The Link Between Childhood Experiences and Coping Mechanisms in Medical Students

Fam Med. 2025 Nov;57(10):732-736. doi: 10.22454/FamMed.2025.195277.

ABSTRACT

BACKGROUND AND OBJECTIVES: This study explored the influence of adverse childhood experiences (ACEs) and benevolent childhood experiences (BCEs) on coping mechanisms among medical students. It aimed to determine the association between ACE and BCE scores and their impact on coping behaviors, recognizing the potential for interventions to promote healthier coping strategies.

METHODS: We used data collected from the Texas Tech University Health Sciences Center School of Medicine P3-1 Honors Project Omnibus Survey among preclinical medical students. Participants self-reported ACE and BCE scores, along with the frequency and perceived effectiveness of both healthy and unhealthy coping mechanisms.

RESULTS: The analysis showed a significant negative correlation between ACE and BCE scores, indicating that higher ACE scores corresponded to lower BCE scores. Social support emerged as the most common healthy coping mechanism, while self-blame stood out as the predominant unhealthy coping strategy. Additionally, we found statistically significant associations between BCE scores and the use of coping strategies such as spiritual support, self-blame, and isolation.

CONCLUSIONS: Findings imply that high ACE scores correlate with impulsive behaviors. Conversely, high BCE scores are associated with lower tendencies for self-blame, isolation, and impulsive activities, suggesting protective factors. The study underscores the need for interventions to foster healthy coping mechanisms, particularly for individuals with high ACE scores.

PMID:41854707 | DOI:10.22454/FamMed.2025.195277