Expanding Concepts of Youth Adversity

Relationships With a Positive Patient Health Questionnaire–2

Research output: Contribution to journalArticle

Abstract

Introduction: Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey. Methods: Logistic regression was used to determine whether 10 types of conventional ACEs and 11 types of additional ACEs were associated with the odds of youth meeting cutoff scores for a positive Patient Health Questionnaire–2 (PHQ-2) after adjustment for demographic covariates and known mental health problems. Results: Individual and cumulative measures for conventional and expanded ACEs were significantly associated with youth odds of meeting criteria for a positive PHQ-2. Increasing frequency of bullying harassment was associated with a 1.5- to 5-fold increase in the odds of a positive PHQ-2. Discussion: Findings support consideration of broad concepts for adversity as relevant for youth mental health.

Original languageEnglish (US)
Pages (from-to)42-52
Number of pages11
JournalJournal of Pediatric Health Care
Volume33
Issue number1
DOIs
StatePublished - Jan 1 2019

Fingerprint

Bullying
Mental Health
Health
Logistic Models
Demography
Safety
Research
Adolescent Health
Surveys and Questionnaires

Keywords

  • Adolescent mental health
  • Patient Health Questionnaire–2 (PHQ-2)
  • adverse childhood experiences (ACEs)
  • depression screening

PubMed: MeSH publication types

  • Journal Article

Cite this

Expanding Concepts of Youth Adversity : Relationships With a Positive Patient Health Questionnaire–2. / Duke, Naomi N.

In: Journal of Pediatric Health Care, Vol. 33, No. 1, 01.01.2019, p. 42-52.

Research output: Contribution to journalArticle

@article{4f71858a7c59443c94824c7fcf308954,
title = "Expanding Concepts of Youth Adversity: Relationships With a Positive Patient Health Questionnaire–2",
abstract = "Introduction: Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey. Methods: Logistic regression was used to determine whether 10 types of conventional ACEs and 11 types of additional ACEs were associated with the odds of youth meeting cutoff scores for a positive Patient Health Questionnaire–2 (PHQ-2) after adjustment for demographic covariates and known mental health problems. Results: Individual and cumulative measures for conventional and expanded ACEs were significantly associated with youth odds of meeting criteria for a positive PHQ-2. Increasing frequency of bullying harassment was associated with a 1.5- to 5-fold increase in the odds of a positive PHQ-2. Discussion: Findings support consideration of broad concepts for adversity as relevant for youth mental health.",
keywords = "Adolescent mental health, Patient Health Questionnaire–2 (PHQ-2), adverse childhood experiences (ACEs), depression screening",
author = "Duke, {Naomi N}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.pedhc.2018.05.012",
language = "English (US)",
volume = "33",
pages = "42--52",
journal = "Journal of Pediatric Health Care",
issn = "0891-5245",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Expanding Concepts of Youth Adversity

T2 - Relationships With a Positive Patient Health Questionnaire–2

AU - Duke, Naomi N

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Introduction: Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey. Methods: Logistic regression was used to determine whether 10 types of conventional ACEs and 11 types of additional ACEs were associated with the odds of youth meeting cutoff scores for a positive Patient Health Questionnaire–2 (PHQ-2) after adjustment for demographic covariates and known mental health problems. Results: Individual and cumulative measures for conventional and expanded ACEs were significantly associated with youth odds of meeting criteria for a positive PHQ-2. Increasing frequency of bullying harassment was associated with a 1.5- to 5-fold increase in the odds of a positive PHQ-2. Discussion: Findings support consideration of broad concepts for adversity as relevant for youth mental health.

AB - Introduction: Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey. Methods: Logistic regression was used to determine whether 10 types of conventional ACEs and 11 types of additional ACEs were associated with the odds of youth meeting cutoff scores for a positive Patient Health Questionnaire–2 (PHQ-2) after adjustment for demographic covariates and known mental health problems. Results: Individual and cumulative measures for conventional and expanded ACEs were significantly associated with youth odds of meeting criteria for a positive PHQ-2. Increasing frequency of bullying harassment was associated with a 1.5- to 5-fold increase in the odds of a positive PHQ-2. Discussion: Findings support consideration of broad concepts for adversity as relevant for youth mental health.

KW - Adolescent mental health

KW - Patient Health Questionnaire–2 (PHQ-2)

KW - adverse childhood experiences (ACEs)

KW - depression screening

UR - http://www.scopus.com/inward/record.url?scp=85052120980&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052120980&partnerID=8YFLogxK

U2 - 10.1016/j.pedhc.2018.05.012

DO - 10.1016/j.pedhc.2018.05.012

M3 - Article

VL - 33

SP - 42

EP - 52

JO - Journal of Pediatric Health Care

JF - Journal of Pediatric Health Care

SN - 0891-5245

IS - 1

ER -