{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:34:06Z","timestamp":1777854846788,"version":"3.51.4"},"reference-count":62,"publisher":"SAGE Publications","issue":"23-24","license":[{"start":{"date-parts":[[2022,1,30]],"date-time":"2022-01-30T00:00:00Z","timestamp":1643500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Interpers Violence"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>\n                    Researchers have established the long-term negative impact of adverse childhood experiences (ACEs) on mental health. Evidence also shows that different types of ACEs often co-occur and that ACEs profiles have differential impact on mental health. However, this prior research has often omitted first-generation Latino immigrants\u2014a growing segment of the population, with potentially higher risk for ACEs, decreased access to mental health services, and increased risk for remaining in poor mental health. In this study, we conducted a cluster analysis using a sample of 336 Latina immigrant to examine: (1) patterns of ACEs, and (2) the mediating role of social problem-solving in the association between ACEs and mental health (depression, anxiety, and post-traumatic stress disorder symptoms [PTSD]) and life satisfaction. We identified 5 clusters: (a)\n                    <jats:italic toggle=\"yes\">Global ACEs<\/jats:italic>\n                    (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 52, 15.5%), (b)\n                    <jats:italic toggle=\"yes\">Community Violence and Physical Abuse<\/jats:italic>\n                    (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 80, 23.8%), (c)\n                    <jats:italic toggle=\"yes\">Physical and Emotional Abuse<\/jats:italic>\n                    (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 72, 21.4%), (d)\n                    <jats:italic toggle=\"yes\">Household Dysfunction with Physical and Emotional Abuse<\/jats:italic>\n                    (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 56, 16.7%), and (e)\n                    <jats:italic toggle=\"yes\">Low ACEs<\/jats:italic>\n                    (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 76, 22.6%). The clusters differed by social problem-solving, chronic life burden, mental health, and life satisfaction. Compared to the\n                    <jats:italic toggle=\"yes\">Low Abuse<\/jats:italic>\n                    cluster, the\n                    <jats:italic toggle=\"yes\">Community Violence and Physical Abuse,<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">Global ACEs<\/jats:italic>\n                    clusters were significantly more likely to have higher depression, anxiety, and PTSD symptoms. Social problem-solving was independently associated with all mental health variables and life satisfaction, and mediated the association between ACEs and depression and anxiety for those in the\n                    <jats:italic toggle=\"yes\">Community Violence and Physical Abuse<\/jats:italic>\n                    cluster\n                    <jats:italic toggle=\"yes\">.<\/jats:italic>\n                    Our study sheds light on how ACEs are experienced by Latina immigrants. Social problem-solving also emerged as a significant determinant of mental health and life satisfaction, and may be a point of intervention for improving mental health in this population.\n                  <\/jats:p>","DOI":"10.1177\/08862605211072159","type":"journal-article","created":{"date-parts":[[2022,1,30]],"date-time":"2022-01-30T05:15:47Z","timestamp":1643519747000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Patterns of Adverse Childhood Experiences, Social Problem-Solving, and Mental Health Among Latina Immigrants"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6417-4494","authenticated-orcid":false,"given":"Carmen","family":"Alvarez","sequence":"first","affiliation":[{"name":"Johns Hopkins University School of Nursing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7137-2544","authenticated-orcid":false,"given":"Chiara","family":"Sabina","sequence":"additional","affiliation":[{"name":"University of Delaware Women & Gender Studies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Brockie","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy","family":"Perrin","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8551-1368","authenticated-orcid":false,"given":"Maria Jose","family":"Sanchez-Roman","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lia","family":"Escobar-Acosta","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Vrany","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa A.","family":"Cooper","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Nursing"},{"name":"Johns Hopkins University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicia","family":"Hill-Briggs","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,30]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1503\/jpn.150205"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12142-019-0547-5"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2008.59.11.1264"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.02.003"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-009-9256-8"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs5020154"},{"key":"e_1_3_4_8_1","volume-title":"The cycle of violence: Migration from the Northern triangle","author":"Brenden S.","year":"2017","unstructured":"Brenden S., Campbell J., Dotson H., Gunderson M., Murphy M. 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