1.Association between adverse childhood experiences and adolescent depression: a Meta-analysis
XIE Guodie, HAN Azhu, CHEN Liru, SU Puyu
Chinese Journal of School Health 2019;40(8):1177-1181
Objective:
To summarize the existing cohort study evidence between adverse childhood experience(ACEs) and adolescent depression, to explore the influence of ACEs on adolescent depression, so as to provide evidence for the prevention of adolescent depression.
Methods:
Chinese and English literatures on the cohort study on the correlation between ACEs and adolescent depression published by WanFang, VIP databases, CNKI, CBM, PubMed and Web of Science were searched. We only selected orginal articles that their either reported on Chinese and English retrieval words of "adverse childhood experiences" "ACE" "abuse" "maltreat" "mistreat" "neglect" "bully" "bullying" "family dysfunction" "family violence" "adversities" "trauma" "victimization" "victim" "adverse events" "adverse experiences" "longitudinal" "follow-up" "prospective" "cohort" "depression" "depressive". Meta-analysis was performed on the literatures that met the inclusion criteria, and statistical analysis was conducted using Stata software.
Results:
Twelve references (11 in English and 1 in Chinese) were included in the Meta-analysis, and the results showed that ACEs were positively correlated with adolescent depression (pooled OR=1.75,95%CI=1.43-2.15). Among them, The effect of neglect was most prominent (pooled OR=2.42, 95%CI=1.31-4.46) while the influence of abuse was least strong (pooled OR=1.77, 95%CI=1.25-2.52). The pooled odds ratio associated with bully was 2.09 with the 95% confidence intervals from 1.38 to 3.16. The pooled odds ratio of boys is greater than girls(boys: pooled OR=3.77, 95%CI=2.31-6.15; girls: pooled OR=1.44, 95%CI=1.04-2.01). Funnel plot and Egger test suggested publication bias in the included literatures, and the sensitivity analysis indicated that the meta analysis results were relatively stable.
Conclusion
The adverse childhood exprience is positively associated with adolescent depression.Adolescent depression is strongly affected by neglected,and is least affected by abuse.
2. The role of hypothalamus polycomb gene methylation in bisphenol A exposure during pregnancy and premature puberty in female offspring
Puyu SU ; Geng XU ; Azhu HAN ; Nuo XU ; Guobao ZHANG ; Fangbiao TAO
Chinese Journal of Preventive Medicine 2019;53(3):303-308
Objective:
To explore the role of hypothalamus Polycomb Group (PcG) gene (
3.Mediating role of adult attachment in childhood abuse and borderline personality disorder in college students
Chinese Journal of School Health 2019;40(12):1838-1841
Objective:
To explore the relationship between childhood abuse, adult attachment and borderline personality disorder (BPD) in college students, and to provide reference for promoting the physical and mental health of college students.
Methods:
We selected undergraduate students from four colleges in Hefei, a total of 4 034 college students were surveyed by the childhood trauma questionnaire short form(CTQ-SF), the state adult attachment measure (SAAM) and the Personality Diagnostic Questionnaire(PDQ).
Results:
BPD was found in 4.2% of subjects, 4.5% of males and 3.7% of females. The score of BPD in non-single-parent families was lower than that in single-parent families, in families with average family economic status was lower than that in families with poor and good family economic status, and in families with medium father education level was lower than that in fathers with low and high education level(Z=-2.30, 29.25, 9.63, P<0.05). Childhood abuse, avoidant attachment and anxious attachment positively predicted BPD(β=0.21, 0.10, 0.23, P<0.01), secure attachment negatively predicted BPD(β=-0.15, P<0.01). Adult attachment played a partial mediating role in the effects of childhood abuse on BPD, with the mediating effect accounting for 16.7% of the total effect.
Conclusion
Adult attachment plays a mediating role in the effects of childhood abuse on BPD.
4. Association between suffering experiences from precollege peer bullying at different stages and the quality of health-related life among college students
Guobao ZHANG ; Nuo XU ; Azhu HAN ; Guodie XIE ; Liru CHEN ; Puyu SU
Chinese Journal of Epidemiology 2019;40(8):965-970
Objective:
To explore the effects of precollege peer bullying at different stages, on quality of life (QOL) among college students.
Methods:
A stratified cluster sampling method was used to select participants in October, 2018. Cluster sampling method was adopted to recruit a sample of 4 034 college students from four universities in Hefei city, Anhui province. Relations between peer bullying at different stages before entering college, and the quality of life, were investigated.