Üniversite Öğrencilerinde Olumsuz Çocukluk Deneyimleri ile Mental İyi Oluş Arasında Bir Aracı Olarak Umut

Yıl 2025, Cilt: 14 Sayı: 1, 52 - 70, 28.03.2025

Özge Erduran Tekin

https://doi.org/10.15869/itobiad.1592174

Öz

Üniversite öğrencilerinin olumsuz çocukluk yaşantılarında önemli bir artış vardır ve mental iyi oluş için bu yaşantıların iyileştirilmesine ihtiyaç duyulmaktadır. Umut hem önleyici hem de müdahale edici rehberlik hizmetlerine katkı sağlayabilir. Bu kapsamda çalışmada olumsuz çocukluk yaşantılarının mental iyi oluş ile ilişkisinde umudun aracı rolü araştırılmıştır. Çalışma grubu Türkiye’deki üniversitelerde 2024-2025 eğitim öğretim yılında öğrenim görmeye devam eden 440 öğrenciden oluşmaktadır. Veri toplama aracı olarak Olumsuz Çocukluk Yaşantıları Ölçeği, Warwick-Edinburgh Mental İyi Oluş Ölçeği Kısa Formu ve Sürekli Umut Ölçeği’nden yararlanılmıştır. Ölçeklerin çalışma grubuna uygunluğunu incelemek amacıyla faktör analizi, doğrulayıcı faktör analizi ve iç tutarlılık analizi yapılmıştır. Değişkenler arasındaki ilişkiler Pearson korelasyon analiziyle ve regresyon analizi Process Macro (model 4) ile incelenmiştir. Aracılık ilişkisi de Bootstrap tekniği ile değerlendirilmiştir. Analiz sonuçlarına göre olumsuz çocukluk yaşantıları, mental iyi oluş ve umut arasında negatif yönlü, umut ve mental iyi oluş arasında ise pozitif yönlü anlamlı ilişkilerin olduğu görülmüştür. Ayrıca olumsuz çocukluk yaşantıları mental iyi oluşun bir yordayıcısı olup, umudun olumsuz çocukluk yaşantıları ile mental iyi oluş ilişkisinde kısmi aracılık rolü bulunmaktadır. Sonuçlar üniversite öğrencilerinin olumsuz çocukluk yaşantılarının mental iyi oluşlarını etkilemesini önlemek adına umut temelli uygulamalardan yararlanılmasını içeren araştırmalara katkı sunabilir. Ayrıca umut, mental iyi oluşu artırmada yararlanılabilecek kaynaklardan biri olarak değerlendirilebilir.

Anahtar Kelimeler

Olumsuz Çocukluk Yaşantıları, Mental İyi Oluş, Umut, Üniversite Öğrencileri, Pozitif Psikoloji

Hope as a Mediator between Adverse Childhood Experiences and Mental Well-Being in University Students

Öz

There is a significant increase in adverse childhood experiences of university students, and there is a need to improve these experiences for mental well-being. Hope can contribute to both preventive and intervention guidance services. In this context, the mediating role of hope in the relationship between adverse childhood experiences and mental well-being was investigated. The study group consists of 440 students who continue to study in universities in Turkey in the 2024-2025 academic year. The Adverse Childhood Experiences Scale, the Warwick-Edinburgh Mental Well-Being Scale Short Form, and the Trait Hope Scale were used as data collection tools. Exploratory factor analysis, confirmatory factor analysis, and internal consistency analysis were performed to examine the suitability of the scales for the study group. The relationships between the variables were examined by Pearson correlation analysis and regression analysis Process Macro (model 4). The mediation relationship was also evaluated with the Bootstrap technique. According to the results of the analyses, it was observed that there were significant negative relationships between adverse childhood experiences, mental well-being, and hope, and significant positive relationships between hope and mental well-being. In addition, adverse childhood experiences are a predictor of mental well-being, and hope has a partial mediating role in the relationship between adverse childhood experiences and mental well-being. The results may contribute to research on the use of hope-based practices to prevent the adverse childhood experiences of university students from affecting their mental well-being. In addition, hope can be considered as one of the resources that can be utilized to increase mental well-being.

