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Childhood Adversity and Perceived Distress from the COVID-19 Pandemic
Karina M Shreffler1, Christine N Joachims1, Stacy Tiemeyer1
1Department of Human Development and Family Science, Oklahoma State University, 700 N. Greenwood Ave., Tulsa, OK 74106 USA.
Insights
Adverse childhood experiences (ACEs) are linked to increased distress during the COVID-19 pandemic. Loneliness fully explains this connection, suggesting social isolation exacerbates pandemic stress in those with a history of adversity.
Area of Science:
- Psychology
- Public Health
- Sociology
Background:
- Childhood adversity can heighten stress responses later in life.
- The COVID-19 pandemic presented unprecedented global stressors.
- Understanding factors influencing pandemic-related distress is crucial for public health.
Purpose of the Study:
- To investigate the association between adverse childhood experiences (ACEs) and perceived distress during the COVID-19 pandemic.
- To explore the mediating role of loneliness in this association.
Main Methods:
- A volunteer clinical cohort study of 101 pregnant women was conducted.
- Data were collected through surveys from October 2017 to April 2020.
- Ordinary Least Squares (OLS) regression analyses examined the relationship between ACE scores and pandemic-related distress, controlling for demographics and loneliness.
Main Results:
- ACE scores were significantly associated with higher levels of pandemic-related distress (b=.08, SE=.03, p<.01).
- Loneliness fully mediated the association between ACE scores and distress.
- Higher childhood adversity predicted greater distress, mediated by increased social isolation.
Conclusions:
- Adverse childhood experiences contribute to increased distress during the COVID-19 pandemic, primarily through heightened social isolation.
- Individuals with a history of childhood adversity may lack the social connectedness necessary to mitigate pandemic-related stress.
- These findings highlight the long-term impact of early life adversity on psychological well-being during public health crises.
Abstract:
Childhood exposure to adversity may increase an individual's reactivity to subsequent stressors. In this paper, we examine how adverse childhood experiences (ACEs) are associated with experiencing greater perceived distress during the pandemic. In this volunteer clinical cohort study, 177 pregnant women (ages 16-38) were recruited from two university-affiliated perinatal clinics located in a small metropolitan city between October 2017 and May 2018. Longitudinal data collection is ongoing. The current study includes the 101 women who participated through the eighth and most recent survey conducted in mid-April 2020. OLS regression analyses were used to examine the association between childhood adversity and pandemic-related distress. We found that ACE scores were associated with higher levels of distress (b = .08; se = .03; p < .01) when controlling for demographic characteristics. The addition of loneliness to the model fully mediates the association between ACEs score and distress. Findings suggest that adverse childhood experiences influence COVID-19-related distress due to greater social isolation. Those who had greater adversity during childhood may be less likely to have the social connectedness needed to reduce distress due to the pandemic.
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