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Background <p>As the population continues to age rapidly, the issue of elder abuse has become increasingly prominent. Compared to men, elderly women generally encounter greater challenges and are more susceptible to abuse, with psychological abuse being the most prevalent form. Psychological abuse adversely affects both the physical and mental health of older adults, and even results in premature mortality. This study aims to explore the impact of adverse childhood experiences and social support on psychological abuse among elderly females in rural areas of China.</p> Methods <p>A cross-sectional questionnaire survey was conducted to investigate psychological abuse and its influencing factors among elderly females in Hebei Province, China. Participants were surveyed using a demographic questionnaire, perceived social support scale (PSSS), adverse childhood experiences questionnaire, and elder psychological abuse scale. Hierarchical multiple regression was conducted to examine the association between adverse childhood experiences, social support, and psychological abuse.</p> Results <p>A total of 455 elderly females participated in the study, with an effective response rate of 96.25%. Hierarchical multiple regression analysis revealed that age, marital status, source of income, monthly income, presence of chronic diseases, satisfaction with life, and weekly social frequency were significantly associated with psychological abuse scores among older women. Entering adverse childhood experiences and social support in separate blocks raised the explained variance by 2.9% and 5.6% (F = 28.461, 33.880; all <i>p</i> &lt; 0.001). Social support partially buffered the impact of adverse childhood experiences on psychological abuse.</p> Conclusions <p>This research demonstrated that adverse childhood experiences and social support were significantly associated with the severity of psychological abuse among elderly females. Elderly females who had experienced three or more types of adverse childhood events exhibited higher levels of psychological abuse. Future research should focus on developing targeted interventions based on identified relevant factors to improve the mental well-being of elderly females, and enhance their quality of life in later years.</p>

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The impact of adverse childhood experiences and social support on psychological abuse of elderly females in rural areas of China: a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月17日

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  • Li Pei,
  • Zeying Hao,
  • Limin Duan,
  • Futing Cao,
  • Xiaoli Pang,
  • Haoying Dou

摘要

Background

As the population continues to age rapidly, the issue of elder abuse has become increasingly prominent. Compared to men, elderly women generally encounter greater challenges and are more susceptible to abuse, with psychological abuse being the most prevalent form. Psychological abuse adversely affects both the physical and mental health of older adults, and even results in premature mortality. This study aims to explore the impact of adverse childhood experiences and social support on psychological abuse among elderly females in rural areas of China.

Methods

A cross-sectional questionnaire survey was conducted to investigate psychological abuse and its influencing factors among elderly females in Hebei Province, China. Participants were surveyed using a demographic questionnaire, perceived social support scale (PSSS), adverse childhood experiences questionnaire, and elder psychological abuse scale. Hierarchical multiple regression was conducted to examine the association between adverse childhood experiences, social support, and psychological abuse.

Results

A total of 455 elderly females participated in the study, with an effective response rate of 96.25%. Hierarchical multiple regression analysis revealed that age, marital status, source of income, monthly income, presence of chronic diseases, satisfaction with life, and weekly social frequency were significantly associated with psychological abuse scores among older women. Entering adverse childhood experiences and social support in separate blocks raised the explained variance by 2.9% and 5.6% (F = 28.461, 33.880; all p < 0.001). Social support partially buffered the impact of adverse childhood experiences on psychological abuse.

Conclusions

This research demonstrated that adverse childhood experiences and social support were significantly associated with the severity of psychological abuse among elderly females. Elderly females who had experienced three or more types of adverse childhood events exhibited higher levels of psychological abuse. Future research should focus on developing targeted interventions based on identified relevant factors to improve the mental well-being of elderly females, and enhance their quality of life in later years.