Anahtar Kelimeler

Adverse Childhood Experiences, Mental Well-Being, Hope, Positive Psychology. University Students

Etik Beyan

The approval of the ethics committee, dated 02.10.2024 and numbered E-35592990-050.04-4025992, was received from the Research and Publication Ethics Committee of the National Defense University. All procedures performed in these studies were by the APA ethical guidelines, the ethical standards of the institutional research committee, and the 1964 Declaration of Helsinki and its later amendments.

Kaynakça

• Bailey, T. C., Eng, W., Frisch, M. B., & Snyder, C. R. (2007). Hope and optimism as related to life satisfaction. The Journal of Positive Psychology, 2(3), 168–175. https://doi.org/10.1080/17439760701409546
• Barrera, I., Sharma, V., & Aratani, Y. (2019). The prevalence of mental illness and substance abuse among rural latino adults with multiple adverse childhood experiences in California. Journal of Immigrant and Minority Health, 21(5), 971–976. https://doi.org/10.1007/s10903-018-0811-9
• Bellis, M. A., Hughes, K., Jones, A., Perkins, C., & McHale, P. (2013). Childhood happiness and violence: a retrospective study of their impact on adult well-being. BMJ Open, 3(9), e003427. https://doi.org/10.1136/bmjopen-2013-003427
• Bonanno G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? The American Psychologist, 59(1), 20–28. https://doi.org/10.1037/1942-9681.S.1.101
• Büyüköztürk, Ş. (2002). Faktör analizi: Temel kavramlar ve ölçek geliştirme kullanımı. Kuram ve Uygulamada Eğitim Yönetimi, 32, 470-483.
• Cengiz, S., Yıldırım, M., Kaşıkçı, F., & Peker, A. (2024). School burnout and emotional and psychological well- being in secondary school students: Mediating roles of resilience and hope. Youth & Society, 0(0). https://doi.org/10.1177/0044118X241279871
• Cheavens, J. S., Feldman, D. B., Woodward, J. T., & Snyder, C. R. (2006). Hope in cognitive psychotherapies: On working with client strengths. Journal of Cognitive Psychotherapy, 20(2), 135–145.
• Davies, E., Read, J. & Shevlin, M. (2022). The impact of adverse childhood experiences and recent life events on anxiety and quality of life in university students. Higher Education, 84, 211– 224.https://doi.org/10.1007/s10734-021-00774-9
• Demirci, İ. (2021). Pozitif psikoloji temelli perma grupla psikolojik danışma uygulamasının üniversite öğrencilerinin iyi oluşlarına etkisi: Bir pilot çalışma. Abant İzzet Baysal Üniversitesi Eğitim Fakültesi Dergisi, 21(2), 453-466. https://doi.org/10.17240/aibuefd.2021.21.62826-656748
• Demirtaş, A. S., & Baydemir, K. (2019). Warwick-Edinburgh Mental İyi Oluş Ölçeği Kısa Formu’nun Türkçe’ye uyarlanması: Geçerlik ve güvenirlik çalışması. Elektronik Sosyal Bilimler Dergisi, 18(70), 654-666. https://doi.org/10.17755/esosder.432708
• Dhungana, E., Read, J., & Shevlin, M. (2022). The impact of adverse childhood experiences and recent life events on anxiety and quality of life in university students. Higher Education, 84(1), 211–224. https://doi.org/10.1007/s10734-021-00774-9
• Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American Psychologist, 55(1), 34–43. https://doi.org/10.1037/0003-066X.55.1.34
• Ding, Y., Lin, H., Zhou, L., Yan, H., & He, N. (2014). Adverse childhood experiences and interaction with methamphetamine use frequency in the risk of methamphetamine-associated psychosis. Drug and Alcohol Dependence, 142, 295–300. https://doi.org/10.1016/j.drugalcdep.2014.06.042
