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The relationship between adverse childhood experiences and anxiety in college students: the mediating role of rumination
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Wei BIN1, Yuan-yuan ZHANG2, Guo-li LIAO1, Xin-ling LIANG1, Zi-yi WEI3, Qiu-ling CAI1, Jun-duan WU1, 4
Modern Preventive Medicine | 2026, 53(11) : 1935 - 1940
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Modern Preventive Medicine | 2026, 53(11): 1935-1940
• Epidemiology and Statistical Methods •
The relationship between adverse childhood experiences and anxiety in college students: the mediating role of rumination
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Wei BIN1, Yuan-yuan ZHANG2, Guo-li LIAO1, Xin-ling LIANG1, Zi-yi WEI3, Qiu-ling CAI1, Jun-duan WU1, 4
Affiliations
  • School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China
Published: 2026-06-10 doi: 10.20043/j.cnki.MPM.202508118
Outline
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Objective

By examining the mediating role of rumination between adverse childhood experiences (ACEs) and anxiety, a basis is provided for improving the mental health level of college students.

Methods

A convenience sampling method was used to select undergraduate students from Guangxi Medical University as the study subjects. A self-designed general information questionnaire, the Childhood Trauma Questionnaire (CTQ-SF) , the Generalized Anxiety Disorder Scale (GAD-7), and the Ruminative Responses Scale-Chinese Version (RRS-CV) were used to survey 1 050 college students. The Kruskal-Wallis H test and partial correlation analysis were used to examine the relationships between ACEs, general demographic information, anxiety levels, and rumination. Structural equation modeling was applied to analyze the model of the relationships among ACEs, rumination, and anxiety, and the bootstrap method was used to test the mediation effect.

Results

After controlling for gender and family annual income, all dimensions of ACEs were significantly positively correlated with anxiety and rumination (all P<0.001), and rumination fully mediated the relationships of emotional abuse, emotional neglect, and physical neglect with anxiety.

Conclusion

Rumination exerts a full mediating effect between ACEs and anxiety. Universities may reduce rumination by strengthening mental health education, thus attenuating the impact of ACEs on anxiety.

Adverse childhood experiences  /  Anxiety  /  Rumination  /  Mediating effect
宾薇, 张远远, 廖国丽, 梁鑫灵, 韦子怡, 蔡秋玲, 吴俊端. 大学生童年期不良经历与焦虑之间的关系——反刍思维的中介作用. 现代预防医学, 2026 , 53 (11) : 1935 -1940 . DOI: 10.20043/j.cnki.MPM.202508118
Wei BIN, Yuan-yuan ZHANG, Guo-li LIAO, Xin-ling LIANG, Zi-yi WEI, Qiu-ling CAI, Jun-duan WU. The relationship between adverse childhood experiences and anxiety in college students: the mediating role of rumination[J]. Modern Preventive Medicine, 2026 , 53 (11) : 1935 -1940 . DOI: 10.20043/j.cnki.MPM.202508118
Year 2026 volume 53 Issue 11
28
15
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Article Info
doi: 10.20043/j.cnki.MPM.202508118
  • Receive Date:2025-08-11
  • Online Date:2026-11-02
  • Published:2026-06-10
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  • Received:2025-08-11
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    School of Public Health, Guangxi Medical University, Nanning, Guangxi 530021, China
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多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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