{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T16:03:41Z","timestamp":1787933021773,"version":"build-2784847793"},"reference-count":64,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T00:00:00Z","timestamp":1661299200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Alberta Innovates Health Solutions (AIHS) Graduate Studentship","award":["201810552"],"award-info":[{"award-number":["201810552"]}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institute of Health Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Cuthbertson and Fischer Chair in Pediatric Mental Health"},{"name":"Rossy Family Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mental health concerns are common among university students and maybe elevated among those with specific risk exposures. The study examined the association between childhood adversities and mental health outcomes among undergraduate university students and assessed whether psychosocial and behavioral factors mediate those associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Queen\u2019s University Student Well-Being and Academic Success Survey identified two large cohorts of first-year undergraduate students entering university in Fall 2018 and 2019 ( n\u2009=\u20095,943). At baseline, students reported sociodemographic information, family-related mental health history, childhood physical abuse, sexual abuse, peer bullying, and parental separation or divorce. Baseline and follow-up surveys in Spring 2019, Fall 2019, and Spring 2020 included validated measures of anxiety (7-item Generalized Anxiety Disorder) and depressive symptoms (9-item Patient Health Questionnaire ), non-suicidal self-harm, and suicidality, along with psychological processes and lifestyle variables. Repeated measures logistic regression using Generalized Estimating Equations was used to characterize the associations between childhood adversities and mental health outcomes and examine potential mediation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adjusting for age, gender, ethnicity, familial mental illness, and parental education, any childhood abuse (odds ratio: 2.89; 95% confidence interval, 2.58 to 3.23) and parental separation or divorce (odds ratio: 1.29; 95% confidence interval, 1.12 to 1.50) were significantly associated with a composite indicator of mental health outcomes (either 9-item Patient Health Questionnaire score \u226510 or 7-item Generalized Anxiety Disorderscore \u226510 or suicidality or self-harm). The association with childhood abuse weakened when adjusted for perceived stress, self-esteem, and insomnia (odds ratio: 2.05; 95% confidence interval, 1.80 to 2.34), and that with parental divorce weakened when adjusted for self-esteem (odds ratio: 1.17; 95% confidence interval, 1.00 to 1.36).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Childhood abuse and parental separation or divorce were associated with mental health concerns among university students. Childhood adversities may impact later mental health through an association with stress sensitivity, self-esteem, and sleep problems. The findings suggest that prevention and early intervention focusing on improving sleep, self-esteem, and coping with stress while considering the individual risk profile of help-seeking students may help support student mental health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07067437221111368","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T03:47:49Z","timestamp":1661312869000},"page":"510-520","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Childhood Adversity and Mental Health Outcomes Among University Students: A Longitudinal Study"],"prefix":"10.1177","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6689-7218","authenticated-orcid":false,"given":"Asmita","family":"Bhattarai","sequence":"first","affiliation":[{"name":"Departments of Community Health Sciences & Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4664-5456","authenticated-orcid":false,"given":"Nathan","family":"King","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Queen\u2019s University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2872-9496","authenticated-orcid":false,"given":"Kamala","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Departments of Community Health Sciences & Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"},{"name":"Provincial Population and Public Health, Alberta Health Services, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Dimitropoulos","sequence":"additional","affiliation":[{"name":"Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Devoe","sequence":"additional","affiliation":[{"name":"Departments of Community Health Sciences & Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"},{"name":"Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Byun","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Queen\u2019s University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Queen\u2019s University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Rivera","sequence":"additional","affiliation":[{"name":"Department of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Molecular Sciences, Queen\u2019s University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3305-7874","authenticated-orcid":false,"given":"Andrew G.M.","family":"Bulloch","sequence":"additional","affiliation":[{"name":"Departments of Community Health Sciences & Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9871-4041","authenticated-orcid":false,"given":"Scott B.","family":"Patten","sequence":"additional","affiliation":[{"name":"Departments of Community Health Sciences & Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5895-075X","authenticated-orcid":false,"given":"Anne","family":"Duffy","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Queen\u2019s University, Kingston, Ontario, Canada"},{"name":"Department of Psychiatry, Queen\u2019s University, Kingston, Ontario, Canada"},{"name":"Department of Psychiatry, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,8,24]]},"reference":[{"key":"bibr1-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.24"},{"key":"bibr2-07067437221111368","first-page":"1","author":"Myers B","year":"2021","journal-title":"Soc Psychiatry Psychiatr Epidemiol."