Parental Adverse Childhood Experiences and Resilience on Coping After Discharge

Shah, Anita N.; Beck, Andrew F.; Sucharew, Heidi; Litman, Stacey; Pfefferman, Cory; Haney, Julianne; Shah, Samir S.; Simmons, Jeffrey M.; Auger, Katherine A.

doi:10.1542/peds.2017-2127

Cited by 19 publications

(35 citation statements)

References 34 publications

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“…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 ]. A study by Folger and colleagues showed that parental ACEs can negatively impact child development at 2 years of age on the following domains: communication, problem solving and personal- social- and motor skills [ 82 ].…”

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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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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“…The other two intervention‐based studies assessed the influence of interventions targeted at promoting general rehabilitation or health outcomes and well‐being of the study sample. Shah et al () used the BRS to assess the influence of a nurse‐led transitional home visit on parents of children with chronic conditions after their children were discharged from the hospital. No significant difference in the level of resiliency was found between parents who received the home visit intervention and those who did not receive the intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 41 studies that we identified, only five were intervention studies that assessed resiliency as outcome variables. While aiming at measuring the impacts of resiliency‐related interventions, these five intervention studies employed assessment tools designed to explain intrapsychic and contextual protective factors available to the study participants—CD‐RISC (Yi‐Fraizer et al, ; Baron Nelson et al, ), RS (Lee at al., ; Pandya, ), or BRS (Shah et al, ), respectively—rather than one's capacity to flexibly adapt to changing life circumstances.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the inconsistencies between the studies' definition and measurement choice may lead to a conceptual gap between the researchers and study participants. For example, in one of the included studies, the authors noted that “we understand the BRS as a way to measure resiliency that changes over time; however, if responders interpreted the items to be measuring a static trait, it may limit the scale's effectiveness” (Shah et al, , p.8). None of the included studies, however, provided information as to how the assessment tools were administered in a manner that could ensure researchers and study participants share the same definition of resiliency.…”

Section: Discussionmentioning

confidence: 99%

“…RS was employed to measure parent resiliency, and the author reported that parent resiliency was increased post-programme.Yi-Fraizer et al (2017) found that a resiliency promotion intervention targeting parents of children with type 1 diabetes improved the parents' ability to cope with stress. The intervention comprised four skill-based modules and resiliency was measured by CD-RISC.The other two intervention-based studies assessed the influence of interventions targeted at promoting general rehabilitation or health outcomes and well-being of the study sample Shah et al (2018). used the BRS to assess the influence of a nurse-led transitional home visit on parents of children with chronic conditions after their children were discharged from the hospital.…”

mentioning

confidence: 99%

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Assessing resiliency in paediatric rehabilitation: A critical review of assessment tools and applications

Seko

Lamptey²,

Nalder

et al. 2020

Child

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Backgrounds Resiliency has attracted a growing interest in paediatric rehabilitation as a key capacity for disabled children and their families to thrive. This study aimed to identify measures used to assess resiliency of disabled children/youth and their families and critically appraise the current use of resiliency measures to inform future research and practice. Methods A two‐stage search strategy was employed. First, systematic reviews of resiliency measures published since 2000 were searched. Second, full names of measures identified in at least two systematic reviews were searched across four electronic databases. Included studies assessed resiliency among children/youth (0–18 years old) with chronic health conditions and/or disabilities and their families. Identified articles were then analysed to discern the study's definition of resiliency, authors' rationales for measurement selection, and types of perceived adversities facing the study participants. Results From an initial yield of 25 measures identified in five systematic reviews, 11 were analysed in two or more reviews. The second stage yielded 41 empirical studies published between 2012 and 2018, which used 8 of the 11 resiliency measures searched by name. Of 41, 17 studies measured resiliency of disabled children/youth, 23 assessed resiliency within family members, and 1 studied both children/youth and their families. Our critical appraisal identified inconsistencies between the studies' definition of resiliency and chosen measures' operationalization, implicit assumption of disabilities as a developmental risk that automatically results in life adversities, and the tendency among family studies to reduce resiliency down to stress coping skills. Research that encompasses contextual factors and developmental influences is lacking. Conclusions There is a need for a situated measurement approach that captures multiple interacting factors shaping resiliency over one's life course. Resiliency measures would benefit from a greater focus on a person–environment transaction and an alternative definition of resiliency that accounts for multiple capacities to navigate through disabling environments.

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An Examination of Post-Traumatic Stress Symptoms and Aggression among Children with a History of Adverse Childhood Experiences

McRae

Stoppelbein

O’Kelley

et al. 2021

J Psychopathol Behav Assess

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Parental Adverse Childhood Experiences and Resilience on Coping After Discharge

Abstract: More parental adversity and less resilience are associated with parental coping difficulties after discharge, representing potentially important levers for transition-focused interventions.

Cited by 19 publications

References 34 publications

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

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

Assessing resiliency in paediatric rehabilitation: A critical review of assessment tools and applications

An Examination of Post-Traumatic Stress Symptoms and Aggression among Children with a History of Adverse Childhood Experiences

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