Abstract

BackgroundAdverse childhood experiences (ACEs) are associated with severe life-long negative outcomes, including depression. Particularly in low- and middle-income countries, few studies have been conducted to assess the impact of ACEs.AimTo assess the influence of ACEs on depression among young adults.SettingParticipants were students at a large university in Gaborone, Botswana.MethodsUsing a cross-sectional design, we investigated the associations between ACEs and depression in young adults in Botswana (n = 392, mean age = 22.2, ± 2.5, 53.4% female). Bivariate correlation analyses, t-tests and analyses of variance (ANOVA) were performed to assess associations and compare ACEs at different levels of depression.ResultsA total of 73% (n = 287) reported one or more ACEs, whilst 15% (59) reported five or more ACEs. About 64% (38) of those who reported five or more ACEs were female respondents. Prevalence of specific ACEs ranged from 9.5% (child neglect) to 36.3% (separation and divorce). One in three respondents reported parental separation or divorce, psychological abuse and family dysfunction, whilst 19% (11% moderate and 8% severe) reported significant depressive symptoms. Adverse childhood experiences significantly predicted depression (β = 0.27, 95% confidence interval [CI]: 0.18, 0.37). Respondents at different levels of depression significantly differed on reporting ACEs (F(3, 389) = 11.43, p < 0.001).ConclusionAdverse childhood experiences are highly prevalent and key determinants of depression in young adulthood. A multifaceted and cross-system intervention (e.g. schools, social work, psychological services, health services and law enforcement) is required to protect, prevent and treat survivors of childhood adversity.

Highlights

  • Depression amongst young adults in low- and middle-income countries is a growing public health concern

  • Compared with Europe and other Western countries, little attention has been given to adverse childhood experiences (ACEs) as risk factors of depression in low- and middle-income countries

  • The results showed that respondents at different categories of ACEs significantly varied in reporting depressive symptoms (F (3, 388) = 12.62, p < 0.001, η2 = 0.09)

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Summary

Introduction

Depression amongst young adults in low- and middle-income countries is a growing public health concern. Several factors have been implicated in the development of depressive disorders. Such factors include poverty,[1] sexual abuse,[2] conflict,[3] unemployment[4] and adverse childhood experiences (ACEs).[5,6,7,8]. Compared with Europe and other Western countries, little attention has been given to ACEs as risk factors of depression in low- and middle-income countries. Adverse childhood experiences (ACEs) are associated with severe life-long negative outcomes, including depression. In low- and middle-income countries, few studies have been conducted to assess the impact of ACEs

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