Impact of adverse childhood experiences on mental health among young individuals:chain-mediated effect of mobile phone dependency and self-rated health
10.16781/j.CN31-2187/R.20240388
- VernacularTitle:童年期不良经历对青年人群心理健康的影响:手机依赖与自评健康的链式中介效应
- Author:
Congshang XIE
1
;
Juanfang ZHU
;
Renhua SHI
;
Yan XIAO
;
Lei YUAN
;
Lijuan LIU
Author Information
1. 海军军医大学(第二军医大学)卫生勤务学系,上海 200433
- Keywords:
adverse childhood experiences;
mobile phone addiction;
self-rated health;
mental health;
chain mediation model
- From:
Academic Journal of Naval Medical University
2025;46(11):1487-1495
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating role of mobile phone dependency and self-rated health in the relationship between adverse childhood experiences(ACEs)and mental health among young adults.Methods A cross-sectional study was conducted using cluster random sampling among 1 611 young adults(mean age 26.30 years)from a region in Hainan Province.Participants completed the childhood trauma questionnaire(short form),the mobile phone addiction index,the depression-anxiety-stress scale(simplified Chinese version),and a self-rated health questionnaire.Pearson correlation analysis and mediation effect analysis were employed to examine the relationships among ACEs,mobile phone dependency,self-rated health,and mental health.Results ACEs,mobile phone dependency,and self-rated health were all significantly correlated with mental health(all P＜0.01).ACEs had a direct negative effect on mental health(direct effect=0.221,95%confidence interval[CI]0.150-0.293).Furthermore,ACEs exerted indirect effects on mental health through 3 pathways:the independent mediation of mobile phone dependency(indirect effect=0.081,95%CI 0.035-0.130),the independent mediation of self-rated health(indirect effect=0.034,95%CI 0.011-0.062),and the chain mediation of mobile phone dependency and self-rated health(indirect effect=0.009,95%CI 0.004-0.015).Conclusion ACEs have a significant impact on the mental health of young adults,with mobile phone dependency and self-rated health serving as key mediators.Interventions aimed at reducing mobile phone dependency and improving health status may help mitigate the negative impact of childhood trauma on mental health,thereby promoting psychological well-being in this population.
