Abstract
To explore the relationships between different subtypes of adverse childhood
experiences (ACEs), psychological resilience, and various depressive symptoms in adolescents. Methods: A
total of 170 adolescent patients, including 132 adolescents with depression and 38 healthy adolescents, were
selected from the psychiatry outpatient clinic of Wuhan University Renmin Hospital. The Adverse Childhood
Experiences International Questionnaire (ACES-IQ) was used to assess the exposure to ACEs in adolescents, the
Connor-Davidson Resilience Scale (CD-RISC) was employed to evaluate the level of psychological resilience,
and the 17-item Hamilton Depression Rating Scale (HAMD-17) as well as the Snaith-Hamilton Exuberance
Scale (SHAPS) were utilized to assess depressive symptoms and their severity in adolescents. Graph
theory-based network analysis was conducted to explore the associations among ACEs, psychological resilience,
and depressive symptoms within the adolescent population. Results: (1) The exposure levels of all three types
of ACEs were positively correlated with the severity of all six types of depressive symptoms, while the scores of
psychological resilience were negatively correlated with the exposure levels of the three types of ACEs and the
severity of the six types of depressive symptoms. (2) In the ACEs-psychological resilience-depressive symptoms
network,“psychomotor retardation”among the depressive symptoms showed the highest degree centrality and
was the most important depressive symptom;“abuse and neglect”among the three types of ACEs patterns
exhibited the highest degree centrality and was the most significant ACEs pattern;“psychological resilience”
demonstrated the greatest bridge strength, acting as the“bridge”connecting different nodes. (3) The results of
network stability and accuracy tests indicated that both degree centrality and bridge strength had sufficient
stability. Conclusion: Psychological resilience is an important supportive factor for mental health, and efforts
should be made to enhance the level of psychological resilience in order to prevent and treat the adverse
consequences brought about by ACEs.
Key words
adverse childhood experiences
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The Role of Psychological Resilience in the Relationship between Adverse Childhood
Experiences and Adolescent Depressive Symptoms: An Exploratory Study Based on Network
Analysis[J]. Neural Injury and Functional Reconstruction. 2025, 20(2): 73-78
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