{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T06:19:49Z","timestamp":1766989189086,"version":"3.48.0"},"reference-count":54,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004737","name":"National Health Research Institutes","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Childhood adversity is an important determinant of undergraduates' drinking and smoking behaviours; however, the underlying mechanism remains unclear. Self\u2010schemas are one possible pathway that may help explain this relationship. The vulnerability of self\u2010schemas and behaviours resulting from childhood adversity may vary according to the level of childhood poly\u2010adversity. This study examined the differential effects of low and high childhood poly\u2010adversity on drinking\u2010 and smoking\u2010related self\u2010schemas and behaviours among undergraduates over time. Whether self\u2010schemas mediate the relationship between childhood poly\u2010adversity and behaviours was also examined. A prospective study was conducted among 275 first\u2010 and second\u2010year Taiwanese undergraduates who reported any adverse childhood experiences in Wave I. An anonymous digital survey was administered at five\u2010time points (6\u00a0months apart). Results showed that undergraduates with high poly\u2010adversity had higher drinker and smoker self\u2010schema scores and more drinking and smoking behaviours than those with no or low childhood poly\u2010adversity. Childhood poly\u2010adversity had significant indirect effects on drinking and smoking behaviours through drinker and smoker self\u2010schemas. Findings suggest that low and high childhood poly\u2010adversity have differential effects on self\u2010schemas and behaviours. Self\u2010schemas may be an underlying mechanism linking childhood poly\u2010adversity to undergraduate drinking and smoking behaviours. Early identification of childhood poly\u2010adversity experiences and interventions to promote positive self\u2010conception may mitigate undergraduate drinking and smoking behaviours.<\/jats:p>","DOI":"10.1002\/smi.70130","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T04:56:02Z","timestamp":1765601762000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of Self\u2010Schemas in Linking Childhood Poly\u2010Adversity to Drinking and Smoking Behaviours Among Undergraduates"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0597-0420","authenticated-orcid":false,"given":"Chia\u2010Kuei","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Nursing College of Medicine National Cheng Kung University  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0876-4430","authenticated-orcid":false,"given":"Jui\u2010Ying","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Medicine National Cheng Kung University  Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"volume-title":"Manual for the Beck Depression Inventory\u2013II","year":"1996","author":"Beck A. 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