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Original Article

Adverse Childhood Experiences, Family Support, and Depression: Evidence from Internal Migrants in China

    Journal of Psychosocial Nursing and Mental Health Services, 2023;61(3):19–25
    Published Online:September 16, 2022https://doi.org/10.3928/02793695-20220906-01Cited by:2

    Abstract

    Previous studies have linked poor family support and adverse childhood experiences (ACEs) to increased risk of depression; however, little is known about the interplay between the two when it comes to their effects on depression. Therefore, the current study examined if family support moderated the cumulative effect of ACEs on depression. Based on data from a migrant survey in Shiyan, Hubei Province, in 2019 (N = 1,326), this study used the ordinary least squares method to analyze the effect of ACEs on depression and evaluate whether family support moderated this effect. Higher exposure to ACEs and lower scores of family support were associated with higher depression levels in adulthood. The moderation model indicated that family support significantly moderated the relationship between ACEs and depression. Appropriate interventions to reduce depression should target internal migrants with history of ACEs. Community nurses should consider ACEs as an integral part of psychosocial assessment. Negative effects of ACEs can be reduced through teaching skills that increase effective family interaction and maintain supportive family networks. [Journal of Psychosocial Nursing and Mental Health Services, 61(3), 19–25.]

    • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).

      > CrossrefGoogle Scholar
    • Barrera I., Sharma V., & Aratani Y. (2019). The prevalence of mental illness and substance abuse among rural Latino adults with multiple adverse childhood experiences in California. Journal of Immigrant and Minority Health, 21(5), 971–976. 10.1007/s10903-018-0811-9 PMID: 30132162

      > Crossref MedlineGoogle Scholar
    • Bethell C., Jones J., Gombojav N., Linkenbach J., & Sege R. (2019). Positive childhood experiences and adult mental and relational health in a statewide sample: Associations across adverse childhood experiences levels. JAMA Pediatrics, 173(11), e193007. 10.1001/jamapediatrics.2019.3007 PMID: 31498386

      > Crossref MedlineGoogle Scholar
    • Björkenstam E., Burström B., Brännström L., Vinnerljung B., Björkenstam C., & Pebley A. R. (2015). Cumulative exposure to childhood stressors and subsequent psychological distress: An analysis of US panel data. Social Science & Medicine, 142, 109–117. 10.1016/j.socscimed.2015.08.006 PMID: 26301483

      > Crossref MedlineGoogle Scholar
    • Borja S., Nurius P. S., Song C., & Lengua L. J. (2019). Adverse childhood experiences to adult adversity trends among parents: Socioeconomic, health, and developmental implications. Children and Youth Services Review, 100, 258–266. 10.1016/j.childyouth.2019.03.007 PMID: 32518434

      > Crossref MedlineGoogle Scholar
    • Bronfenbrenner U. (1979). The ecology of human development. Harvard University Press.

      > Google Scholar
    • Buckner J. D., Lewis E. M., & Tucker R. P. (2020). Mental health problems and suicide risk: The impact of acute suicidal affective disturbance. Archives of Suicide Research, 24, 303–313. 10.1080/13811118.2019.1574688 PMID: 30734644

      > Crossref MedlineGoogle Scholar
    • Center on the Developing Child. (2021). ACEs and toxic stress: Frequently asked questions. Harvard University. https://developingchild.harvard.edu/resources/aces-and-toxic-stress-frequently-asked-questions/

      > Google Scholar
    • Centers for Disease Control and Prevention. (2021). What are adverse childhood experiences? https://www.cdc.gov/violenceprevention/aces/fastfact.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fviolenceprevention%2Facestudy%2Ffastfact.html

      > Google Scholar
    • Chen L., & Qu L. (2021). From stressful experiences to depression in Chinese migrant children: The roles of stress mindset and coping. Frontiers in Psychology, 12, 601732. 10.3389/fpsyg.2021.601732 PMID: 33889105

      > Crossref MedlineGoogle Scholar
    • Danese A., & Baldwin J. R. (2017). Hidden wounds? Inflammatory links between childhood trauma and psychopathology. Annual Review of Psychology, 68(68), 517–544. 10.1146/annurev-psych-010416-044208 PMID: 27575032

      > Crossref MedlineGoogle Scholar
    • Elder G. H. (1974). Children of the Great Depression: Social change in life experience. University of Chicago Press.

