The purpose of this study is to investigate the independent and cumulative impacts of Adverse Childhood Experiences (ACEs) on the subgroups of anxiety and depression among 12–17 aged adolescents in the U.S. A sample of 21,496 cases was derived from the 2017–2018 National Survey of Children’s Health (NSCH). Four adolescent subgroups were identified depending on their mental health condition: Anxiety-only (7.2%), Depression-only (1.5%), Anxiety-Depression (6.3%), and None (85.0%). All sociodemographic characteristics such as sex, age, race/ethnicity, and family structure had significant associations with the subgroups. Two multinomial logistic regression analyses were conducted to examine the independent and cumulative effects of ACEs on the subgroups. The findings suggested having a family member with severe mental illness showed the strongest relationship with the development of anxiety, depression, and both. A dose–response relationship was found between cumulative ACEs and the subgroups, with Anxiety-Depression as the most prevalent group when adolescents had multiple ACEs. Implications for service providers and future research are discussed.

这项研究的目的是调查不良儿童经历（ACE）对美国12-17岁年龄段青少年焦虑和抑郁亚组的独立和累积影响。该样本来自2017-2018年全国调查的21,496例病例儿童健康协会（NSCH）。根据其心理健康状况确定了四个青少年亚组：仅焦虑症（7.2％），仅抑郁症（1.5％），焦虑症（6.3％）和无焦虑症（85.0％）。所有社会人口统计学特征，例如性别，年龄，种族/民族和家庭结构，均与这些亚组有显着关联。进行了两次多项式逻辑回归分析，以检查ACEs对亚组的独立和累积作用。研究结果表明，患有严重精神疾病的家庭成员与焦虑症，抑郁症和两者的发展关系最密切。在累积的ACE与亚组之间发现剂量-反应关系，当青少年有多个ACE时，焦虑抑郁是最普遍的组。讨论了对服务提供商和未来研究的影响。