IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v172y2025ics0190740925001203.html
   My bibliography  Save this article

Comparing the relationship between three resilience frameworks and mental health outcomes among children who experienced multiple adverse childhood experiences

Author

Listed:
  • Keane, Kevin
  • Evans, Retta R.
  • Wilkinson, Larrell L.
  • Moultrie King, Dione
  • Leban, Lindsay
  • Macrina, David

Abstract

Adverse childhood experiences (ACEs) have a well-established relationship with childhood mental health. Researchers have begun to explore resilience frameworks like the National Scientific Center for the Developing Child (NSCDC), Health Outcomes from Positive Experiences (HOPE), and cumulative positive childhood experiences (PCEs) frameworks that identify protective factors to build resilience to overcome ACEs. However, each of these frameworks has a limited evidence base with few studies examining the relationship between the entire framework and childhood outcomes among children who experienced ACEs. This study examined whether the NSCDC or HOPE framework had a stronger relationship with childhood mental health issues when including and excluding ACEs; the study also examined whether a cumulative PCE score improved the association between each framework and childhood mental health issues. Secondary data analysis was conducted using a sample of 65,017 children between 6 and 17 years old from the 2018–2020 National Survey for Children’s Health. Based on model comparisons using hierarchical logistic regression before and after controlling for ACEs, the NSCDC and HOPE frameworks were associated with childhood mental health. However, the NSCDC framework had a stronger relationship. The NSCDC cumulative PCE score slightly improved the models while the HOPE cumulative PCE score did not significantly strengthen the models. Significant protective factors were identified from both frameworks. The results demonstrated the potential for the NSCDC framework to build resilience to overcome ACEs. Future ACEs interventions should potentially seek to integrate the NSCDC framework to potentially mitigate the impact of ACEs.

