The moderating and mediating role of resilience in the relationship between adverse childhood experiences and depression, PTSD, and suicidality in Kenyan youth
Dados Bibliográficos
| ID | 7148963 |
|---|---|
| Autores | Victoria Mutiso (0000-0002-8395-6707, World Health Organization - Pakistan), David M Ndetei (0000-0001-6891-4990, University of Nairobi, autor correspondente), Eric Jeremiah (World Health Organization - Pakistan), Pascalyne Nyamai (World Health Organization - Pakistan), Samuel Walusaka (World Health Organization - Pakistan), Veronica Onyango (World Health Organization - Pakistan), Christine Musyimi (0000-0002-8828-2959, World Health Organization - Pakistan), Kamaldeep Bhui (0000-0002-9205-2144, World Health Organization - Pakistan), Daniel Mamah (0000-0003-4626-3175, Washington University in St. Louis) |
| Ano | 2025 |
| Volume | 12 |
| Páginas | e88-e88 |
| Data de publicação | 2025-01-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Cambridge Prisms Global Mental Health (JOURNAL) |
| Identificadores do periódico | ISSN: 2054-4251 • E-ISSN: 2054-4251 |
| Editora | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/gmh.2025.10041 |
| PMID | 40809792 |
| OpenAlex | W4412505808 |
| Idioma | EN |
| Referências citadas | 90 |
Adverse childhood experiences (ACEs) are widely associated with mental health disorders, such as depression, post-traumatic stress disorder (PTSD), and suicidality. Resilience plays a role in mediation and moderation of these associations, yet there is limited data from Kenya on this. This cross-sectional study examined the role of resilience in the relationship between ACEs and mental health outcomes among 1,972 participants aged 14–25 years in the Nairobi Metropolitan area. Participants completed the Trauma and Distress Scale (ACEs), Patient Health Questionnaire-9 (depression), Columbia-Suicide Severity Rating Scale (suicidality), Harvard Trauma Questionnaire (PTSD), and Adult Resilience Measure-Revised (resilience). Analyses of moderation and mediation using Hayes Process Macro indicated that resilience moderated the association between ACEs with PTSD and depression, with minimal effect on suicidality. It also moderated specific associations, including emotional/physical neglect on ideation, physical abuse on lifetime behavior ( p = 0.0479), and total ACEs on recent behavior ( p = 0.0514). Resilience also partially mediated the effects of ACEs on PTSD and depression, and fully mediated suicidality for specific ACE domains (emotional neglect, physical neglect, and physical abuse on suicidal ideation and all ACEs on recent suicidal behaviors). Building resilience mitigates the effects of ACEs on depression, PTSD, and suicidality among Kenyan youth
Adverse Childhood Experiences · Developmental psychology · Kenya · Mental health · Moderation · Political science · Psychiatry · Psychological resilience · Psychotherapist · Clinical Psychology · Psychology · Resilience and Mental Health · Social Psychology
Adverse childhood experiences and trauma informed care
The Association of Adverse Childhood Experiences With Anxiety and Depression for Children and Youth, 8 to 17 Years of Age
The Cyrm-R
The Harvard Trauma Questionnaire
The Columbia–Suicide Severity Rating Scale
Associations between childhood adversity and depression, substance abuse and HIV and HSV2 incident infections in rural South African youth
Resilience and mental health
Childhood maltreatment and adult suicidality
Adverse childhood experiences
Research on Resilience
Adverse Childhood Experiences
Childhood adversity and adult depression
Pathways between childhood trauma, intimate partner violence, and harsh parenting
The PHQ-9
The PHQ-9
The Columbia-suicide severity rating scale
Community-Level Characteristics Associated With Resilience After Adversity
Unseen wounds
A Latent Class Analysis of Adverse Life Events for Kenyan Adolescents
Adolescent Adjustment, Caregiver-Adolescent Relationships, and Outlook Towards the Future in the Long-Term Aftermath of the Bosnian War
Adverse Childhood Experiences, Depression, Resilience, & Spirituality in African-American Adolescents
The relationship between adverse childhood experiences and mental health issues among transgender individuals in Kenya
The Relationship Between Childhood Trauma and the Response to Group Cognitive-Behavioural Therapy for Chronic Fatigue Syndrome
Resilience Moderates the Relationship Between Exposure to Violence and Posttraumatic Reexperiencing in Mi’kmaq Youth
Adverse Childhood Experiences Among Inpatient Youths with Severe and Early-Onset Psychiatric Disorders
Screening for PTSD and depression in Bosnia and Herzegovina
Adolescent Resilience in Northern Uganda
Partial, conditional, and moderated moderated mediation
Can Likert Scales be Treated as Interval Scales?—A Simulation Study
Questioning Tales of ‘Ordinary Magic’
Psychological endurance
Recognizing the cumulative burden of childhood adversities transforms science and practice for trauma and resilience
Whatever does not kill us
The effect of lifetime victimization on the mental health of children and adolescents
Examining Wealth Trends in Kombewa, Kenya
A Social Ecological Measure of Resilience for Adults
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |