Facing Adverse Childhood Experiences Using New Technologies
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,606
- 试验地点
- 1
- 主要终点
- Externalizing symptoms
研究概览
简要总结
Childhood experiences affect psychosocial well-being and mental health across the life course for better or worse. The aim of the present study is to investigate how adverse childhood experiences before the age of 18 impact psychological functioning in young adulthood, and whether social information processing and emotion regulation may mediate these associations.
详细描述
The study plans to recruit 5000 young adults aged 18 to 21 representative of the German speaking Swiss population. Participant will be invited to the study by mail. Addresses stem from a Swiss sampling registry ("Stichprobenregister SRPH") and are provided by the Swiss Statistical Office. Access to this address lists is reserved to studies of national interest that are funded by the Swiss National Science foundation. Data collection will be conducted online with a REDCap survey following an accelerated cohort design. After the baseline measurement (w1), three follow ups are planned after 1 year (w2), 2 years (w3) and 3 years (w4), resulting in ages 18 to 24 being covered. The primary outcome will be psychosocial functioning across the study period.
- Primary objective:
The primary objective of the study is to analyse the longitudinal associations between childhood experiences, emotion regulation, social information processing, social support and psychosocial functioning in young adults.
- Hypothese 1 is that adverse childhood experiences (ACE) are associated with a higher risk for lower psychosocial functioning in young adulthood and 2) that this association is mediated by deficits in emotion regulation, social information processing and lower social support.
- Hypothese 2 is that positive childhood experiences are associated with higher social support, adaptive emotion regulation and high well-being in young adulthood and that good relationships with parents and high social support are a protective factor in the presence of adversities.
- Hypothese 3 is that among young adults with ACE, higher social support, seeking professional help and more adaptive coping strategies are associated with a more adaptive psychosocial functioning.
Secondary objectives are 2. to examine the effect of childhood experiences on emotion regulation and social information processing. 3. to investigate the effects of emotion regulation and social information processing on the quality of friendships and social support. 4. to analyse the longitudinal associations of childhood experiences, emotion regulation, social information processing, social support and the single variables that constitute the composite score of psychosocial functioning, e.g. well-being, psychosocial distress, risk behaviours. 5. to investigate the associations between ACE, emotion regulation and social information processing and seeking professional support. 6. Further exploratory hypotheses investigate whether there are patterns of ACE which show differential associations with emotion regulation, social information processing, support and psychosocial functioning or single variables of psychosocial functioning.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 21 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 to 21, Living in German-speaking Switzerland, Internet Access
排除标准
- •Insufficient mastery of German
结局指标
主要结局
Externalizing symptoms
时间窗: change over 3 years (from w1 to w4)
Measured with the 10-item Externalizing Problems Screener (Renshaw \& Cook 2019). Total score ranges from 0 to 40, with a higher score indicating more externalizing symptoms.
Latent composite score for psychosocial functioning
时间窗: change over 3 years (from w1 to w4)
A single latent score for overall psychosocial functioning will be created out of the following individual variables using the MPlus software: Well-being (Ryff \& Keyes 1995), Internalizing (Spitzer et al., 2011) and externalizing (Renshaw \& Cook 2019) psychopathological symptoms, psychosocial burden (Brodbeck et al., 2007) and functioning in social und and work situations (Mundt et al., 2002). A higher score indicates better overall psychological functioning.
Internalizing symptoms
时间窗: change over 3 years (from w1 to w4)
Measured with the 18-item Brief Symptom Inventory (BSI-18) (Spitzer et al., 2011), containing questions about depressivity, anxiety and somatic symptoms. The total score ranges from 18 to 90, and a higher score indicates more internalizing symptoms.
Psychological Well-being
时间窗: change over 3 years (from w1 to w4)
Six dimensions (autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance) measured with Ryffs Well-being scale (Ryff \& Keyes 1995), 42 item Version (Abbott et al., 2010). Scores for the subscales range from 7 to 42, and scores for the total scale from 42 to 294. A higher score indicates better well-being.
Functioning in social und and work situations
时间窗: change over 3 years (from w1 to w4)
Measured with the 5-item Work and Social Adjustment Scale (Mundt et al., 2002), measuring impairment in different social and work situations. The total score ranges from 0 to 40, with a higher score indicating worse functioning in social and work situations.
次要结局
- Help seeking behaviour(change over 3 years (from w1 to w4))
- Psychosocial Burden(change over 3 years (from w1 to w4))
- Substance use(change over 3 years (from w1 to w4))
- Social Support(change over 3 years (from w1 to w4))
研究者
Jeannette Brodbeck
Prof. Dr.
University of Applied Sciences and Arts Northwestern Switzerland