Associations between Mental Health Outcomes and Adverse Childhood Experiences and Character Strengths among University Students in Southern China

Adverse childhood experiences(ACEs)can negatively affect mental health,whereas character strengths seem to be positively correlated with mental health.Detailed information on the history of ACEs among university students in China and the extent which mental health is associated with ACEs and character strengths can contribute to the needed empirical evidence for relevant stakeholders.Objectives of this study are 1)to estimate the prevalence of ACEs among undergraduate students in Southern China;and 2)to assess the extent which mental health outcomes(positive growth,well-being,and depression)are associated with ACEs and character strengths among undergraduate students in Southern China.We conducted a self-administered survey amongfirst and second-year students at a university in Southern China and analyzed data using descriptive statistics and linear regression analyses.Among the 779 students who completed the questionnaire,283 were males,439 were females,and 57 did not indicate their gender.The prevalence of ACEs among the participants was 32.1%.History of ACEs was associated with lower positive growth score(Adjusted Beta=-0.20;95%CI=-0.37,-0.02;p=0.030)and lower well-being score(Adjusted Beta=-1.13;95%CI=-2.04,-0.23;p=0.014).Vitality domain of character strength was associated with all three mental health outcomes after adjusting for covariables(all p-values<0.001).Our studyfindings provide empirical evidence for stakeholders in university mental health.However,caveats regarding lack of temporality,selection bias,social desirability bias,and lack of generalizability should be considered in the interpretation of the studyfindings.

Determinants of Positive Mental Health in Adolescents–A Cross-Sectional Study on Relationships between Positive Mental Health, Self-Esteem, Character Strengths and Social Inclusion

Adolescence is a crucial time period with especial vulnerability for development of mental health problems.Growing interest is focusing on the determinants of positive mental health in order to find the key concepts that could be influenced in the promotion of mental well-being of adolescents.In this study we aim to explore the relations between self-esteem,character strengths and experience of social inclusion as determinants of adolescents’positive mental health controlled for selected sociodemographic background factors.The study population(n=195)consisted of comprehensive school students who filled in an electronic questionnaire of adolescent’s mental well-being in Fall 2019.The questionnaire included measures of Warwick-Edinburgh Mental Well-being Scale(WEMWBS),VIA Youth-measure 96,Rosenberg Self-Esteem Scale and Experience of Social Inclusion Scale.The methods included group comparisons and General Linear Model computed by SPSS 24.0.The strongest association was found between positive mental health and self-esteem(β=0.789,p<0.001),followed by character strengths of hope and kindness and experience of social inclusion.Interestingly,family’s socioeconomic factors did not associate significantly with positive mental health in the final statistical model.In terms of our results,it seems that self-esteem,character strengths and experience of social inclusion might have stronger association with adolescents’mental well-being than family’s socioeconomic determinants.Therefore,it should be discussed whether psychological determinants overcome the individual effect of poor socioeconomic status as factors that influence positive mental health.Further studies are needed to establish these results more firmly.