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Salud mental
versão impressa ISSN 0185-3325
Resumo
NEVAREZ-MENDOZA, Blanca Patricia e OCHOA-MEZA, Gerardo. Relationship between adverse childhood experiences and the physical and mental health in Mexican adults. Salud Ment [online]. 2022, vol.45, n.2, pp.61-69. Epub 23-Maio-2022. ISSN 0185-3325. https://doi.org/10.17711/sm.0185-3325.2022.009.
Introduction
Adverse childhood experiences (ACEs) are potentially traumatic events that people may experience during early life, including physical, psychological, and sexual abuse; neglect; and household dysfunction.
Objective
To evaluate the frequency of ACEs and their relationship with the mental and physical health of Mexican adults.
Method
389 people between 18 and 65 years old were included in a cross-sectional study with an incidental sample and voluntary participation. Subjects responded to the ACEs questionnaire, the PHQ-9, the GAD-7, and the PHQ-15. Logistic regression models were used to evaluate the association between ACEs and adult health conditions.
Results
75% reported at least one type of adversity, and 31.4% reported three or more. Reporting three or more ACEs was associated with an increased odds ratio for depression (OR = 5.04, 95% CI [2.38, 10.68]), anxiety (OR = 3.33, 95% CI [1.09, 6.99]), psychosomatic severity (OR = 4.58, 95% CI [2.53, 8.29]), obesity (OR = 2.08, 95% CI [1.21, 3.59]), and limitations due to physical or emotional discomfort (OR = 5.90, 95% CI [2.88, 12.09]). Higher anxiety was associated with sexual abuse (OR = 2.12 95% CI [.92, 4.85]) and witnessing violence (OR = 5.09, 95% CI [1.04, 24.77]). The probability of psychosomatic severity was higher if reported sexual abuse increased (OR = 1.94 95% CI [.06, 3.54]) and emotional neglect (OR = 1.84, 95% CI [1.02, 3.32]).
Discussion and conclusion
ACEs are associated to mental health difficulties and psychosomatic symptoms. The relationship between different types of adversity and health is confirmed.
Palavras-chave : Adverse childhood experiences; depression; anxiety; psychosomatic symptoms; health.