The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood

Objectives: To evaluate the role of positive and negative social supports (PSS and NSS) in moderating the association of adverse childhood experiences (ACEs) with life satisfaction and mental health. Methods: A retrospective database analysis was done for the Biopsychosocial Religion and Health Coho...

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Main Authors: Muath Aldomini, Jerry W. Lee, Anna Nelson, Rhonda Spencer Hwang, Khulud K. Alharbi, Tassnym H. Sinky, Baraa S. Quronfulah, Wahaj A. Khan, Mohamed O. Elamin, Mohamed O. Nour
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425000223
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author Muath Aldomini
Jerry W. Lee
Anna Nelson
Rhonda Spencer Hwang
Khulud K. Alharbi
Tassnym H. Sinky
Baraa S. Quronfulah
Wahaj A. Khan
Mohamed O. Elamin
Mohamed O. Nour
author_facet Muath Aldomini
Jerry W. Lee
Anna Nelson
Rhonda Spencer Hwang
Khulud K. Alharbi
Tassnym H. Sinky
Baraa S. Quronfulah
Wahaj A. Khan
Mohamed O. Elamin
Mohamed O. Nour
author_sort Muath Aldomini
collection DOAJ
description Objectives: To evaluate the role of positive and negative social supports (PSS and NSS) in moderating the association of adverse childhood experiences (ACEs) with life satisfaction and mental health. Methods: A retrospective database analysis was done for the Biopsychosocial Religion and Health Cohort Study subjects (N = 10,194) residing in the United States and Canada (2006–2007). After controlling for confounders, a generalized linear model was used to evaluate the relationship between ACEs and life satisfaction and mental health, as well as the role of PSS subdomains (emotional, instrumental, informational, and companionship) and NSS subdomains (rejection or neglect, unsympathetic behavior, unwanted advice, and failure to provide help) had in these relationships. Result: The study sample was mainly composed of females (67.5 %) and Whites (63.6 %) with an average age of 61.65 ± 13.59 years old. About 60.6 % of participants reported experiencing at least one ACE. ACEs have a negative association with life satisfaction and mental health. Better mental health and life satisfaction were favorably associated with PSS and negatively associated with NSS, respectively. With the exception of the rejection subdomain, NSS had no deteriorating influence on the relationship between ACEs and poor mental health and life satisfaction. In contrast, PSS significantly mitigated this relationship. Conclusions: When predicting both mental health and life satisfaction following ACEs, potential protective effects of PSS (mainly instrumental support) and debilitating effects of NSS (rejection) were noted. When interacting with individuals who have had ACEs, health providers need to be mindful of the possible effects of both PSS and NSS. More long-term studies are necessary, particularly in more diverse groups.
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spelling doaj-art-c05c473ba62642bbb2df56ca2c5aa3ba2025-01-23T05:26:40ZengElsevierClinical Epidemiology and Global Health2213-39842025-03-0132101933The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthoodMuath Aldomini0Jerry W. Lee1Anna Nelson2Rhonda Spencer Hwang3Khulud K. Alharbi4Tassnym H. Sinky5Baraa S. Quronfulah6Wahaj A. Khan7Mohamed O. Elamin8Mohamed O. Nour9Department of Health Promotion and Education, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi ArabiaSchool of Public Health, Loma Linda University, California, USASchool of Public Health, Loma Linda University, California, USASchool of Public Health, Loma Linda University, California, USADepartment of Health Administration and Hospitals, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi ArabiaDepartment of Health Promotion and Education, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi ArabiaDepartment of Health Promotion and Education, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi ArabiaDepartment of Environmental and Occupational Health, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi ArabiaCollege of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi ArabiaDepartment of Health Promotion and Education, College of Public Health and Health Informatics, Umm Al-Qura University, Makkah, Saudi Arabia; Department of Public Health and Community Medicine, Damietta Faculty of Medicine, Al-Azhar University, Egypt; Corresponding author. Gharbia Governorate, Saad Mohamed Saad street, Zamzam Tower, 31951, El Mahalla El Kubra, Egypt.Objectives: To evaluate the role of positive and negative social supports (PSS and NSS) in moderating the association of adverse childhood experiences (ACEs) with life satisfaction and mental health. Methods: A retrospective database analysis was done for the Biopsychosocial Religion and Health Cohort Study subjects (N = 10,194) residing in the United States and Canada (2006–2007). After controlling for confounders, a generalized linear model was used to evaluate the relationship between ACEs and life satisfaction and mental health, as well as the role of PSS subdomains (emotional, instrumental, informational, and companionship) and NSS subdomains (rejection or neglect, unsympathetic behavior, unwanted advice, and failure to provide help) had in these relationships. Result: The study sample was mainly composed of females (67.5 %) and Whites (63.6 %) with an average age of 61.65 ± 13.59 years old. About 60.6 % of participants reported experiencing at least one ACE. ACEs have a negative association with life satisfaction and mental health. Better mental health and life satisfaction were favorably associated with PSS and negatively associated with NSS, respectively. With the exception of the rejection subdomain, NSS had no deteriorating influence on the relationship between ACEs and poor mental health and life satisfaction. In contrast, PSS significantly mitigated this relationship. Conclusions: When predicting both mental health and life satisfaction following ACEs, potential protective effects of PSS (mainly instrumental support) and debilitating effects of NSS (rejection) were noted. When interacting with individuals who have had ACEs, health providers need to be mindful of the possible effects of both PSS and NSS. More long-term studies are necessary, particularly in more diverse groups.http://www.sciencedirect.com/science/article/pii/S2213398425000223Adverse childhood experienceMental healthLife satisfactionSocial support
spellingShingle Muath Aldomini
Jerry W. Lee
Anna Nelson
Rhonda Spencer Hwang
Khulud K. Alharbi
Tassnym H. Sinky
Baraa S. Quronfulah
Wahaj A. Khan
Mohamed O. Elamin
Mohamed O. Nour
The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood
Clinical Epidemiology and Global Health
Adverse childhood experience
Mental health
Life satisfaction
Social support
title The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood
title_full The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood
title_fullStr The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood
title_full_unstemmed The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood
title_short The moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood
title_sort moderating role of social support on the impact of adverse childhood experiences on life satisfaction and mental health in adulthood
topic Adverse childhood experience
Mental health
Life satisfaction
Social support
url http://www.sciencedirect.com/science/article/pii/S2213398425000223
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