Family social support buffers the intergenerational association of maternal adverse childhood experiences and preschoolers’ externalizing behavior.

Hatch, Virginia; Swerbenski, Hannah; Gray, Sarah A. O.

doi:10.1037/ort0000451

Cited by 36 publications

(40 citation statements)

References 112 publications

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“…Interdisciplinary interest in the intergenerational sequelae of early adversity and trauma is on the rise. In the last few years, some studies have demonstrated that a mother’s ACEs history is connected to her child’s risk of social-emotional problems, including externalizing symptoms such as aggression and hyperactivity and internalizing symptoms such as anxiety and depression (Cooke et al, 2019; Doi et al, 2020; Fredland et al, 2018; Hatch et al, 2020; Letourneau et al, 2019; McDonald et al, 2019; Rieder et al, 2019; Sun et al, 2017). Less is known, however, about the processes through which these effects emerge.…”

Section: Research Synthesismentioning

confidence: 99%

Intergenerational Pathways Linking Mothers’ Adverse Childhood Experiences and Children’s Social-Emotional Problems

2022

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Despite the persistent hypothesis that adverse childhood experiences (ACE) have intergenerational implications, empirical research documenting the effects and the mechanisms of transmission remains underdeveloped. This study examined the intergenerational effects of mothers’ adverse childhood experiences on their offspring’s social-emotional development and whether the association was mediated by mothers’ mental health, adult adversity, and perceptions of paternal involvement. The study sample included 831 mothers (19–49 years old, 47.5% White) with children aged 12–48 months who participated in a longitudinal investigation of low-income families in Wisconsin. ACEs were assessed by home visitors, and two waves of survey data were collected by researchers to assess demographics, mediators, and social-emotional outcomes. A path analysis showed that the association between maternal ACEs and children’s social-emotional problems was fully mediated, with postpartum mental health acting as a primary mechanism. Implications for intervention and future research directions are discussed.

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Section: Research Synthesismentioning

confidence: 99%

Intergenerational Pathways Linking Mothers’ Adverse Childhood Experiences and Children’s Social-Emotional Problems

2022

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“…The FRI program aims to provide holistic, trauma-informed care while addressing social and mental wellness. Many studies have been conducted on the health outcomes and the intergenerational effects of maternal ACEs on the child, 2 , 12 , 13 but few studies have examined protective factors beyond the parent-child dyad. These protective factors are what the FRI program seeks to employ and study through the interventions provided by a multidisciplinary team.…”

Section: Discussionmentioning

confidence: 99%

“…ACEs on the child,2,12,13 but few studies have examined protective factors beyond the parentchild dyad. These protective factors are what the FRI program seeks to employ and study through the interventions provided by a multidisciplinary team.…”

mentioning

confidence: 99%

Whole Child Well-Child Visits: Implementing ACEs and SDOH Screenings in Primary Care

Yaun

Rogers

Marshall

et al. 2022

Clin Pediatr (Phila)

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Adverse childhood experiences (ACEs) and social determinants of health (SDOH) negatively affect health outcomes. This program was developed to screen for ACEs and SDOH in the primary care setting in families with children 9 months to 5 years of age at well-child checks and provide interventions that support families and build resiliency. Programmatic criteria were identified, referral resources were developed, and a database was implemented, with 246 families enrolled in year 1; 56.9% of caregivers reported 1 or more ACEs for their child, 63% of caregivers reported an SDOH need, and 39.4% of caregivers reported both. The average number of ACEs was 0.94. This program was created to address ACEs and SDOH, to empower families, build resiliency, and provide buffers to mitigate and prevent ACEs. It provides a model that can be implemented in a primary care setting while providing wraparound resources, including integrated mental health resources and referrals, to measure the success of these interventions.

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“…For example, Conn et al (2018) found parents emphasizing the importance of providers taking time to introduce the ACEs questionnaire. In relation to assessment of parent ACEs, the impact of parent ACEs on child well-being has been demonstrated in research (Folger et al, 2018; Hatch et al, 2020; Schickedanz et al, 2018), and several other projects have implemented programs to assess parent ACEs (Kia-Keating et al, 2019; McCrae & Burkhardt, 2020). Going forward, it will be important for routine inquiry programs in primary care to take this into consideration.…”

Section: Discussionmentioning

confidence: 99%

Pediatric ACES assessment within a collaborative practice model: Implications for health equity.

Liu¹,

Grimes²,

Creedon³

et al. 2021

American Journal of Orthopsychiatry

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It is now well understood that exposure to Adverse Childhood Experiences (ACEs) is negatively linked to health and well-being across the lifespan. In an effort to disrupt ACEs exposure and its effects, there is a nationwide movement to screen for ACEs in primary care, despite a lack of wellestablished guidelines for assessing and responding to risk within routine care. Additionally, developing culturally responsive models of ACEs assessment is imperative, particularly because racial and ethnic minority populations face disproportionate risk of exposure to ACEs and disparities in quality of health care. Using mixed methods, we explored the feasibility, acceptability, and utility of conducting ACEs routine inquiry with an ethnically and economically diverse pediatric population through a unique collaborative practice model (CPM) consisting of an integrated, multidisciplinary team within primary care. In the CPM study, 163 children from a safety-net health system were enrolled; of those, an ACEs questionnaire was collected from 158 (97%) study participants as part of their mental health evaluation. The sample was highly ACEs exposed, with 40% of children and 56% of teens having scores of four or more. There were significant associations between level of ACEs exposure and degree of mental health impairment in both children and teens. Providers viewed the ACEs assessment process as feasible, acceptable, and to have utility for the care of the study's diverse pediatric population. Findings highlight benefits, challenges, cultural considerations and recommendations for promoting health equity through a primary-care integrated ACEs assessment model. Public Policy Relevance StatementRacial/ethnic minority and low socioeconomic status populations face disproportionate exposure to ACEs and barriers to accessing treatment. Results of a mixed methods study found that a multidisciplinary, team-based approach to assessing ACEs in primary care is feasible, acceptable, and useful to providers working with diverse and highly stressed children and families. This model of routine ACEs inquiry can inform earlier recognition and individualized treatment to improve health and healthcare equity and outcomes for trauma-exposed youth. aaa A dverse childhood experiences (ACEs), historically defined as exposure to abuse, neglect, and household challenges, are common across the United States. Nationally representative findings from the 2011/12 National Survey of Children's Health (NSCH) indicate nearly one-half of U.S. children are exposed to at least one ACEs, with higher rates among older, lower-income, racial/ethnic minority, and uninsured or publicly insured youth (Bethell et al., 2017). An abundance of research with adults illustrates a robust dose-response relationship between This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

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Family social support buffers the intergenerational association of maternal adverse childhood experiences and preschoolers’ externalizing behavior.

Cited by 36 publications

References 112 publications

Intergenerational Pathways Linking Mothers’ Adverse Childhood Experiences and Children’s Social-Emotional Problems

Intergenerational Pathways Linking Mothers’ Adverse Childhood Experiences and Children’s Social-Emotional Problems

Whole Child Well-Child Visits: Implementing ACEs and SDOH Screenings in Primary Care

Pediatric ACES assessment within a collaborative practice model: Implications for health equity.

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