Adverse Childhood Experiences Are Associated with Unmet Healthcare Needs among Children with Autism Spectrum Disorder

Berg, Kristin; Shiu, Cheng Shi; Feinstein, Rebecca T.; Msall, Michael E.; Acharya, Kruti

doi:10.1016/j.jpeds.2018.07.021

Cited by 28 publications

(12 citation statements)

References 33 publications

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“…Mobile phone addiction is a phenomenon where individuals indulged in activities based on their phone, had continued strong craving and dependency on their phone, and had social and mental function impairments (Yen et al, 2009). Intensive research demonstrated that the problematic use of mobile phone was associated with physical problems such as low sleep quality, muscular pain, and eye disease (De-Sola et al, 2017;Lee et al, 2017), and mental problems such as depression, anxiety, autism, attention deficithyperactivity disorder (ADHD), and low self-confidence (Elhai et al, 2016;Panova and Lleras, 2016;Brown et al, 2017;Berg et al, 2018;Thomée, 2018). Mobile phone is an important part of undergraduate life (Yen et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Adverse Childhood Experiences on Mobile Phone Addiction in Chinese College Students: A Serial Multiple Mediator Model

Zhang

Chu

et al. 2020

Front. Psychol.

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Mobile phone addiction is a universal phenomenon that has attracted a lot of attention in recent years. Previous researches revealed a significant relation between adverse childhood experiences (ACEs) and addiction. This study further investigated the association between ACEs and mobile phone addiction, and the mediating effects of attachment styles and interpersonal relationships. The cross-sectional design and multiple questionnaires, namely, the Revised Adverse Childhood Experience Questionnaire, the Mobile Phone Addiction Index, the Revised Adult Attachment Scale (AAS), and the Interpersonal Relationship Comprehensive Diagnostic Scale (IRCDS) were used in the sample of 345 university students. Correlation analysis revealed that adverse childhood experience, attachment anxiety, attachment avoidance, interpersonal relationship, and mobile phone addiction were significantly positively correlated with each other. Results of regression analysis showed that attachment style and interpersonal relationship played multiple mediation roles in the association between adverse childhood experience and mobile phone addiction. That is, (1) adverse childhood experience was positively related to mobile phone addiction, (2) both attachment anxiety and interpersonal relationship played partial and parallel mediating roles between adverse childhood experience and mobile phone addiction, and (3) attachment anxiety/avoidance and interpersonal relationship mediated the relationship between adverse childhood experience and mobile phone addiction sequentially. These results indicated that mobile phone addiction among college students who had adverse childhood experience can be relieved by way of the remission of attachment anxiety, reduction of attachment avoidance, and improvement of interpersonal relationship.

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Section: Introductionmentioning

confidence: 99%

The Impact of Adverse Childhood Experiences on Mobile Phone Addiction in Chinese College Students: A Serial Multiple Mediator Model

Zhang

Chu

et al. 2020

Front. Psychol.

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“…Reviewed studies included also prevalence rates for some additional comorbidity such as suicide, bullying, trauma, tic disorder, gender identity disorder and enuresis/encopresis (14,15,30,35,(44)(45)(46)(47)(48)(49)(50)(51). These comorbidities were not included in the meta-analysis due to the low number of studies, however they are presented with details in the Supplement C in Supplementary Table for interested readers.…”

Section: Other Studies Not Presented In the Tablesmentioning

confidence: 99%

Population-Based Psychiatric Comorbidity in Children and Adolescents With Autism Spectrum Disorder: A Meta-Analysis

