Adverse childhood experiences, problematic internet use, and health-related quality of life in Chinese adolescents

Jun 19, 2023European journal of psychotraumatology

Childhood hardships, internet problems, and health quality in Chinese teenagers

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Abstract

Adolescents exposed to ≥ 3 scored 14.70 points lower in compared to those without such exposure.

Exposure to any adverse childhood experience is linked to significantly lower scores in all dimensions of health-related quality of life.
A total of 13 different adverse childhood experiences were assessed among the participants.
The association between adverse childhood experiences and health-related quality of life demonstrates a dose-response relationship.
is identified as a significant mediator in the relationship between adverse childhood experiences and health-related quality of life.
The mediation effect of problematic internet use accounts for 14.38% to 17.44% of the total impact on health-related quality of life.

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The influence of (ACEs) on an individual's health is substantial. However, the associations between ACEs, (PIU), and (HRQOL) in adolescents remain underexplored.To assess the association between ACEs and HRQOL in Chinese adolescents and to evaluate the mediating role of PIU in this association.A sample of 6,639 adolescents (3,457 boys and 3,182 girls) aged between 11-20 years (mean [SD] age: 14.5 [1.6] years) were recruited from 6 junior and senior middle schools using a proportional sampling approach in a cross-sectional study. Data on ACE exposure was collected through the short form of Childhood Trauma Questionnaire, the ACE-International Questionnaire, and two additional questions. HRQOL was assessed by the Pediatric Quality of Life Inventory version 4.0. The associations between ACEs and HRQOL were estimated using linear regression models. Mediation analysis was further conducted to explore the possible mediating role of PIU in the association between ACEs and HRQOL.Our study collected 13 different ACEs. We found that adolescents exposed to any ACE had significantly lower scores in all HRQOL dimensions, psychosocial health summary scale, and total scale, than those without such exposure. Specifically, adolescents with ≥ 3 ACE exposure had a total scale score that was 14.70 (95%CI: 15.53 to 13.87) points lower than their non-exposed counterparts. Mediation analysis identified PIU as a significant mediator, with the proportion of the total effect attributable to PIU ranging from 14.38% for social functioning to 17.44% for physical functioning.Exposure to ACEs was associated with poorer HRQOL in Chinese adolescents, underscoring the importance to prevent ACEs and their negative impacts on adolescent well-being. These findings also highlighted the need of promoting appropriate internet use among adolescents exposed to ACEs, in order to avert potential impairment in their HRQOL.Adolescents with adverse childhood experiences have poorer health-related quality of life.The association between adverse childhood experiences and health-related quality of life shows a dose-response pattern.Problematic internet use partially mediates the associations between adverse childhood experiences and health-related quality of life in adolescents. Background: Objective: Method: Results: Conclusions: HIGHLIGHTS

Key numbers

77.3%

Prevalence of

Proportion of adolescents who experienced at least one ACE.

14.70

Decrease in Score

Difference in total score for adolescents with ≥ 3 vs. non-exposed counterparts.

15.65%

Mediation Effect of

Percentage of total effect of on mediated by .

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Adverse childhood experiences, problematic internet use, and health-related quality of life in Chinese adolescents

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