541 - Low Resilience Is Associated With Reported Diagnosis of Depression While High ACEs Are Associated With Reported Diagnoses of Anxiety in Adolescents With Mental Health Disorders
Monday, April 25, 2022
3:30 PM – 6:00 PM US MT
Poster Number: 541 Publication Number: 541.423
Esther C. Kibakaya, The Children's Hospital at Montefiore, Bronx, NY, United States; Suzette Oyeku, The Children's Hospital at Montefiore, Bronx, NY, United States; Sylvia W. Lim, The Children's Hospital at Montefiore, Bronx, NY, United States
Associate Professor of Pediatrics/ Associate Director of Academic General Pediatrics Fellowship The Children's Hospital at Montefiore Bronx, New York, United States
Background: Adverse Childhood Experiences (ACEs) are associated with diagnosis of anxiety and depression in adolescents, and exposure to ≥4 ACEs is associated with negative mental health outcomes. Targeting specific resilience factors has the potential to mitigate the effects of ACEs on mental health in adolescents. Little is known about which resilience factors could provide the best protection especially in socio-demographically diverse populations.
Objective: Assess the association of caregiver and adolescent reported ACEs, resilience factors, and diagnosis of depression or anxiety among adolescents with mental health diagnoses.
Design/Methods: Adolescents 12-17 years old with ICD-10 diagnoses of depression, anxiety, ADHD and/or behavioral/conduct disorder were identified through EMR search of 2 Bronx pediatric primary care clinics. A cross-sectional study was conducted using an anonymous self-administered paper, online or telephone survey on eligible caregiver-adolescents dyads. ACEs were assessed using The Center for Youth Wellness (CYW) ACEs Questionnaire categorized as No/Low(0-3) vs High (4 or more). Resilience was assessed using The Revised Child and Youth Resilience Measure 28, characterized as Low (less or equal to the sample median) vs High (more than the sample median). Resilience was further categorized into three subgroups: 1) personal resilience (individual characteristics) 2) relational resilience (caregiver relationship) and 3) contextual resilience (spiritual, educational, cultural characteristics). Demographic variables, caregiver and adolescent reported mental health diagnoses were recorded. Chi square analyses were conducted to assess the association of reported diagnosis of depression (no vs yes) or anxiety (no vs yes) with caregiver and adolescent reported ACEs (No/Low vs High) and Resilience factors.
Results: We recruited 70 participants: 42 caregivers and 28 adolescents, more caregivers than adolescents completed the survey (Table 1). Low resilience was associated with caregiver and adolescent reported diagnoses of depression (Table 2). Having high caregiver reported contextual resilience and high adolescent reported personal resilience was associated with no reported diagnosis of depression in an adolescent(Table 2). Caregiver reported high ACEs was associated with report of adolescent diagnosis of anxiety (Table 3). Conclusion(s): In this socio-demographically diverse population, differences in caregiver vs adolescent reported resilience factors are identified. Differences in perceived resilience factors and their association with mental health diagnoses warrant further exploration. Kibakaya_ECaroline_ CV 122021.pdf Table 2: Association Of Diagnosis Of Depression And Caregiver Reported Or Adolescent Reported Frequency Of ACEs And Resilience Factors