This study examined the relationship between exposure to adverse childhood experiences (ACEs) and health in adolescents with high or low levels of resilience. Data came from the 2020 Bangkok Behaviour Surveillance Survey (BBSS). Multivariate logistic regression analyses examined associations between ACEs and health conditions overall, and for adolescents with low versus high resilience on the Grotberg’s Resilience Scale. Overall, 54.9% of adolescents reported 0 ACEs. Compared to adolescents with no ACEs, it was found that those with ≥ 1 ACE were more likely to experience insomnia, sadness, suicide attempt, depression, and excess alcohol consumption. Those with a history of four or more ACEs had worse mental health, higher total undesirable behaviour, and lower academic achievement. When the sample was divided into high resilience (60.2%) and low resilience (39.8%), having at least 1 ACEs (vs. 0 ACEs) was associated with worse mental health and undesirable behaviour in adolescents with low resilience. History of ACEs can predict adverse health conditions and undesirable behaviour among adolescents, and the strongest correlation is among adolescents with low resilience. Future studies are needed to develop strategies and interventions to increase adolescent resilience, and test whether improvements in resilience reduce the adverse impact of ACEs on adolescent mental/behavioural health.

本研究调查了具有高或低复原力的青少年的不良童年经历 (ACE) 与健康之间的关系。数据来自 2020 年曼谷行为监测调查 (BBSS)。多变量逻辑回归分析检查了 ACE 与整体健康状况之间的关联，以及针对 Grotberg 弹性量表中弹性低与高弹性的青少年之间的关联。总体而言，54.9% 的青少年报告了 0 次 ACE。与没有 ACE 的青少年相比，发现 ≥ 1 ACE 的青少年更容易出现失眠、悲伤、自杀未遂、抑郁和过量饮酒。那些有四个或更多 ACE 病史的人心理健康状况较差，不良行为总数较高，学业成绩较低。当样品分为高回弹（60. 2%）和低复原力（39.8%），至少有 1 个 ACE（与 0 个 ACE）与低复原力青少年的心理健康状况较差和不良行为有关。ACEs 的历史可以预测青少年的不良健康状况和不良行为，并且最强的相关性是在韧性低的青少年中。未来的研究需要制定策略和干预措施来提高青少年的复原力，并测试复原力的提高是否会减少 ACE 对青少年心理/行为健康的不利影响。最强的相关性是在韧性低的青少年中。未来的研究需要制定策略和干预措施来提高青少年的复原力，并测试复原力的提高是否会减少 ACE 对青少年心理/行为健康的不利影响。最强的相关性是在韧性低的青少年中。未来的研究需要制定策略和干预措施来提高青少年的复原力，并测试复原力的提高是否会减少 ACE 对青少年心理/行为健康的不利影响。