Suggested Citation

  • Keane, Kevin & Evans, Retta R. & Wilkinson, Larrell L. & Moultrie King, Dione & Leban, Lindsay & Macrina, David, 2025. "Comparing the relationship between three resilience frameworks and mental health outcomes among children who experienced multiple adverse childhood experiences," Children and Youth Services Review, Elsevier, vol. 172(C).
    • Handle: RePEc:eee:cysrev:v:172:y:2025:i:c:s0190740925001203
    DOI: 10.1016/j.childyouth.2025.108237
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740925001203
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2025.108237?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Watters, Elizabeth R. & Wojciak, Armeda S., 2020. "Childhood abuse and internalizing symptoms: Exploring mediating & moderating role of attachment, competency, and self-regulation," Children and Youth Services Review, Elsevier, vol. 117(C).
    2. Sayyah, Madison D. & Merrick, Jillian S. & Larson, Matthew D. & Narayan, Angela J., 2022. "Childhood adversity subtypes and young adulthood mental health problems: Unpacking effects of maltreatment, family dysfunction, and peer victimization," Children and Youth Services Review, Elsevier, vol. 137(C).
    3. Negriff, Sonya, 2020. "ACEs are not equal: Examining the relative impact of household dysfunction versus childhood maltreatment on mental health in adolescence," Social Science & Medicine, Elsevier, vol. 245(C).
    4. Sharp, Wendy & Mangalmurti, Aman & Hall, Carlisha & Choudhury, Saadia & Shaw, Philip, 2021. "Associations between neighborhood, family factors and symptom change in childhood attention deficit hyperactivity disorder," Social Science & Medicine, Elsevier, vol. 271(C).
    5. Zolkoski, Staci M. & Bullock, Lyndal M., 2012. "Resilience in children and youth: A review," Children and Youth Services Review, Elsevier, vol. 34(12), pages 2295-2303.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Aynur Karabacak Çelik, 2025. "Current research trends in child poverty and psychological resilience research: A bibliometric analysis approach," Sustainable Development, John Wiley & Sons, Ltd., vol. 33(2), pages 2449-2468, April.
    2. Sayyah, Madison D. & Merrick, Jillian S. & Larson, Matthew D. & Narayan, Angela J., 2022. "Childhood adversity subtypes and young adulthood mental health problems: Unpacking effects of maltreatment, family dysfunction, and peer victimization," Children and Youth Services Review, Elsevier, vol. 137(C).
    3. Trinidad, Jose Eos, 2021. "Social consequences and contexts of adverse childhood experiences," Social Science & Medicine, Elsevier, vol. 277(C).
    4. Wolf, Jennifer Price & Freisthler, Bridget & McCarthy, Karla Shockley, 2021. "Parenting in poor health: Examining associations between parental health, prescription drug use, and child maltreatment," Social Science & Medicine, Elsevier, vol. 277(C).
    5. Claudia López-Madrigal & Jesús de la Fuente & Javier García-Manglano & José Manuel Martínez-Vicente & Francisco Javier Peralta-Sánchez & Jorge Amate-Romera, 2021. "The Role of Gender and Age in the Emotional Well-Being Outcomes of Young Adults," IJERPH, MDPI, vol. 18(2), pages 1-20, January.
    6. Nicole Letourneau & Lubna Anis & Jason Novick & Carrie Pohl & Henry Ntanda & Martha Hart, 2023. "Impacts of the Attachment and Child Health (ATTACH TM ) Parenting Program on Mothers and Their Children at Risk of Maltreatment: Phase 2 Results," IJERPH, MDPI, vol. 20(4), pages 1-20, February.
    7. Patton, Desmond U. & Roth, Benjamin J., 2016. "Good kids with ties to “deviant” peers: network strategies used by African American and Latino young men in violent neighborhoods," Children and Youth Services Review, Elsevier, vol. 66(C), pages 123-130.
    8. Angie Hart & Emily Gagnon & Suna Eryigit-Madzwamuse & Josh Cameron & Kay Aranda & Anne Rathbone & Becky Heaver, 2016. "Uniting Resilience Research and Practice With an Inequalities Approach," SAGE Open, , vol. 6(4), pages 21582440166, December.
    9. Patel, Leila & Graham, Lauren & Chowa, Gina, 2020. "Evidence of non-economic indicators as markers of success for youth in youth employability programs: Insights from a South African study," Children and Youth Services Review, Elsevier, vol. 118(C).
    10. McCrea, Katherine Tyson & Richards, Maryse & Quimby, Dakari & Scott, Darrick & Davis, Lauren & Hart, Sotonye & Thomas, Andre & Hopson, Symora, 2019. "Understanding violence and developing resilience with African American youth in high-poverty, high-crime communities," Children and Youth Services Review, Elsevier, vol. 99(C), pages 296-307.
    11. Schofield, Gillian & Biggart, Laura & Ward, Emma & Larsson, Birgit, 2015. "Looked after children and offending: An exploration of risk, resilience and the role of social cognition," Children and Youth Services Review, Elsevier, vol. 51(C), pages 125-133.
    12. Vineet Chaudhary & Gagandeep Kaur Walia & Naorem Kiranmala Devi & Lokesh Singh Shekhawat & Kallur Nava Saraswathy, 2024. "Adverse childhood experiences in mental health of young adults: An exploratory study from Delhi-NCR, India," International Journal of Social Psychiatry, , vol. 70(3), pages 445-456, May.
    13. Fan, Xiaoyan & Lu, Mengjia, 2020. "Testing the effect of perceived social support on left-behind children’s mental well-being in mainland China: The mediation role of resilience," Children and Youth Services Review, Elsevier, vol. 109(C).
    14. Elham-Sadat Dehghani-Firoozabadi & Jamileh Mohtashami & Foroozan Atashzadeh-Shoorideh & Maliheh Nasiri & Mahrokh Dolatian & Sara Sedghi, 2017. "Correlation between Religious Attitude and Resiliency of Women under Domestic Violence," Global Journal of Health Science, Canadian Center of Science and Education, vol. 9(3), pages 199-199, March.
    15. Altena, Astrid M. & Krabbenborg, Manon A.M. & Boersma, Sandra N. & Beijersbergen, Mariëlle D. & van den Berg, Yvonne H.M. & Vollebergh, Wilma A.M. & Wolf, Judith R.L.M., 2017. "The working alliance between homeless young adults and workers: A dyadic approach," Children and Youth Services Review, Elsevier, vol. 73(C), pages 368-374.
    16. Yi-Ching Lin & Dong-Chul Seo, 2017. "Cumulative family risks across income levels predict deterioration of children’s general health during childhood and adolescence," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-13, May.
    17. Gwadz, Marya Viorst & Cleland, Charles M. & Leonard, Noelle R. & Bolas, James & Ritchie, Amanda S. & Tabac, Lara & Freeman, Robert & Silverman, Elizabeth & Kutnick, Alexandra & Dickson, Victoria Vaugh, 2017. "Understanding organizations for runaway and homeless youth: A multi-setting quantitative study of their characteristics and effects," Children and Youth Services Review, Elsevier, vol. 73(C), pages 398-410.
    18. Yue, Yaping & Huang, Jinjiao & Yuan, Haojie & Zhao, Yifei & Lei, Jiayuan & Fan, Jieqiong, 2024. "The mediating role of Self-Competence in the relationship between parental involvement and support and Children’s social Skills: Evidence from China," Children and Youth Services Review, Elsevier, vol. 161(C).
    19. Marcus, Jan & Reif, Simon & Wuppermann, Amelie & Rouche, Amélie, 2020. "Increased instruction time and stress-related health problems among school children," Journal of Health Economics, Elsevier, vol. 70(C).
    20. Holm, Mathilde Lund & Fallesen, Peter & Heinesen, Eskil, 2023. "The effects of parental union dissolution on children’s test scores," SocArXiv p2qgk, Center for Open Science.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:172:y:2025:i:c:s0190740925001203. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/childyouth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.