Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences

BackgroundHigher exposure to adverse childhood experiences (ACEs) has been shown to worsen the effect of COVID-19 stress on mental health problems in the early phase of the COVID-19 pandemic among young adults. This study extends that research by examining depression, anxiety, hostility, and perceiv...

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Main Authors: Behnam Mousavi, Jessy Moore, Karen A. Patte, William Pickett, Deborah D. O’Leary, Terrance J. Wade
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1546409/full
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author Behnam Mousavi
Jessy Moore
Karen A. Patte
William Pickett
Deborah D. O’Leary
Terrance J. Wade
author_facet Behnam Mousavi
Jessy Moore
Karen A. Patte
William Pickett
Deborah D. O’Leary
Terrance J. Wade
author_sort Behnam Mousavi
collection DOAJ
description BackgroundHigher exposure to adverse childhood experiences (ACEs) has been shown to worsen the effect of COVID-19 stress on mental health problems in the early phase of the COVID-19 pandemic among young adults. This study extends that research by examining depression, anxiety, hostility, and perceived stress trajectories across successive phases of the COVID-19 pandemic in a prospective, multi-wave panel study using data collected pre-COVID-19 pandemic onset, Early pandemic, Peak pandemic, and Post-Peak pandemic.MethodsThe baseline data come from the Niagara Longitudinal Heart Study (NLHS) and the three COVID-19 waves come from a sub-study of the NLHS examining the specific impact of the pandemic. Using a Bayesian multivariate mixed-model regression framework, 171 participants who responded to at least one wave of the COVID-19 sub-study were included.ResultsParticipants with higher ACE scores and high COVID-19 stress had elevated trajectories of several poor mental health measures that stayed higher than other groups across all waves of data collection.DiscussionYoung adults who reported higher ACEs were more susceptible to subsequent stress exposure, highlighting a specific, high-risk group who may benefit from targeted intervention programs during times of crisis such as the COVID-19 pandemic.
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spelling doaj-art-03e9a1214fc0440dad53f7d2e40cd9f02025-08-20T03:28:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.15464091546409Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiencesBehnam MousaviJessy MooreKaren A. PatteWilliam PickettDeborah D. O’LearyTerrance J. WadeBackgroundHigher exposure to adverse childhood experiences (ACEs) has been shown to worsen the effect of COVID-19 stress on mental health problems in the early phase of the COVID-19 pandemic among young adults. This study extends that research by examining depression, anxiety, hostility, and perceived stress trajectories across successive phases of the COVID-19 pandemic in a prospective, multi-wave panel study using data collected pre-COVID-19 pandemic onset, Early pandemic, Peak pandemic, and Post-Peak pandemic.MethodsThe baseline data come from the Niagara Longitudinal Heart Study (NLHS) and the three COVID-19 waves come from a sub-study of the NLHS examining the specific impact of the pandemic. Using a Bayesian multivariate mixed-model regression framework, 171 participants who responded to at least one wave of the COVID-19 sub-study were included.ResultsParticipants with higher ACE scores and high COVID-19 stress had elevated trajectories of several poor mental health measures that stayed higher than other groups across all waves of data collection.DiscussionYoung adults who reported higher ACEs were more susceptible to subsequent stress exposure, highlighting a specific, high-risk group who may benefit from targeted intervention programs during times of crisis such as the COVID-19 pandemic.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1546409/fulladverse childhood experiencesACEsyoung adultsmental healthCOVID-19stress
spellingShingle Behnam Mousavi
Jessy Moore
Karen A. Patte
William Pickett
Deborah D. O’Leary
Terrance J. Wade
Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences
Frontiers in Public Health
adverse childhood experiences
ACEs
young adults
mental health
COVID-19
stress
title Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences
title_full Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences
title_fullStr Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences
title_full_unstemmed Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences
title_short Mental health trajectories over the COVID-19 pandemic among young adults reporting adverse childhood experiences
title_sort mental health trajectories over the covid 19 pandemic among young adults reporting adverse childhood experiences
topic adverse childhood experiences
ACEs
young adults
mental health
COVID-19
stress
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1546409/full
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