      > Google Scholar
    • Fan X. (2019). The health status, problems and countermeasures of floating population. Macroeconomic Management, ( 4), 42–47.

      > Google Scholar
    • Felitti V. J., Anda R. F., Nordenberg D., Williamson D. F., Spitz A. M., Edwards V., Koss M. P., & Marks J. S. (2019). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 56(6), 774–786. 10.1016/j.amepre.2019.04.001 PMID: 31104722

      > Crossref MedlineGoogle Scholar
    • Ferraro K. F., Schafer M. H., & Wilkinson L. R. (2016). Childhood disadvantage and health problems in middle and later life: Early imprints on physical health? American Sociological Review, 81(1), 107–133. 10.1177/0003122415619617 PMID: 27445413

      > Crossref MedlineGoogle Scholar
    • Goddard A. (2021). Adverse childhood experiences and trauma-informed care. Journal of Pediatric Health Care, 35(2), 145–155. 10.1016/j.pedhc.2020.09.001 PMID: 33129624

      > Crossref MedlineGoogle Scholar
    • Hu Y. (1997). Application of post-hierarchical method in data analysis of population sampling survey. Population Research (Peking, China), 6, 51–54.

      > Google Scholar
    • Iob E., Lacey R., & Steptoe A. (2020). Adverse childhood experiences and depressive symptoms in later life: Longitudinal mediation effects of inflammation. Brain, Behavior, and Immunity, 90, 97–107. 10.1016/j.bbi.2020.07.045 PMID: 32755647

      > Crossref MedlineGoogle Scholar
    • Jiang J., & Wang P. (2020). Does early peer relationship last long? The enduring influence of early peer relationship on depression in middle and later life. Journal of Affective Disorders, 273, 86–94. 10.1016/j.jad.2020.04.043 PMID: 32421625

      > Crossref MedlineGoogle Scholar
    • Jin Y., & Zhang J. (2014). A study of weights in sample surveys. Statistical Research, 31(9), 79–84.

      > Google Scholar
    • Khaled S. M., & Gray R. (2019). Depression in migrant workers and nationals of Qatar: An exploratory cross-cultural study. The International Journal of Social Psychiatry, 65(5), 354–367. 10.1177/0020764019850589 PMID: 31130042

      > Crossref MedlineGoogle Scholar
    • Knutsen M. L., Czajkowski N. O., & Ormhaug S. M. (2018). Changes in posttraumatic stress symptoms, cognitions, and depression during treatment of traumatized youth. Behaviour Research and Therapy, 111, 119–126. 10.1016/j.brat.2018.10.010 PMID: 30408700

      > Crossref MedlineGoogle Scholar
    • Kremer P., Ulibarri M., Ferraiolo N., Pinedo M., Vargas-Ojeda A. C., Burgos J. L., & Ojeda V. D. (2018). Association of adverse childhood experiences with depression in Latino migrants residing in Tijuana, Mexico. The Permanente Journal, 23, 18–31. 10.7812/TPP/18-031 PMID: 30589403

      > Crossref MedlineGoogle Scholar
    • Lanier P., Maguire-Jack K., Lombardi B., Frey J., & Rose R. A. (2018). Adverse childhood experiences and child health outcomes: Comparing cumulative risk and latent class approaches. Maternal and Child Health Journal, 22(3), 288–297. 10.1007/s10995-017-2365-1 PMID: 28929420

      > Crossref MedlineGoogle Scholar
    • Li Z., Dai J., Wu N., Gao J., & Fu H. (2019). The mental health and depression of rural-to-urban migrant workers compared to non-migrant workers in Shanghai: A cross-sectional study. International Health, 11(Suppl. 1), S55–S63. 10.1093/inthealth/ihz081 PMID: 31670817

      > Crossref MedlineGoogle Scholar
    • Liao Q., Wu P., Wing Tak Lam W., Cowling B. J., & Fielding R. (2019). Trajectories of public psycho-behavioural responses relating to influenza A(H7N9) over the winter of 2014–15 in Hong Kong. Psychology & Health, 34(2), 162–180. 10.1080/08870446.2018.1515436 PMID: 30430862