• Downey, C., & Crummy, A. (2022). The impact of childhood trauma on children's well-being and adult behavior. European Journal of Trauma & Dissociation, 6(1), Article 100237. https://doi.org/10.1016/j.ejtd.2021.100237
• Doyumğaç, İ., Tanhan, A., & Kıymaz, M. S., (2021). Understanding the most important facilitators and barriers for online education during COVID-19 through online photovoice methodology. International Journal of Higher Education, 10(1), 166-190. https://doi.org/10.5430/ijhe.v10n1p166
• Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, 111(3), 564–572. https://doi.org/10.1542/peds.111.3.564
• Duggal, D., Sacks-Zimmerman, A., & Liberta, T. (2016). The impact of hope and resilience on multiple factors in neurosurgical patients. Cureus, 8(10), e849. https://doi.org/10.7759/cureus.849
• Durğun, A., & Taylan, H. H. (2023). Sağlıklı aile, algılanan stres ve umut üzerine bir araştırma: Seben İzzet Baysal Meslek Yüksek Okulu örneği. Sosyal Sağlık Dergisi, 3(1), 24-48.
• Elmore, A. L., Crouch, E., & Kabir Chowdhury, M. A. (2020). The interaction of adverse childhood experiences and resiliency on the outcome of depression among children and youth, 8–17-year-olds. Child Abuse & Neglect, 107, 104616. https://doi.org/10.1016/j.chiabu.2020.104616
• Erduran Tekin, Ö. (2024). The mediating role of psychological resilience in the relationship of adverse childhood experiences with academic achievement. Psychological Reports, 332941241282250. https://doi.org/10.1177/00332941241282250
• Erkan, S., Cihangir Çankaya, Z., Terzi, Ş., & Özbay, Y. (2012). Üniversite psikolojik danışma ve rehberlik merkezlerinin incelenmesi. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi, 1(22), 174-198.
• Fergus S., & Zimmerman M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419. https://doi.org/10.1146/annurev.publhealth.26.021304.144357
• Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8
• George, D., & Mallery, P. (2016). IBM SPSS Statistics 23 Step by Step: A Simple Guide and Reference (14th ed.). Routledge.
• Gottron, D. D., Williams, P., & Jiang, M. (2024). Hope mediates the relationship between childhood adversity and academic resilience among Appalachian young adults. Theory & Practice in Rural Education, 14 (1), 49– 72. https://doi.org/10.3776/tpre.2024.v14n1p49-72
• Guidi, J., Lucente, M., Sonino, N., & Fava, G. A. (2021). Allostatic load and its impact on health: A systematic review. Psychotherapy and Psychosomatics, 90(1), 11–27. https://doi.org/10.1159/000510696
• Gündüz, A., Yaşar, A. B., Gündoğmuş, İ., Savran, C., & Konuk, E. (2018). Çocukluk Çağı Olumsuz Yaşantılar Ölçeği Türkçe Formu’nun geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Dergisi, 19(1), 68-75. https://doi.org/10.5455/apd.294158
• Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression- based approach. Guilford.
• Haynes, E., Crouch, E., Probst, E., Radcliff, E., Bennett, K., & Glover, S. (2020). Exploring the association between a parent’s exposure to adverse childhood experiences (ACEs) and outcomes of depression and anxiety among their children. Children and Youth Services Review, 113, 105013. https://doi.org/10.1016/j.childyouth.2020.105013
• Hellman, C. M., & Gwinn, C. (2017). Camp HOPE as an intervention for children exposed to domestic violence: A program evaluation of hope, and strength of character. Child & Adolescent Social Work Journal, 34(3), 269–276. https://doi.org/10.1007/s10560-016-0460-6
• Helvacı Çelik, F. G., & Hocaoğlu, Ç. (2018). Çocukluk çağı travmaları: Bir gözden geçirme. Sakarya Medical Journal, 8(4), 695–711. https://doi.org/10.31832/smj.454535
