Do Past or Present Adverse Relationship Experiences Have Greater Impact on Mental and Physical Health?

Simms, Kathryn; Hacker, Desideria S.; Parker, Alexander J.; Figuereo, Mayrenes E.; Bock, Sara

doi:10.5172/jamh.2012.3185

Cited by 1 publication

(5 citation statements)

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“…The overall model fits in terms of R-squared scores ranging from 13.2% to 16.7%, in Tables 5 and 6, are relatively low because of the facts that primary determinants of health conditions, such as chronic health problems and health conditions: diabetes, heart diseases, insulin use, etc. (Clifford et al, 2013;Simms et al, 2013), are not accounted in the empirical models. It should be explored, but this study aims to investigate the effect of ACEs on HRQOL rather than to explain how the core determinants of health influence HRQOL.…”

Section: Multiple Regression Resultsmentioning

confidence: 99%

“…'z' subsumes all other relevant factors of health outcomes, mainly adverse childhood experiences. Studies (Mersky et al, 2013;Montgomery et al, 2013;Simms et al, 2013) have consistently shown that adverse childhood experiences have been linked to increase in the risk of poor health related outcomes in adulthood. Both individual categories of and cumulative scores of eight adverse childhood experiences on physical and mental health outcomes in adulthood are separately examined in the empirical models.…”

Section: Analytical Frameworkmentioning

confidence: 99%

“…79.1% of the BRFSS survey participants in the five states were White, non-Hispanic. Studies (Montgomery et al, 2013;Simms et al, 2013) examine health outcomes among several categorical races in adulthood. The results indicate that White, non-Hispanic, in general, are less likely to have physically and mentally unhealthy days than other races.…”

Section: Empirical Implementationmentioning

confidence: 99%

“…According to their findings, it was a matter of the number of adverse experiences, known as a dosage effect. Also, the study by Simms et al (2013) reports that the number of adverse experiences provides the most explanatory power in predicting physical and mental health rather than the specific character of individual ACE category. Regarding the dosage effect, this study substitutes the ACE scores for the individual ACE categories in the empirical models to evaluate the dosage effect of ACEs on HRQOL.…”

Section: Adverse Childhood Experiencesmentioning

confidence: 99%

“…All explanatory variables are also taken from the 2012 BRFSS, including socio-demographic variables, health behavioral variables, and childhood adverse experiences. This study uses a structural equation modeling framework because it allows the author to focus on two equally important outcomes: physical and mental health as it does in traditional regression analysis for outcomes of HRQOL (Huang et al, 2012;Simms et al, 2013). The value of the intercept becomes meaningful because it is the average value of the dependent variable when all the predictors are zero.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Adverse Childhood Experiences on Self-Reported Physical and Mental Health Outcomes in Adulthood

Son

2016

JEBS

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The number of physically and mentally unhealthy days as a measure of health-related quality of life (HRQOL) is used to examine the different effects of the adverse childhood experiences (ACEs) on physical and mental health outcomes. The data, a cross-sectional state-level survey, is obtained from the Behavioral Risk Factor Surveillance System (BRFSS) collected by the Centers for Disease Control and Prevention (CDC) in 2012. Multiple regression analyses are conducted for the study. The results indicate that all individual ACE categories are inversely associated with both physical and mental health, as respondents who exposed to any adverse childhood experience are likely to have physically- and mentally-related poor HRQOL in adulthood. The estimated coefficients for individual ACEs in magnitude on the mental health outcome are, in overall, greater than the estimated coefficients on the physical health outcome. The regression results with accumulative ACE scores indicate that higher levels of the ACE score would affect higher negative health outcomes, such as the dosage effects that appear again in this study. The estimated coefficients of accumulative ACE scores on the mental health outcome exceed the coefficients of ACE scores on physical health outcome for an ACE score of 2 and above. The gap in the estimated coefficients of ACE scores between physically and mentally unhealthy days increases as the ACE score rises. The estimated coefficient at the score ACE8 for the mentally unhealthy days becomes almost twice as large as the coefficient for the physically unhealthy days. Importantly, the negative effects of ACEs on mental health outcomes are significantly greater than the negative effects on physical health outcomes.

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Section: Multiple Regression Resultsmentioning

confidence: 99%

Section: Analytical Frameworkmentioning

confidence: 99%

Section: Empirical Implementationmentioning

confidence: 99%

Section: Adverse Childhood Experiencesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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