Hana Marmura, Regina R F Cozzi, Heather Blackburn, Oliva Ortiz-Alvarez
Adolescents Identify Modifiable Community-Level Barriers to Accessing Mental Health and Addiction Services in a Rural Canadian Town: A Survey Study
Pediatric reports
adverse childhood experiences increase risk psychological disorders lower psychosocial functioning across lifespan however less known processes ace linked multiple negative outcomes aim face epidemiological study investigate emotion regulation emotional reactivity perseverative thinking selfefficacy managing emotions social information processing rejection sensitivity interpretation biases social understanding potential mechanisms linking adverse childhood experiences psychosocial functioning large population sample young adults embedded larger project also includes ecological momentary assessment emotion regulation social information processing informs development evaluation online selfhelp intervention young adults history ace study plans recruit 5000 young adults aged 18 21 germanspeaking swiss population addresses provided swiss federal statistical office participants invited mail complete selfreport online survey targeted sample size reached second additional sample recruited via educational facilities universities teacher training colleges military training schools three followups planned 1 year 2 years 3 years resulting ages 1824 covered main exposure variable selfreported adverse childhood experiences age 18 measured baseline primary outcomes psychosocial functioning across study period secondary outcomes social information processing emotion regulation health care service use statistical analyses include range latent variable models identify patterns adverse childhood experiences patterns trajectories psychosocial adaptation results contribute understanding underlying mechanisms link ace psychosocial functioning crucial improved insight risk resilience processes tailoring interventions furthermore identification factors facilitate hinder service use among young adults ace informs healthcare policies provision appropriate healthcare services nct05122988 study reviewed authorized ethical committee northwestern central switzerland basec number 202101204