      > Crossref MedlineGoogle Scholar
    • Lu Y., Wang Z., Georgakis M. K., Lin H., & Zheng L. (2021). Genetic liability to depression and risk of coronary artery disease, myocardial infarction, and other cardiovascular outcomes. Journal of the American Heart Association, 10(1), e017986. 10.1161/JAHA.120.017986 PMID: 33372528

      > Crossref MedlineGoogle Scholar
    • Moore G. F., Cox R., Evans R. E., Hallingberg B., Hawkins J., Littlecott H. J., Long S. J., & Murphy S. (2018). School, peer and family relationships and adolescent substance use, subjective wellbeing and mental health symptoms in Wales: A cross sectional study. Child Indicators Research, 11(6), 1951–1965. 10.1007/s12187-017-9524-1 PMID: 30524519

      > Crossref MedlineGoogle Scholar
    • Mwachofi A., Imai S., & Bell R. A. (2020). Adverse childhood experiences and mental health in adulthood: Evidence from North Carolina. Journal of Affective Disorders, 267, 251–257. 10.1016/j.jad.2020.02.021 PMID: 32217225

      > Crossref MedlineGoogle Scholar
    • National Bureau of Statistics. (2021). Main data of the Seventh National Census. http://www.stats.gov.cn/tjsj/zxfb/202105/t20210510_1817176.html

      > Google Scholar
    • National Health Commission of People's Republic of China. (2019). Healthy China Action (2019–2030). http://www.nhc.gov.cn/guihuaxxs/s3585u/201907/e9275fb95d5b4295be8308415d4cd1b2.shtml

      > Google Scholar
    • Oladeji B. D., Makanjuola V. A., & Gureje O. (2010). Family-related adverse childhood experiences as risk factors for psychiatric disorders in Nigeria. The British Journal of Psychiatry, 196(3), 186–191. 10.1192/bjp.bp.109.063677 PMID: 20194539

      > Crossref MedlineGoogle Scholar
    • Radloff L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. 10.1177/014662167700100306

      > CrossrefGoogle Scholar
    • Rankin S. H., Galbraith M. E., & Johnson S. (1993). Reliability and validity data for a Chinese translation of the Center for Epidemiological Studies-Depression. Psychological Reports, 73(3 Pt. 2), 1291–1298. 10.2466/pr0.1993.73.3f.1291 PMID: 8115582

      > Crossref MedlineGoogle Scholar
    • Ren F., Yu X., Dang W., Niu W., Zhou T., Lin Y., Wu Z., Lin L., Zhong B., Chu H., Zhou J., Ding H., & Yuan P. (2019). Depressive symptoms in Chinese assembly-line migrant workers: A case study in the shoe-making industry. Asia-Pacific Psychiatry, 11(2), e12332. 10.1111/appy.12332 PMID: 30182528

      > Crossref MedlineGoogle Scholar
    • Shi Z., & Wu Z. (2018). The long term consequences of early life misfortune on health inequality. Sociolinguistic Studies, 33(3), 166–192.

      > Google Scholar
    • Song M., Hayman L. L., Lyons K. S., Dieckmann N. F., & Musil C. M. (2021). Assessing cardiometabolic health risk among US children living in grandparent-headed households. Journal of Pediatric Nursing-Nursing Care of Children & Families, 61, 331–339. 10.1016/j.pedn.2021.09.003 PMID: 34543828

      > Crossref MedlineGoogle Scholar
    • Song X., Zhang Z., Zhang R., Wang M., Lin D., Li T., Shao J., & Ma X. (2018). Predictive markers of depression in hypertension. Medicine, 97(32), e11768. 10.1097/MD.0000000000011768 PMID: 30095631

      > Crossref MedlineGoogle Scholar
    • Sonu S., Post S., & Feinglass J. (2019). Adverse childhood experiences and the onset of chronic disease in young adulthood. Preventive Medicine, 123, 163–170. 10.1016/j.ypmed.2019.03.032 PMID: 30904602

