Associations of adverse childhood experiences and depressive symptoms among children and adolescents: the mediating effect of resilience and sleep quality.

ABSTRACT: Adverse childhood experiences (ACEs) may precipitate depressive symptoms among children and adolescents, yet whether resilience and sleep quality jointly mediate this link remains unclear. Therefore, this study aimed to investigate these potential mediating pathways. From April to June 2024, a total of 3258 children and adolescents were included for this cross-sectional study from 11 primary and secondary schools in Chaohu City, Anhui Province, China. We used a series of scales to assess their depressive symptoms, ACEs, resilience, and sleep quality. To explore the potential mediating pathways between depressive symptoms, ACEs, resilience, and sleep quality, the chain mediation analysis was conducted using the PROCESS macro (Model 6). The prevalence of depressive symptoms was 30.1% among c

SUBMITTER: Ji W 

PROVIDER: S-EPMC12658259 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature