Does Resilience Mediate the Association of Adverse Early Childhood Experiences With Emotional and Behavioural Problems?

Miriama Lackova Rebicova; Miriama Lackova Rebicova; Miriama Lackova Rebicova; Zuzana Dankulincova Veselska; Zuzana Dankulincova Veselska; Zuzana Dankulincova Veselska; Daniela Husarova; Daniela Husarova; Daniela Husarova; Andrea Madarasova Geckova; Andrea Madarasova Geckova; Andrea Madarasova Geckova; Andrea Madarasova Geckova; Danielle E. M. C. Jansen; Jitse P. van Dijk; Jitse P. van Dijk; Jitse P. van Dijk; Sijmen A. Reijneveld

doi:10.3389/ijph.2021.1604006

International Journal of Public Health (Nov 2021)

Does Resilience Mediate the Association of Adverse Early Childhood Experiences With Emotional and Behavioural Problems?

Miriama Lackova Rebicova,
Miriama Lackova Rebicova,
Miriama Lackova Rebicova,
Zuzana Dankulincova Veselska,
Zuzana Dankulincova Veselska,
Zuzana Dankulincova Veselska,
Daniela Husarova,
Daniela Husarova,
Daniela Husarova,
Andrea Madarasova Geckova,
Andrea Madarasova Geckova,
Andrea Madarasova Geckova,
Andrea Madarasova Geckova,
Danielle E. M. C. Jansen,
Jitse P. van Dijk,
Jitse P. van Dijk,
Jitse P. van Dijk,
Sijmen A. Reijneveld

Affiliations

Miriama Lackova Rebicova: Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia
Miriama Lackova Rebicova: Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
Miriama Lackova Rebicova: Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
Zuzana Dankulincova Veselska: Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia
Zuzana Dankulincova Veselska: Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
Zuzana Dankulincova Veselska: Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
Daniela Husarova: Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia
Daniela Husarova: Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
Daniela Husarova: Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
Andrea Madarasova Geckova: Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia
Andrea Madarasova Geckova: Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
Andrea Madarasova Geckova: Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
Andrea Madarasova Geckova: Olomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, Czech
Danielle E. M. C. Jansen: Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
Jitse P. van Dijk: Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
Jitse P. van Dijk: Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
Jitse P. van Dijk: Olomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, Czech
Sijmen A. Reijneveld: Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands

DOI: https://doi.org/10.3389/ijph.2021.1604006
Journal volume & issue: Vol. 66

Abstract

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Objectives: To explore the role of resilience as a mediator in the association between adverse childhood experiences (ACE) and emotional and behavioural problems (EBP) among adolescents.Methods: We used data from the Slovak 2018 Health Behaviour in School-aged Children study, comprising 2,839 adolescents aged 13–15 (mean age 13.93; 49.6% boys). We used multivariate linear regression performed on 5000 bootstrap samples adjusted for age, gender, family affluence to explore mediation of the associations between ACE (measured using the adapted Adverse Childhood Experience Questionnaire) and EBP (measured using the Strengths and Difficulties Questionnaire) by resilience (measured with the Child and Youth Resilience Measure).Results: We found ACE [B = 0.78; 95% confidence interval (CI): 0.67|0.90] and resilience (B = −0.73; 95% CI: −0.79|−0.67) to be significantly associated with EBP. The association of ACE and EBP was mediated by resilience. The mediated indirect effect of resilience was ab = 0.25; 95% CI: 0.18|0.32.Conclusion: Resilience seems to play a mediator role in the relationship between ACE and EBP. Helping adolescents with ACE to build and use internal and external sources of resilience can decrease the negative impact of ACE on EBP.

Published in International Journal of Public Health

ISSN: 1661-8556 (Print); 1661-8564 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Public aspects of medicine
Website: https://www.ssph-journal.org/journals/international-journal-of-public-health

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