      > Crossref MedlineGoogle Scholar
    • Substance Abuse and Mental Health Services Administration. (2006). Suicidal thoughts, suicide attempts, major depressive episode, and substance use among adults. Office of Applied Studies. https://www.sprc.org/resources-programs/suicidal-thoughts-suicide-attempts-major-depressive-episode-substance-use-among

      > Google Scholar
    • Taylor-Rowan M., Momoh O., Ayerbe L., Evans J. J., Stott D. J., & Quinn T. J. (2019). Prevalence of pre-stroke depression and its association with post-stroke depression: A systematic review and meta-analysis. Psychological Medicine, 49(4), 685–696. 10.1017/S0033291718002003 PMID: 30107864

      > Crossref MedlineGoogle Scholar
    • Wan Y. H., Ma S. S., Xu S. J., Zhang S. C., Hao J. H., & Tao F. B. (2017). Study of association between adverse experiences in childhood, social support, and physical and psychological subhealth status among middle school students in 3 cities in China [article in Chinese]. Chinese Journal of Preventive Medicine, 51(9), 786–791. 10.3760/cma.j.issn.0253-9624.2017.09.003 PMID: 28881542

      > Crossref MedlineGoogle Scholar
    • Wang R., Chen Z., Zhou Y., Shen L., Zhang Z., & Wu X. (2019). Melancholy or mahjong? Diversity, frequency, type, and rural-urban divide of social participation and depression in middle- and old-aged Chinese: A fixed-effects analysis. Social Science & Medicine, 238, 112518. 10.1016/j.socscimed.2019.112518 PMID: 31473574

      > Crossref MedlineGoogle Scholar
    • World Health Organization. (2019). Refugee and migrant health. https://www.who.int/health-topics/refugee-and-migrant-health#tab=tab_1

      > Google Scholar
    • World Health Organization. (2021). Depression. https://www.who.int/news-room/fact-sheets/detail/depression

      > Google Scholar
    • Xiong H., & Zhong Y. (2020). Strategic “reporting unpleasant news” and “filial piety” ethics reconstruction: The family support seeking mechanism and cultural connotation of new intellectual immigrants. China Youth Studies, 3, 16–22.

      > Google Scholar
    • Yang L., Jia C. X., & Qin P. (2015). Reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) among suicide attempters and comparison residents in rural China. BMC Psychiatry, 15(8), 76. 10.1186/s12888-015-0458-1 PMID: 25886490

      > Crossref MedlineGoogle Scholar
    • Yu C., Lou C., Cheng Y., Cui Y., Lian Q., Wang Z., Gao E., & Wang L. (2019). Young internal migrants' major health issues and health seeking barriers in Shanghai, China: A qualitative study. BMC Public Health, 19(1), 336. 10.1186/s12889-019-6661-0 PMID: 30902080

      > Crossref MedlineGoogle Scholar
    • Yu Y., Yang X., Yang Y., Chen L., Qiu X., Qiao Z., Zhou J., Pan H., Ban B., Zhu X., He J., Ding Y., & Bai B. (2015). The role of family environment in depressive symptoms among university students: A large sample survey in China. PLoS One, 10(12), e0143612. 10.1371/journal.pone.0143612 PMID: 26629694

      > Crossref MedlineGoogle Scholar
    • Zhang J., Sun W., Kong Y., & Wang C. (2012). Reliability and validity of the CES-D scale in two special adult samples from rural China. Comprehensive Psychiatry, 53(8), 1243–1251. 10.1016/j.comppsych.2012.03.015 PMID: 22520090

      > Crossref MedlineGoogle Scholar
    • Zhang Q., Luo Y. H., Chen H., Zhang X. H., Deng S. B., Zeng W. X., & Wang Y. (2019). Migrate with parent(s) or not? Developmental outcomes between migrant and left-behind children from rural China. Child Indicators Research, 12(4), 1147–1166. 10.1007/s12187-018-9578-8

      > CrossrefGoogle Scholar
    • Zheng Z., & Hu S. (2018). Institutionalization of the life course: Paradigm and methods of the continental life course research. Sociological Studies, 214–241.

      > Google Scholar
    • Zimet G. D., Dahlem N. W., Zimet S. G., & Farley G. K. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30–41. 10.1207/s15327752jpa5201_2 PMID: 2280326

      > Crossref MedlineGoogle Scholar
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