• Herman, J. L. (2007). Travma ve iyileşme: Şiddetin sonuçları ev içi istismardan siyasi teröre (5. Edition). Literatür Publishing.
• Hinojosa, R., Nguyen, J., Sellers, K., & Elassar, H. (2019). Barriers to college success among students that experienced adverse childhood events. Journal of American College Health: J of ACH, 67(6), 531–540. https://doi.org/10.1080/07448481.2018.1498851
• Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015
• Karabacak Çelik, A. (2023). Deprem sonrası travma belirtileri, umut ve iyi oluş arasındaki ilişkinin incelenmesi. TRT Akademi, 8(18), 574-591. https://doi.org/10.37679/trta.1275268
• Karcı, A., & Topkaya, N. (2023). Ergenlerde anne baba tutumlarının umut ve iyi oluş ile ilişkisinin incelenmesi. Trakya Eğitim Dergisi, 13(1), 99-114. https://doi.org/10.24315/tred.1011910
• Kardaş, F., & Tanhan, F. (2018). Van depremini yaşayan üniversite öğrencilerinin travma sonrası stres, travma sonrası büyüme ve umutsuzluk düzeylerinin incelenmesi. Van Yüzüncü Yıl Üniversitesi Eğitim Fakültesi Dergisi, 15(1), 1-36.
• Kayiş, A. R., & Satıcı, S. A. (2019). Mizahla başa çıkma ile mental iyi oluş arasındaki ilişkide affediciliğin aracılık rolü. Kastamonu Education Journal, 27(4), 1495-1504. https://doi.org/10.24106/kefdergi.3099
• Kays, J. L., Hurley, R. A., & Taber, K. H. (2012). The dynamic brain: Neuroplasticity and mental health. The Journal of Neuropsychiatry and Clinical Neurosciences, 24(2), 118–124. https://doi.org/10.1176/appi.neuropsych.12050109
• Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593
• Keyes, C. L. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207–222. https://doi.org/10.2307/3090197
• Korucuk, M. (2023). Üniversite öğrencilerinin akademik, sosyo-kültürel ve ekonomik sorunları: Fotoses uygulaması. Anadolu Üniversitesi Eğitim Fakültesi Dergisi, 7(4), 1260– 1287. https://doi.org/10.34056/aujef.1224078
• Layous, K., & Lyubomirsky, S. (2012). The how, why, what, when, and who of happiness: Mechanisms underlying the success of positive interventions. In J. Gruber & J. Moscowitz (Eds.), The light and dark side of positive emotions (pp. 473-495). Oxford University Press.
• Lee, S. C., & Rawlings, M. A. (2023). Healing from trauma through Psychoeducation: understanding young adult client group experiences. Social Work with Groups, 46(1), 5–20. https://doi.org/10.1080/01609513.2021.2024109
• Lin, Y., Chen, Z., He, M., Zhou, W., Wang, L., Hua, G., & Kaizong, H. (2024). The relationship between anxiety and depression in adolescent depression patients: The mediating effect of hope level and coping modes. Heliyon, 10(5), e35466. https://doi.org/10.1016/j.heliyon.2024.e35466
• Logan-Greene, P., Green, S., Nurius, P. S., & Longhi, D. (2014). Distinct contributions of adverse childhood experiences and resilience resources: A cohort analysis of adult physical and mental health. Social Work in Health Care, 53(8), 776–797. https://doi.org/10.1080/00981389.2014.944251
• Luthar S. S., & Cicchetti D. (2000). The construct of resilience: Implications for interventions and social policies. Development and Psychopathology, 12(4), 857–885. https://doi.org/10.1017/S0954579400004156
• Luthar, S. S., Crossman, E. J., & Small, P. J. (2015). Resilience and adversity. In R. M. Lerner & M. E. Lamb (Eds.), Handbook of child psychology and developmental science (7th ed., pp. 1–40). Wiley.
• Masten, A. S. (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56(3), 227–238. https://doi.org/10.1037/0003-066X.56.3.227
