Chi-square ACE Accumulation Comparison.

Many deaf and hard of hearing (DHH) adolescents and adolescents with developmental language disorders (DLD) face communication problems (CP) that may increase their vulnerability to adverse childhood experiences (ACEs). ACEs have been shown to affect physical and mental health, and in particular, the accumulation of ACEs is associated with high stress levels, which can have detrimental effects on well-being. This study examined the prevalence of ACEs and their impact on stress and well-being in adolescents with CP (DHH, DLD) compared to a reference group.127 adolescents with CP (32 DHH adolescents and 95 adolescents with DLD) in special secondary education were compared to a reference group of 86 adolescents in mainstream secondary education. T-tests, chi-square tests, and proportion tests were used to compare all groups on ACEs, stress impact, and well-being. A mediation analysis tested the indirect effect of stress on the relationship between ACEs and well-being. Adolescents with CP reported significantly more (accumulations of) ACEs (p p.001), higher stress impact (p p p许多聋症与重听（deaf and hard of hearing, DHH）青少年及发育性语言障碍（developmental language disorders, DLD）青少年均面临沟通障碍（communication problems, CP），该问题可能加剧其遭遇童年不良经历（adverse childhood experiences, ACEs）的易感性。已有研究表明，童年不良经历会对个体的身心健康造成影响，其中，童年不良经历的累积与高水平应激状态密切相关，进而对个体的幸福感产生不利影响。本研究针对存在沟通障碍的青少年（涵盖聋症与重听、发育性语言障碍群体），考察了其童年不良经历的患病率，并对比参照组，分析了童年不良经历对应激与幸福感的影响。本研究共纳入127名就读于特殊中等教育机构的沟通障碍青少年（其中32名为聋症与重听青少年，95名为发育性语言障碍青少年），并以86名就读于普通中等教育机构的青少年作为参照组。研究采用t检验、卡方检验及比例检验，比较各组在童年不良经历、应激影响及幸福感层面的差异；同时通过中介分析，检验了应激在童年不良经历与幸福感之间的间接效应。存在沟通障碍的青少年报告的（累积）童年不良经历显著更多（p p.001）、应激影响程度更高（p p p