The Relationship of Childhood Adversity on Burnout and Depression Among BSN Students

Background: Research evidence strongly suggests that Adverse Childhood Experiences (ACEs) predispose individuals to development of an increased sensitivity to stress and negative physical and mental health outcomes in adulthood.Purpose: To determine if there was a relationship between the number of ACEs reported by first semester BSN students and their reported level of Burnout and Depression.Methods: 211 students enrolled in the first semester of upper division courses of their BSN program completed self-report questionnaires which measured the number of ACEs, the level of Depression and the level of Burnout.Results: The number of reported ACEs by participants had a significant relationship on the levels of burnout and severity of depressive symptoms. Female students with a higher number of ACEs were more likely to report higher levels of Burnout A (Emotional Exhaustion) and Burnout B (Depersonalization), and higher depression severity scores compared to males.Conclusion: Nursing programs should educate faculty concerning the frequency and range of adverse experiences that students may have had prior to admission to the nursing program, and the possible relationship with Burnout and Depression. Faculty can provide early information on counseling and support services.

背景：研究证据有力地表明，不良童年经历（ACEs）使个体在成年后更易对压力敏感，并产生负面的身心健康结果。 目的：确定护理学学士学位（BSN）第一学期学生所报告的不良童年经历数量与其所报告的倦怠和抑郁水平之间是否存在关联。 方法：211名进入护理学学士学位课程高年级第一学期的学生完成了自我报告调查问卷，该问卷测量了不良童年经历数量、抑郁水平和倦怠水平。 结果：参与者所报告的不良童年经历数量与倦怠水平和抑郁症状的严重程度显著相关。与男性相比，有较多不良童年经历的女性学生更有可能报告较高水平的倦怠A（情感耗竭）和倦怠B（人格解体），以及较高的抑郁严重程度评分。 结论：护理课程应让教师了解学生在进入护理课程之前可能有过的不良经历的频率和范围，以及与倦怠和抑郁的可能关系。教师可以提供有关咨询和支持服务的早期信息。