},{"issue":"2","key":"bibr3-07067437221111368","volume":"50","author":"Robinson AM","year":"2016","journal-title":"Canadian Journal of Counselling and Psychotherapy"},{"key":"bibr4-07067437221111368","author":"Linden B","year":"2018","journal-title":"ON: Queen\u2019s University"},{"key":"bibr5-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1177\/0706743719874178"},{"key":"bibr6-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-106"},{"key":"bibr7-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(98)00017-8"},{"key":"bibr8-07067437221111368","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.13.129247"},{"key":"bibr9-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2009.09.020"},{"key":"bibr10-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30118-4"},{"key":"bibr11-07067437221111368","volume-title":"Science brief: the long shadow of adverse childhood experiences","author":"McLaughlin K","year":"2017"},{"key":"bibr12-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2003.12.013"},{"key":"bibr13-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2018.1431892"},{"key":"bibr14-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.07.044"},{"key":"bibr15-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-017-1583-9"},{"key":"bibr16-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2015.03.008"},{"key":"bibr17-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.10.778"},{"key":"bibr18-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1037\/a0037459"},{"key":"bibr19-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199901000-00008"},{"key":"bibr20-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029854"},{"key":"bibr21-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1994.tb01284.x"},{"key":"bibr22-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"bibr23-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"bibr24-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2011.10111704"},{"key":"bibr25-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12939"},{"key":"bibr26-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(98)00087-8"},{"key":"bibr27-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-013-0697-8"},{"key":"bibr28-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-005-0950-x"},{"key":"bibr29-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-05470-4_17"},{"key":"bibr30-07067437221111368","doi-asserted-by":"publisher","DOI":"10.3390\/nu10101536"},{"key":"bibr31-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-004183"},{"key":"bibr32-07067437221111368","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"bibr33-07067437221111368","volume-title":"Society and the adolescent self-image","author":"Rosenberg M","year":"2015"},{"key":"bibr34-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1080\/07481756.2006.11909791"},{"key":"bibr35-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/303728"},{"key":"bibr36-07067437221111368","doi-asserted-by":"publisher","DOI":"10.2174\/1570162X13666151029101919"},{"key":"bibr37-07067437221111368","volume-title":"Stata statistical software: release 16","author":"StataCorp L","year":"2019"},{"key":"bibr38-07067437221111368","first-page":"1","author":"Mortier P","year":"2021","journal-title":"Soc Psychiatry Psychiatr Epidemiol."},{"issue":"4","key":"bibr39-07067437221111368","first-page":"597","volume":"38","author":"Knox D","year":"2004","journal-title":"Coll Stud J."},{"key":"bibr40-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1007\/s40596-014-0205-9"},{"key":"bibr41-07067437221111368","doi-asserted-by":"publisher","DOI":"10.5688\/ajpe8166"},{"issue":"1","key":"bibr42-07067437221111368","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12199-020-00923-z","volume":"26","author":"Wang P","year":"2021","journal-title":"Environ Health Prev Med."},{"key":"bibr43-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.12563"},{"key":"bibr44-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1300\/J087v38n01_08"},{"key":"bibr45-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2005.01.001"},{"key":"bibr46-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2019.04.008"},{"key":"bibr47-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2016.1786"},{"key":"bibr48-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.21.2.233"},{"key":"bibr49-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1177\/0886260516681880"},{"key":"bibr50-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018323"},{"key":"bibr51-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2016.01.011"},{"key":"bibr52-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0802-x"},{"key":"bibr53-07067437221111368","doi-asserted-by":"publisher","DOI":"10.4306\/pi.2018.15.1.62"},{"key":"bibr54-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyg041"},{"key":"bibr55-07067437221111368","author":"Block K","year":"2013","journal-title":"New York University\u2019s Applied Psychology OPUS"},{"key":"bibr56-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024068314963"},{"key":"bibr57-07067437221111368","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.01054"},{"key":"bibr58-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2761"},{"key":"bibr59-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1017\/S2045796014000018"},{"key":"bibr60-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0168354"},{"key":"bibr61-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-021-01392-w"},{"key":"bibr62-07067437221111368","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009435"},{"key":"bibr63-07067437221111368","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01332.x"},{"issue":"4","key":"bibr64-07067437221111368","first-page":"E599","volume":"4","author":"Bulloch AG","year":"2016","journal-title":"Canadian Medical Association Open Access Journal"}],"container-title":["The Canadian Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07067437221111368","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/07067437221111368","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07067437221111368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:15:02Z","timestamp":1777392902000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/07067437221111368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,24]]},"references-count":64,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/07067437221111368"],"URL":"https:\/\/doi.org\/10.1177\/07067437221111368","relation":{},"ISSN":["0706-7437","1497-0015"],"issn-type":[{"value":"0706-7437","type":"print"},{"value":"1497-0015","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,24]]}}}