• Marques, S. C., Lopez, S. J., & Pais-Ribeiro, J. L. (2011). “Building hope for the future”: A program to foster strengths in middle-school students. Journal of Happiness Studies: An Interdisciplinary Forum on Subjective Well-Being, 12(1), 139–152. https://doi.org/10.1007/s10902-009-9180-3
• Merrick J. S., & Narayan A. J. (2020). Assessment and screening of positive childhood experiences along with childhood adversity in research, practice, and policy. Journal of Children and Poverty, 26(2), 269–281. https://doi.org/10.1080/10796126.2020.1799338
• Messman-Moore, T. L., & Bhuptani, P. H. (2017). A review of the long-term impact of child maltreatment on posttraumatic stress disorder and its comorbidities: An emotion dysregulation perspective. Clinical Psychology: Science and Practice, 24(2), 154–169. https://doi.org/10.1111/cpsp.12193
• Meyerson, D. A., Grant, K. E., Carter, J. S., & Kilmer, R. P. (2011). Posttraumatic growth among children and adolescents: a systematic review. Clinical Psychology Review, 31(6), 949–964. https://doi.org/10.1016/j.cpr.2011.06.003
• Mosley-Johnson, E., Garacci, E., Wagner, N., Mendez, C., Williams, J. S., & Egede, L. E. (2019). Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995–2014. Quality of Life Research, 28(4), 907–914. https://doi.org/10.1007/s11136-018-2054-6
• Munoz, R. T., Hanks, H., & Hellman, C. M. (2020). Hope and resilience as distinct contributors to psychological flourishing among childhood trauma survivors. Traumatology, 26(2), 177–184. https://doi.org/10.1037/trm0000224
• Pasha-Zaidi, N., Afari, E., Urganci, B., Sevi, B., & Durham, J. (2020). Investigating the relationship between adverse childhood experiences (ACEs) and resilience: A study of undergraduate students in Turkey. Journal of Aggression, Maltreatment & Trauma, 29(10), 1204–1221. https://doi.org/10.1080/10926771.2020.1725212
• Perveen, S. (2019). Hope and health related life quality among thalassemic patients. Journal of Psychology and Clinical Psychiatry, 10(2), 73–76. https://doi.org/10.15406/jpcpy.2019.10.00631
• Petruccelli, K., Davis, J., & Berman, T. (2019). Adverse childhood experiences and associated health outcomes: A systematic review and meta-analysis. Child Abuse & Neglect, 97, 104127. https://doi.org/10.1016/j.chiabu.2019.104127
• Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879
• Ratanasiripong, P., China, T., & Toyama, S. (2018). Mental health and well-being of university students in Okinawa. Education Research International, 2018, 1. https://doi.org/10.1155/2018/4231836
• Ródenas-Perea, G., Velasco-Barbancho, E., Perona-Garcelán, S., Rodríguez-Testal, J. F., Senín-Calderón, C., Crespo-Facorro, B., & Ruiz-Veguilla, M. (2023). Childhood and adolescent trauma and dissociation: The mediating role of rumination, intrusive thoughts, and negative affect. Scandinavian Journal of Psychology, 64(2), 142–149. https://doi.org/10.1111/sjop.12879
• Rustøen, T., Cooper, B. A., & Miaskowski, C. (2010). The importance of hope as a mediator of psychological distress and life satisfaction in a community sample of cancer patients. Cancer Nursing, 33(4), 258–267. https://doi.org/10.1097/NCC.0b013e3181d6fb61
• Savi Çakar, F., İkiz, F. E., & Asıcı, E. (2018). Çocukluk çağı travmaları ve umutsuzluğun psikolojik belirtileri yordama düzeyi. Uluslararası Eğitim Bilimleri Dergisi (14), 85-100.
• Schumacker, R., & Tomek, S. (2013). Understanding statistics using R. Springer
• Seligman, M. (2002). Positive Psychology, Positive Prevention, and Positive Therapy. In C. R. Snyder, & S. J. Lopez (Eds.), Handbook of Positive Psychology (pp. 3–9). Oxford University Press US.
