Association between exposure patterns of adverse childhood experiences and anxiety symptom trajectories in medical college students.
10.3760/cma.j.cn112150-20220718-00731
- Author:
Shu Qin LI
1
;
Zhi Cheng JIANG
1
;
Ruo Yu LI
1
;
Zheng Ge JIN
1
;
Rui WANG
2
;
Xian Bing SONG
3
;
Shi Cheng ZHANG
1
;
Yu Hui WAN
1
Author Information
1. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032,China Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People' s Republic of China/Anhui Provincial Key Laboratory of Population Health &Aristogenics, Hefei 230032,China.
2. Teaching Affairs Office, Anqing Medical College, Anqing 246052, China.
3. Department of Human Anatomy, Histology & Embryology, Anhui Medical College, Hefei 230601,China.
- Publication Type:Journal Article
- MeSH:
Humans;
Adverse Childhood Experiences;
Anxiety/epidemiology*;
Child Abuse/psychology*;
Students/psychology*;
Surveys and Questionnaires;
Adolescent;
Young Adult
- From:
Chinese Journal of Preventive Medicine
2023;57(7):1004-1010
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the association between exposure patterns of adverse childhood experiences (ACEs) and anxiety symptom trajectories in medical college students. Methods: A survey was conducted on first-year students from Anhui Medical College and Anqing Medical College, using the Childhood Abuse Questionnaire, Family Disability Questionnaire, Childhood Adverse Social Experience Item, and Anxiety Self Rating Scale. The baseline survey was conducted from November to December 2019, and two follow-up visits were conducted once every six months until November to December 2020. The latent class analysis (LCA) was used to analyze the exposure patterns of ACEs. The latent class growth analysis (LCGA) was used to analyze the development trajectory of anxiety symptoms. The multiple logistic regression model was used to analyze the correlation between different exposure patterns of ACEs and the trajectory of anxiety symptom trajectories. Results: A total of 3 662 college students aged (19.2±1.0) were surveyed. The LCA showed that the exposure patterns of ACEs could be divided into the "high ACEs" group (13.4%), "high neglect/emotional abuse" group (25.7%), "high family dysfunction" group (6.9%), "high neglect" group (27.1%), and "low ACEs" group (26.3%). The LCGA divided anxiety trajectories into four groups: "high anxiety decline" (7.1%),"anxiety increase "(4.1%), "moderate anxiety"(52.9%), and "low anxiety"(35.9%). Using the low ACEs group as a reference group, compared with the low anxiety trajectory, the high ACEs group, high neglect/emotional abuse group, high family dysfunction group, high neglect group, and medium to high-level anxiety trajectory were all associated with an increased risk (P<0.05). Conclusion: There is heterogeneity in ACEs exposure patterns among medical college students, and ACEs exposure patterns are important influencing factors for anxiety symptom trajectories.
