Substance Use, Mental Health and Healthcare Among Young Adults with Adverse Childhood Experiences During COVID-19
- 1Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA 90089 USA
- 2USC Institute for Addiction Science, Los Angeles, CA 90032 USA
- 3Suzanne Dworak-Peck School of Social, University of Southern California, Los Angeles, CA 90089 USA
Abstract
Young adults with Adverse Childhood Experiences (ACE), e.g., household dysfunction and maltreatment) are at high risk for poor health outcomes such as mental health and substance use disorders. The COVID-19 pandemic imposed numerous external stressors and impacted access to mental healthcare services for many individuals. This study explores mental health, substance use and mental healthcare experiences among ACE-exposed young adults during the COVID-19 pandemic. Young adults (N = 26, ages 21–29 years old, 15 males, 9 females, and 2 non-binary) who experienced ACE were recruited online to learn about their histories of substance use, anxiety, depression, and mental healthcare experiences during COVID-19. After interviews via Zoom, transcription was completed and thematic analysis was conducted. Thematic analyses revealed several factors impacting young adults’ substance use and mental health behaviors during the pandemic. Young adults with a history of ACE experienced the following: isolation, grief and loss, financial and employment disruption, problematic interpersonal relationships that were exacerbated by staying home, and health-related anxiety. Taken together, these experiences impacted their substance use, mental health and mental healthcare services. Young adults who experienced ACE indicated that substances helped alleviate feelings of anxiety and depression. However, young adults who received mental healthcare during the pandemic reported that such care benefited them in reducing symptomology. Future pandemic responses should include a focus on mental healthcare for young adults at risk for substance use and mental health problems.
Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s40653-026-00923-1.
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BibTeX
@article{pakdaman2026substance,
title = {{Substance Use, Mental Health and Healthcare Among Young Adults with Adverse Childhood Experiences During COVID-19}},
author = {Sheila Pakdaman and Shaddy K. Saba and Jennifer Weck and Jane Steinberg and Jessica L. Barrington-Trimis and Jordan P. Davis and John D. Clapp and Jennifer B. Unger},
journal = {Journal of Child \& Adolescent Trauma},
year = {2026},
month = jun,
doi = {10.1007/s40653-026-00923-1},
url = {https://doi.org/10.1007/s40653-026-00923-1},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Substance Use, Mental Health and Healthcare Among Young Adults with Adverse Childhood Experiences During COVID-19
AU - Sheila Pakdaman
AU - Shaddy K. Saba
AU - Jennifer Weck
AU - Jane Steinberg
AU - Jessica L. Barrington-Trimis
AU - Jordan P. Davis
AU - John D. Clapp
AU - Jennifer B. Unger
PY - 2026
DA - 2026/06/29
JO - Journal of Child & Adolescent Trauma
DO - 10.1007/s40653-026-00923-1
UR - https://doi.org/10.1007/s40653-026-00923-1
AB - Young adults with Adverse Childhood Experiences (ACE), e.g., household dysfunction and maltreatment) are at high risk for poor health outcomes such as mental health and substance use disorders. The COVID-19 pandemic imposed numerous external stressors and impacted access to mental healthcare services for many individuals. This study explores mental health, substance use and mental healthcare experiences among ACE-exposed young adults during the COVID-19 pandemic. Young adults (N = 26, ages 21–29 years old, 15 males, 9 females, and 2 non-binary) who experienced ACE were recruited online to learn about their histories of substance use, anxiety, depression, and mental healthcare experiences during COVID-19. After interviews via Zoom, transcription was completed and thematic analysis was conducted. Thematic analyses revealed several factors impacting young adults’ substance use and mental health behaviors during the pandemic. Young adults with a history of ACE experienced the following: isolation, grief and loss, financial and employment disruption, problematic interpersonal relationships that were exacerbated by staying home, and health-related anxiety. Taken together, these experiences impacted their substance use, mental health and mental healthcare services. Young adults who experienced ACE indicated that substances helped alleviate feelings of anxiety and depression. However, young adults who received mental healthcare during the pandemic reported that such care benefited them in reducing symptomology. Future pandemic responses should include a focus on mental healthcare for young adults at risk for substance use and mental health problems. Supplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s40653-026-00923-1.
SN - 1936-1521
SN - 1936-153X
ER -