMJ. 2009;99(5):367–73.
16.
Seedat S, Stein DJ, Jackson PB, Heeringa SG, Williams DR, Myer L. Life stress and mental disorders in the south African stress and health study. SAMJ. 2009;99(5):375–82.PubMed
17.
18.
19.
Payton AR. Mental health, mental illness, and psychological distress: same continuum or distinct phenomena? J Health Soc Behav. 2009;50(2):213–27.CrossRefPubMed
20.
Jackson PB, Williams DR, Stein DJ, Herman A, Williams SL, Redmond DL. Race and psychological distress: the south African stress and health study. J Health Soc Behav. 2010;51(4):458–77.CrossRefPubMedPubMedCentral
21.
Nurius PS, Uehara E, Zatzick DF. Intersection of stress, social disadvantage, and life course processes: reframing trauma and mental health. Am J Psychiatr Rehabil. 2013;16(2):91–114.CrossRefPubMedPubMedCentral
22.
Pearlin LI, Schieman S, Fazio EM, Meersman SC. Stress, health, and the life course: some conceptual perspectives. J Health Soc Behav. 2005;46(2):205–19.CrossRefPubMed
23.
Peltzer K, Pengpid S, Skaal L. Prevalence of psychological distress and associated factors in urban hospital outpatients in South Africa. S Afr J Psych. 2012;18(1):10–5.CrossRef
24.
Erdem Ö, Van Lenthe FJ, Prins RG, Voorham TA, Burdorf A. Socioeconomic inequalities in psychological distress among urban adults: the moderating role of neighborhood social cohesion. PLoS One. 2016;11(6):e0157119.CrossRefPubMedPubMedCentral
25.
Pigeon-Gagné É, Hassan G, Yaogo M, Ridde V. An exploratory study assessing psychological distress of indigents in Burkina Faso: a step forward in understanding mental health needs in West Africa. Int J Equity Health. 2017;16:1–11.CrossRef
26.
Kessler RC, McLaughlin KA, Green JG, Gruber MJ, Sampson NA, Zaslavsky AM, et al. Childhood adversities and adult psychopathology in the WHO world mental health surveys. Br J Psychiatry. 2010;197(5):378–85.CrossRefPubMedPubMedCentral
27.
Richter L, Norris S, Pettifor J, Yach D, Cameron N. Cohort Profile: Mandela's children: The 1990 birth to twenty study in South Africa. Int J Epidemiol. 2007;36(3):504–11.CrossRefPubMedPubMedCentral
28.
29.
Kagura J, Adair LS, Musa MG, Pettifor JM, Norris SA. Blood pressure tracking in urban black south African children: birth to twenty cohort. BMC Pediatr. 2015;15(1):1.CrossRef
30.
31.
Dube SR, Felitti VJ, Dong M, Giles WH, Anda RF. The impact of adverse childhood experiences on health problems: evidence from four birth cohorts dating back to 1900. Prev Med. 2003;37(3):268–77.CrossRefPubMed
32.
Finkelhor D, Shattuck A, Turner H, Hamby S. A revised inventory of adverse childhood experiences. Child Abuse Negl. 2015;48:13–21.CrossRefPubMed
33.
Sheppard ZA, Norris SA, Pettifor JM, Cameron N, Griffiths PL. Approaches for assessing the role of household socioeconomic status on child anthropometric measures in urban South Africa. Am J Hum Biol. 2009;21(1):48–54.CrossRefPubMed
34.
Merrick MT, Ports KA, Ford DC, Afifi TO, Gershoff ET, Grogan-Kaylor A. Unpacking the impact of adverse childhood experiences on adult mental health. Child Abuse Negl. 2017;69:10–9.CrossRefPubMedPubMedCentral
35.
Caron J, Fleury M-J, Perreault M, Crocker A, Tremblay J, Tousignant M, et al. Prevalence of psychological distress and mental disorders, and use of mental health services in the epidemiological catchment area of Montreal south-west. BMC Psychiatry. 2012;12(1):183.CrossRefPubMedPubMedCentral
36.
Cluver L, Orkin M, Boyes ME, Sherr L. Child and adolescent suicide attempts, suicidal behavior, and adverse childhood experiences in South Africa: a prospective study. J Adolesc Health. 2015;57(1):52–9.CrossRefPubMed
37.
Raposa EB, Hammen CL, Brennan PA, O'callaghan F, Najman JM. Early adversity and health outcomes in young adulthood: the role of ongoing stress. Health Psychol. 2014;33(5):410.CrossRefPubMed
38.
Shonkoff JP, Richter L, van der Gaag J, Bhutta ZA. An integrated scientific framework for child survival and early childhood development. Pediatrics. 2012;129(2):e460–e72.CrossRefPubMed
39.
Shonkoff JP. Building a new biodevelopmental framework to guide the future of early childhood policy. Child Dev. 2010;81(1):357–67.CrossRefPubMed
40.
Nurius PS, Green S, Logan-Greene P, Longhi D, Song C. Stress pathways to health inequalities: embedding ACEs within social and behavioral contexts. Int J Public Health. 2016;8(2):241.
41.
Hobfoll SE. The influence of culture, community, and the nested-self in the stress process: advancing conservation of resources theory. Appl Psychol. 2001;50(3):337–421.CrossRef
42.
Rohner RP, Khaleque A. Testing central postulates of parental acceptance-rejection theory (PARTheory): a meta-analysis of cross-cultural studies. J Fam Theory Rev. 2010;2(1):73–87.CrossRef
43.
Rohner RP, Khaleque A, Cournoyer DE. Parental acceptance-rejection: theory, methods, cross-cultural evidence, and implications. Ethos. 2005;33(3):299–334.CrossRef
44.
Khaleque A. Perceived parental warmth, and Children’s psychological adjustment, and personality dispositions: a meta-analysis. J Child Fam Stud. 2013;22(2):297–306.CrossRef
45.
Sart ZH, Börkan B, Erkman F, Serbest S. Resilience as a mediator between parental acceptance–rejection and depressive symptoms among university students in Turkey. J Couns Dev. 2016;94(2):195–209.CrossRef
46.
Molina J, Andrade-Rosa C, González-Parra S, Blasco-Fontecilla H, Real M, Pintor C. The factor structure of the general health questionnaire (GHQ): a scaled version for general practice in Spain. Eur Psychiatry. 2006;21(7):478–86.CrossRefPubMed
47.
Cheong EV, Sinnott C, Dahly D, Kearney PM. Adverse childhood experiences (ACEs) and later-life depression: perceived social support as a potential protective factor. BMJ Open. 2017;7(9):e013228.CrossRefPubMedPubMedCentral
48.
Metadata
Title
Stress begets stress: the association of adverse childhood experiences with psychological distress in the presence of adult life stress
Authors
Mercy Manyema
Shane A. Norris
Linda M. Richter
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5767-0

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