Childhood adversity affects somatic symptoms among high school students: the mediation of mental health

This study examined the impact of childhood adversity (CHA, from birth to elementary school) on somatic symptoms (SS) among high school students, as well as the mediating effect of mental health (MH). A total of 449 high school students (mean age = 17.31 years) were surveyed. CHA and SS were measured at Wave 1, and depression, anxiety, and SS were assessed at Wave 2, seven months later. Structural equation modeling revealed that CHA significantly influenced SS in high school students, and MH mediated the relationship between CHA and SS. The mediating effect of MH accounted for more than 50% of the total effect of CHA on SS at both Wave 1 and Wave 2. This study enriches the life history theory, deepens the understanding of the relationship between CHA, adolescent MH, and SS, and contributes to the prevention of physical and mental health issues among adolescents.