Intergenerational Associations of Parent Adverse Childhood Experiences and Child Health Outcomes

Lê‐Scherban, Félice; Wei, Xi; Boyle-Steed, Kathryn H.; Pachter, Lee M.

doi:10.1542/peds.2017-4274

Cited by 140 publications

(98 citation statements)

References 46 publications

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“…However, researchers have examined other parent traumas and health outcomes for their offspring, and those findings are congruent with ours. For example, children born to parents who were exposed to ACEs had worse physical (Lê-Scherban et al, 2018; Madigan et al, 2017) and mental health (Madigan et al, 2017) as well as inferior socioemotional (McDonnell and Valentino, 2016) and developmental outcomes (Lê-Scherban et al, 2018; Madigan et al, 2017; Sun et al, 2017). Additional work outside ACEs has shown that offspring born to parents who experienced trauma such as genocide or indentured child labor during childhood also had higher risk for psychopathology (Field et al, 2011; Kuffer et al, 2016; Roth et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…There is a small but growing literature examining parent's trauma exposure during childhood and their offspring's health, but this work is situated in the ACE and genocide literatures. These studies have found that offspring born to parents with exposure to childhood trauma have lower levels of physical (Lê-Scherban et al, 2018; Madigan et al, 2017), socioemotional (McDonnell and Valentino, 2016), and mental health (Madigan et al, 2017) and inferior developmental outcomes (Sun et al, 2017). This begs the question of whether the traumatic experience from a parents' witnessing is sufficient on its own to impact health outcomes among offspring.…”

Section: Introductionmentioning

confidence: 99%

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Intergenerational effects of witnessing domestic violence: Health of the witnesses and their children

Forke

Catallozzi

Localio

et al. 2019

Preventive Medicine Reports

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Studies that explore intergenerational effects of witnessing domestic violence during childhood (“witnessing”) are lacking. We examined effects of witnessing on general health status for adults who witnessed domestic violence during childhood and their children. Cross-sectional data from population-based phone interviews conducted in Philadelphia during 2012–2013 provided health information for 329 parents and children, and parent's witnessing exposure. We used propensity scores to predict parent's witnessing status using childhood confounders; response models included inverse probability of treatment weighting and population weights for standardization. Separate standardized multivariate logistic regression models provided average treatment effects and 95% CIs for associations between childhood witnessing and below average health for: 1) adults who witnessed and 2) their children. Sensitivity analyses guided interpretation. Standardized models showed no differences in average treatment effects for below average adult health for witnesses vs. non-witnesses [0.04 (−0.12, 0.19)]. Conversely, children whose parents witnessed had considerably higher probability of having below average health than children whose parents did not witness [0.15 (0.02, 0.28)]. An unmeasured confounder would need 3.0-fold associations with both exposure and outcome to completely remove observed effects, indicating a moderate relationship. However, the lower confidence bound could cross 1.0 in the presence of a weaker unmeasured confounder having 1.2-fold associations with both exposure and outcome, while controlling for our same measured confounders. Witnessing during childhood did not affect adult health in our population, but we found moderate evidence supporting harmful intergenerational effects of witnessing on health, with parent's witnessing exposure affecting their child's health.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intergenerational effects of witnessing domestic violence: Health of the witnesses and their children

Forke

Catallozzi

Localio

et al. 2019

Preventive Medicine Reports

View full text Add to dashboard Cite

show abstract

“…Research on the intergenerational impact of ACEs, which focuses on associations between parent ACEs and children's health, development, and functioning, has found continuity in risk of poor outcomes. 33 , 34 , 36 , 46 , 50 , 55 , 58 Thus, parent ACEs may contribute to chronic pain in youth, especially given their association with parent factors (eg, mental and physical health) that are implicated in pediatric chronic pain. 4 , 14 , 16 , 26 , 42 , 46 …”

Section: Introductionmentioning

confidence: 99%

Adverse childhood experiences in parents of youth with chronic pain: prevalence and comparison with a community-based sample

Beveridge

Dobson

Madigan

et al. 2020

PR9

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“…Recent studies examined the impact of parental ACEs on children in the general population. Overall, parental ACEs seem to have a transgenerational relationship with developmental problems in their children [ 80 , 81 , 82 , 83 ]. More parental ACEs and less resilience have been found to be associated with parental coping difficulties [ 84 ].…”

Section: Introductionmentioning

confidence: 99%

Adverse Childhood Experiences in Children with Intellectual Disabilities: An Exploratory Case-File Study in Dutch Residential Care

Vervoort-Schel

Mercera²,

Wissink

et al. 2018

IJERPH

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Adverse Childhood Experiences (ACEs) are negative childhood events occurring in a child’s family or social environment, that may cause harm or distress. Children with intellectual disabilities (ID) and their families are underrepresented in international ACEs research, while current insights can also contribute to the improvement of their health and well-being. Deficiencies in intellectual and adaptive functioning and living circumstances can increase their vulnerability to adversities. In the present exploratory study 69 case-files of children referred to a Dutch national center for residential youth care for children with ID were analyzed to assess the prevalence and associations of ACEs. It was found that almost half (49.3%) of the children experienced 2 ACEs from the original ACEs framework or more (M (mean) = 2.1; SD (standard deviation) = 1.8) and that the number of ACEs in children was related to the presence of ACEs in parents. Both child and parental ACEs were also related to attachment- and trauma- and stressor-related disorders. Finally, living circumstances and multiple ACEs from the expanded ACEs framework, especially related to parental characteristics, were found to be related to ACEs in children with ID. This implicates the importance of a transgenerational approach when further investigating the impact of ACEs on mental and physical health in children with ID (intellectual disabilities).

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Intergenerational Associations of Parent Adverse Childhood Experiences and Child Health Outcomes

Abstract: The full scope of the health effects of ACEs may not be limited to the exposed individual, highlighting the need for a 2-generation approach to addressing the social determinants of child health.

Cited by 140 publications

References 46 publications

Intergenerational effects of witnessing domestic violence: Health of the witnesses and their children

Intergenerational effects of witnessing domestic violence: Health of the witnesses and their children

Adverse childhood experiences in parents of youth with chronic pain: prevalence and comparison with a community-based sample

Adverse Childhood Experiences in Children with Intellectual Disabilities: An Exploratory Case-File Study in Dutch Residential Care

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