Defining the role of exposure to ACEs in ADHD: Examination in a national sample of US children

Walker, Courtney S.; Walker, Ben; Brown, Dustin; Buttross, Susan; Sarver, Dustin E.

doi:10.1016/j.chiabu.2020.104884

Cited by 27 publications

(22 citation statements)

References 23 publications

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“…Family structure, specifically living in a household without two married parents, increases the likelihood of children experiencing economic hardship and being exposed to violence and disruptive households 58 . Adverse childhood experiences (ACEs), including economic adversity and household violence, are reportedly significantly associated with childhood ADHD diagnosis, even when controlling for known parental and child-risk factors of ADHD 59,60 . Hence, family structure is important to investigate in relation to other SES factors and ADHD outcomes.…”

Section: Correlation Of Adhd Diagnosis and Family Structurementioning

confidence: 99%

U.S. national, regional, and state-specific socioeconomic factors correlate with child and adolescent ADHD diagnoses pre-COVID-19 pandemic

Bozinovic

McLamb

O’Connell

et al. 2021

Sci Rep

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Attention-deficit/hyperactivity disorder (ADHD), the most diagnosed emerging neurodevelopmental disorder in children, is a growing health crisis in the United States. Due to the potential increase in ADHD severity during and post the COVID-19 pandemic, we analyzed recent national and two state-specific ADHD data distribution among U.S. children and adolescents by investigating a broad range of socioeconomic status (SES) factors. Child and adolescent ADHD diagnosis and treatment data were parent-reported via National Survey of Children’s Health (NSCH). The nationwide childhood prevalence of ADHD is 8.7%, and 62.1% of diagnosed children are taking medication. Louisiana (15.7%) has the highest percentage of children diagnosed with ADHD and California (5.6%) has the lowest, followed by Nevada (5.9%). Multiple correspondence analysis (MCA, n = 51,939) examining 30 factors highlights four areas of interest at the national and state level: race/ethnicity, financial status, family structure, and neighborhood characteristics. Positive correlations between ADHD diagnosis and unsafe school, unsafe neighborhood, and economic hardship are evident nationally and statewide, while the association between a lack of ADHD diagnosis and higher urban neighborhood amenities are evident nationally, but not in two opposing outlier states—Louisiana or Nevada. National and state-specific hierarchical analyses demonstrate significant correlations between the various SES factors and ADHD outcomes. Since the national analysis does not account for the demographic heterogeneity within regions or individual states, the U.S. should rely on comprehensive, county-specific, near real-time data reporting to effectively model and mitigate the ADHD epidemic and similar national health crises.

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Section: Correlation Of Adhd Diagnosis and Family Structurementioning

confidence: 99%

U.S. national, regional, and state-specific socioeconomic factors correlate with child and adolescent ADHD diagnoses pre-COVID-19 pandemic

Bozinovic

McLamb

O’Connell

et al. 2021

Sci Rep

View full text Add to dashboard Cite

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“…In children between the ages of two and 11, Meharti (2021) found having at least one ACE was linked with an increased level of functional impairment at home. ACEs and ADHD have been associated as well (Brown et al, 2017;Walker et al, 2021) with critical items including living with someone with a mental illness followed by parent/guardian incarceration. Burke et al (2011) found that 12.5% of their youth community sample endorsed four or more ACEs.…”

Section: Aces In Children and Adolescentsmentioning

confidence: 99%

Adverse Childhood Experiences (ACEs), Depression, and Suicidality in Young Children Admitted to a Psychiatric Hospital

Hernandez

Andoni

Hellmuth

et al. 2022

Preprint

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Despite the rapid increase in suicide rates among children, limited data exists regarding the prevalence and correlates of suicidality specifically in preadolescent children. The current study examines the relationship between Adverse Childhood Experiences (ACEs), depression, and suicidality among a child population receiving inpatient psychiatric treatment. Scores on the Center for Youth Wellness Adverse Childhood Experiences Questionnaire for Children (ACE-Q) and Childhood Depression Inventory, Second Edition (CDI-2), and patients with suicidal ideation (SI) or suicide attempts (SA) contributing to their inpatient admission were analyzed to explore potential associations in a sample of 153 children. Results indicated both admission SI and admission SA were linked to suicidality endorsed on the CDI-2 (item 8). Depressive symptoms measured by the CDI-2 were positively linked to specific ACEs. Children with SI and SA at the time of admission showed statistically higher scores on the CDI-2. Having experienced four or more ACEs was marginally associated with admission SA; however, there was no association between admission SI and having experienced four or more ACEs. Specific ACEs were positively correlated with admission SI and admission SA. There was no link found between total ACEs score and admission SI, yet there was a marginal association between admission SA and total ACEs score. Lastly, item 8 on the CDI-2 predicted SI and SA on admission while ACEs total did not predict either. Specific ACES were identified as predictive of both SI and SA on admission.

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“…In the last few years there has been a growing interest in understanding the possible relationship between hyperactivity-attention deficit disorder (ADHD) and ACEs [ 6 , 7 , 8 , 9 , 10 , 11 ]. It is known that adversity-related toxic stress may impact brain development, including regions implicated in ADHD symptomatology [ 6 , 7 , 8 , 9 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Eye Movement Desensitization and Reprocessing (EMDR) as a Possible Evidence-Based Rehabilitation Treatment Option for a Patient with ADHD and History of Adverse Childhood Experiences: A Case Report Study

Guidetti

Brogna

Chieffo

et al. 2023

JPM

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Background: Children with Attention Deficit Hyperactivity Disorder (ADHD) having a history of adverse childhood experiences (ACEs) could be very difficult to treat with standard psychotherapeutic approaches. Some children diagnosed with ADHD may have Post-Traumatic Stress Disorder (PTSD) or have had experienced a significant traumatic event. Trauma and PTSD could exacerbate ADHD core symptoms and be a risk factor of poor outcome response. Objective: to report for the first time the history of a patient with ADHD and ACE successfully treated with an EMDR approach. Conclusion: EMDR could be a promising treatment for ADHD children with a history of traumatic experiences in addition to pharmacological treatments.

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Defining the role of exposure to ACEs in ADHD: Examination in a national sample of US children

Cited by 27 publications

References 23 publications

U.S. national, regional, and state-specific socioeconomic factors correlate with child and adolescent ADHD diagnoses pre-COVID-19 pandemic

U.S. national, regional, and state-specific socioeconomic factors correlate with child and adolescent ADHD diagnoses pre-COVID-19 pandemic

Adverse Childhood Experiences (ACEs), Depression, and Suicidality in Young Children Admitted to a Psychiatric Hospital

Eye Movement Desensitization and Reprocessing (EMDR) as a Possible Evidence-Based Rehabilitation Treatment Option for a Patient with ADHD and History of Adverse Childhood Experiences: A Case Report Study

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