et al. 2022

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Psychiatric comorbidity in autism spectrum disorder (ASD) is a subject of critical scientific importance, affecting the quality of life, prognosis, and functional outcomes. The prevalence of psychiatric disorders vary considerably according to variables such as index subject characteristics, study setting, sampling frame, diagnostic methods used, as well as country of geographic origin. To date, most studies comprise clinical or treatment referral samples in tertiary care or subjects enrolled in clinical trials and genetic cohort collections. Such samples carry the potential for overestimation of both the frequency and severity of psychiatric comorbidity. A systematic literature search was performed using PubMed and Web of Science databases restricted to population-based study publications in the English between May 1, 2015, and May 31, 2020. A comprehensive keyword list was generated to investigate co-occurrence of psychiatric disorders in children and adolescents with ASD. A wide range of DSM-5 based disorders such as anxiety, mood, ADHD, intellectual disability/intellectual developmental disorder, eating/feeding, gender dysphoria and sleep-wake disorders were assessed. Initial search revealed a total of 1674 articles after removal of duplicates. Two independent researchers conducted a parallel-blinded screening process to identify the eligible studies based on titles and abstracts; 39 studies were analyzed in the current review. The main findings show prevalence estimates of 22.9% (95% CI: 17.7- 29.2) for intellectual disability; 26.2% (22-31) for attention-deficit hyperactivity disorder; 11.1% (8.6-14.1) for anxiety disorders; 19.7% (11.9-30.7) for sleep disorders; 7% (5.2- 9.3) for disruptive disorders; 2% (1.3- 3.1) for bipolar disorders; 2.7% (1.8- 4.2) for depression; 1.8% (0.4–8.7) for obsessive-compulsive disorder; and 0.6% (0.3–1.1) for psychosis. Psychiatric comorbidity in population-based studies is lower than in clinical and referred samples. However, our results also indicate that the frequency of psychiatric comorbidity in children and adolescents with ASD in the population context is considerable, without the influence of referral bias implicit in clinical and treatment samples. There is a need for better targeted diagnostic tools to detect psychiatric comorbidity in children and youth in future population-based studies, as an essential component in providing care as well as new insights into the nature and mechanisms of its underlying associations.Systematic Review Registration[https://www.crd.york.ac.uk/prospero/], identifier [CRD42021234464].

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“…This review did not find higher rates of physical and sexual abuse or neglect. 16 Using longitudinal data from the Fragile Families and Child Wellbeing Study, a strong association was found between physical disability and ACE occurrence at age 5 years. These disorders were identified either at birth or during early childhood and included developmental disabilities such as Down syndrome and cerebral palsy.…”

Section: Aces In Children With Developmental Disabilitiesmentioning

confidence: 99%

Adverse childhood experiences and developmental disabilities: risks, resiliency, and policy

Morgart

Harrison

Hoon

et al. 2021

Develop Med Child Neuro

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Thanks to the seminal work of Robert Anda and Vincent Felitti, it is now widely accepted that adverse childhood experiences (ACEs) can have lifelong effects on physical, behavioral, and mental health and that many adult diseases can be considered developmental disorders that began early in life. Genomics has advanced the neurobiological understanding that underpins ACEs, wellness, and disease, which are modulated through stress pathways and epigenetic modifications. While data are currently limited, children with developmental disabilities have an increased ACE risk compared to typically developing peers. This recognition has important ramifications for health and policy interventions that address the root causes of ACEs, especially in this vulnerable population. With increased societal recognition, advances in policy will lead to medical, financial, and public benefits in years to come, hopefully changing healthcare models from ‘sick care’ to ‘well care’. Adverse childhood experience (ACE) research has refocused medicine from the question ‘What is wrong with you?’ to ‘What happened to you?’. Adopting ACE research into public policy can redirect healthcare models from providing ‘sick care’ to promoting ‘well care’. Not exploring the role of ACEs in children with developmental disabilities leads to further vulnerability and morbidity. ACEs can be mitigated by early identification and implementation of evidence‐based interventions.

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Adverse Childhood Experiences Are Associated with Unmet Healthcare Needs among Children with Autism Spectrum Disorder

Cited by 28 publications

References 33 publications

The Impact of Adverse Childhood Experiences on Mobile Phone Addiction in Chinese College Students: A Serial Multiple Mediator Model

The Impact of Adverse Childhood Experiences on Mobile Phone Addiction in Chinese College Students: A Serial Multiple Mediator Model

Population-Based Psychiatric Comorbidity in Children and Adolescents With Autism Spectrum Disorder: A Meta-Analysis

Adverse childhood experiences and developmental disabilities: risks, resiliency, and policy

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