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Associations between trauma exposure and symptoms of depression and anxiety among first, second, and later-generation immigrant college students

Original Publication Date: May 15, 2026
Last Updated: May 15, 2026
Estimated Read Time: < 1 minute

Wong, T., & Wong, A. (2026). Associations between trauma exposure and symptoms of depression and anxiety among first, second, and later-generation immigrant college students. Journal of American College Health, 1-10. DOI: 10.1080/07448481.2025.2608835

Depression and anxiety symptoms were similar across generational groups, but their predictors differed. For first-generation students, age, social support, and recent bereavement significantly predicted depression; while ACE scores and social support predicted anxiety. For second-generation students, social support was the strongest predictor of depression along with ACE scores, trauma exposure, and male sex. The same predictors applied for anxiety. For later-generation participants, ACE scores, social support, and Hispanic/Latinx ethnicity predicted depression, while ACE scores and Black race predicted anxiety. Across most groups, lower social support was a predictor of depression and anxiety. 

Additional Resources on Intergenerational Trauma

Survivors of torture and their families often have to navigate a complex landscape of trauma. Beyond immediate exposure to war, torture, and relocation, many individuals come from regions marked by historical instability. This context means they are often contending with both current crises and the enduring legacy of historical and intergenerational trauma.We hope that these resources, from our Quarterly Digest on Intergenerational Trauma, have a positive impact on your work, as well as your ability to connect this topic to other realms of life.