• Snyder, C. R. (Ed.). (2000). Handbook of hope: Theory, measures, and applications. Academic Press.
• Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., Yoshinobu, L., Gibb, J., Langelle, C., & Harney, P. (1991). The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology, 60(4), 570–585. https://doi.org/10.1037/0022-3514.60.4.570
• Snyder, C. R., Shorey, H. S., Cheavens, J., Pulvers, K. M., Adams, V. H. III, & Wiklund, C. (2002). Hope and academic success in college. Journal of Educational Psychology, 94(4), 820–826. https://doi.org/10.1037/0022-0663.94.4.820
• Stevens, J. P. (2009). Applied multivariate statistics for social sciences (5th ed.). Routledge Taylor & Francis Group.
• Szabo, Y. Z., Nelson, S. M., & Lantrip, C. (2020). Cognitive complaints in neuropsychologically normal adults: A brief report on the roles of childhood abuse and rumination. Traumatology, 26(1), 29–34. https://doi.org/10.1037/trm0000209
• Tanhan, A., & Strack, R. W. (2020). Online photovoice to explore and advocate for Muslim biopsychosocial spiritual wellbeing and issues: Ecological systems theory and ally development. Current Psychology, 39(6), 2010-2025. https://doi.org/10.1007/s12144-020-00692-6
• Tarhan, S., & Bacanlı, H. (2015). Sürekli Umut Ölçeğinin Türkçe’ye uyarlanması: Geçerlik ve güvenirlik çalışması. The Journal of Happiness & Well-Being, 3(1), 1-14.
• Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., Parkinson, J., Secker, J., & Stewart-Brown, S. (2007). The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): Development and UK validation. Health and Quality of Life Outcomes, 5, 63. https://doi.org/10.1186/1477-7525-5-63
• Thompson, M. P., Kingree, J. B., & Lamis, D. (2019). Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample. Child: Care, Health and Development, 45(1), 121–128. https://doi.org/10.1111/cch.12617
• Tian, M., Yan, S., & Wang, N. (2018). Evaluating the effectiveness of Snyder’s theory-based group hope therapy to improve self-efficacy of university students in finance. NeuroQuantology, 16(6), 118–124. https://doi.org/10.14704/nq.2018.16.6.1314
• Trenoweth, S. (2017). Strengths and mental well-being. Steve Trenoweth & Nicki Moone (Eds.), In Psychosocial assessment (pp. 164-183). SAGE.
• Ustuner Top, F., & Cam, H. H. (2021). Childhood maltreatment among university students in Turkey: Prevalence, demographic factors, and health-related quality of life consequences. Psychology, Health & Medicine, 26(5), 543–554. https://doi.org/10.1080/13548506.2020.1768274
• Waalkes, P. L., Mizutani, Y., Kim, S. R., Napitupulu, A., Thompson, J., Leiva, A. N., Tanhan, A., & Moore, M. (2024). Professional identity development of counselor educators with international backgrounds through online photovoice. International Journal for the Advancement of Counselling. https://doi.org/10.1007/s10447-024- 09582-z
• Whitworth, J. D. (2016). The role of psychoeducation in trauma recovery: Recommendations for content and delivery. Journal of Evidence-Informed Social Work, 13(5), 442– 451.https://doi.org/10.1080/23761407.2016.1166852
• Zhang, J., Tang, B. W., Liu, M. W., Yuan, S., Yu, H. J., Zhang, R., Huang, X. C., Nzala, S. H., Chikoya, M., Wang, P. G., & He, Q. Q. (2020). Association of adverse childhood experiences with health risk behaviors among college students in Zambia. International Journal of Behavioral Medicine, 27(4), 400–405. https://doi.org/10.1007/s12529-020-09863-y