TY - JOUR PY - 2024// TI - Did childhood adversity increase the vulnerability of university students to the negative mental health impact of the COVID-19 pandemic? JO - Journal of American college health A1 - Bhattarai, Asmita A1 - Bulloch, Andrew G. M. A1 - Tough, Suzanne A1 - Rivera, Daniel A1 - Cunningham, Simone A1 - Dimitropoulos, Gina A1 - King, Nathan A1 - Duffy, Anne A1 - Patten, Scott B. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To examine a potential synergistic effect of history of childhood adversity and COVID-19 pandemic exposure on the association with mental health concerns in undergraduate students. Participants: We used U-Flourish Survey data from 2019 (pre-pandemic) and 2020 (during-pandemic) first-year cohorts (n = 3,149) identified at entry to a major Canadian University.

METHODS: Interactions between childhood adversity (physical and sexual abuse, and peer bullying) and COVID-19 pandemic exposure regarding mental health concern (depressive and anxiety symptoms, suicidality, and non-suicidal self-harm) were examined on an additive scale.

RESULTS: We found a positive additive interaction between physical abuse and pandemic exposure in relation to suicidality (combined effect was greater than additive effect (risk difference 0.54 vs. 0.36)). Conversely, less than additive interactions between peer bullying and pandemic regarding depression and anxiety were observed.

CONCLUSIONS: Childhood adversities have diverse reactions to adult stressor depending on the nature of the childhood adversity and the mental health outcomes.

Language: en

LA - en SN - 0744-8481 UR - http://dx.doi.org/10.1080/07448481.2024.2360424 ID - ref1 ER -