Adverse childhood experiences and posttraumatic stress disorder among Ukrainian college students: mediating role of intimate partner violence and lifetime trauma experience
摘要
This study aimed to examine the prevalence of PTSD among Ukrainian college students and to investigate the relationship between PTSD, adverse childhood experiences (ACEs), intimate partner violence (IPV), and lifetime trauma, within the context of the ongoing Russian war on Ukraine. A sample of 999 college students from all Ukrainian regions (68.57% females, Mage = 19.1 years) completed assessments on PTSD, ACEs, IPV, and lifetime trauma in 2018. Structural Equation Modeling (SEM) was used to explore both direct and indirect pathways (mediated by IPV and lifetime trauma) between ACEs and PTSD symptoms. Results indicated that 24.97% of participants met the clinical cutoff for PTSD. Fewer ACEs were associated with lower PTSD symptomatology, fewer lifetime traumatic events, and male sex. Participants with more ACEs were significantly more likely to experience IPV and lifetime traumatic events ACEs also had an indirect association with PTSD, mediated by lifetime traumatic events. In conclusion, the findings suggest that early adversity not only has a direct impact on PTSD but also contributes indirectly via increased victimization and trauma exposure throughout life. The study highlights the importance of addressing ACEs and lifelong victimization, as these early experiences may increase vulnerability to the long-term psychological effects of war-related trauma.