Specific adverse childhood experiences and their association with other adverse childhood experiences, asthma and emotional, developmental and behavioral problems in childhood

Thompson, Lindsay A.; Filipp, Stephanie L.; Mack, Jasmine A; Mercado, Rebeccah; Barnes, Andrew J.; Bright, Melissa; Shenkman, Louis; Gurka, Matthew J.

doi:10.1038/s41390-020-0784-y

Cited by 24 publications

(18 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Detailed patient interviews revealed that childhood abuse was common and predated their obesity; thus, obesity was a self-protective solution to prior adverse experiences and not their primary problem. With Robert Anda and others, Felitti designed the ACEs Study, which surveyed 9,508 adults about ten adverse experiences( 32 , 41 – 43 ). Compared to individuals with no ACEs, persons exposed to four or more ACEs had 4- to 12-fold higher risks for drug abuse, alcoholism, depression, and suicide, 2- to 4-fold increased risks for smoking, poor health, multiple sexual partners, and sexually transmitted diseases, and 1.4- to 1.6-fold increased risks for physical inactivity and obesity( 38 , 40 ).…”

Section: Measures Of Early Life Adversitymentioning

confidence: 99%

“…The increasing prevalence of ACEs is a major public health concern( 31 , 32 , 44 , 45 ). In the ACEs study, 63.5% of adults recalled at least one ACE and 12% recalled 4 or more ACEs( 46 ).…”

Section: Prevalence Of Adverse Childhood Experiencesmentioning

confidence: 99%

“…If clinic-screened ACEs do not relate to recent trauma and the patient appreas asymptomatic, the next steps remain unclear( 42 , 45 ). Potential outcomes of this policy may include unnecessary referrals to Child Protective Services or pediatric subspecialists( 32 , 45 ). The inconsistent description of ACEs in different inventories highlights the broader point that there is no consensus on how to define childhood adversity or grade its intensity( 46 ).…”

Section: Limitations Of the Aces Scorementioning

confidence: 99%

See 2 more Smart Citations

The social ecology of childhood and early life adversity

et al. 2021

View full text Add to dashboard Cite

An increasing prevalence of early childhood adversity has reached epidemic proportions, creating a public health crisis. Rather than focusing only on adverse childhood experiences (ACEs) as the main lens for understanding early childhood experiences, detailed assessments of a child’s social ecology are required to assess ‘early life adversity’. These should also include the role of positive experiences, social relationships, and resilience-promoting factors. Comprehensive assessments of a child’s physical and social ecology not only require parent/caregiver surveys and clinical observations, but also include measurements of the child’s physiology using biomarkers. We identify cortisol as a stress biomarker and posit that hair cortisol concentrations represent a summative and chronological record of children’s exposure to adverse experiences and other contextual stressors. Future research should use a social ecological approach to investigate the robust interactions among adverse conditions, protective factors, genetic and epigenetic influences, environmental exposures, and social policy, within the context of a child’s developmental stages. These contribute to their physical health, psychiatric conditions, cognitive/executive, social, and psychological functions, lifestyle choices, and socioeconomic outcomes. Such studies must inform preventive measures, therapeutic interventions, advocacy efforts, social policy changes, and public awareness campaigns to address early life adversities and their enduring effects on human potential.

show abstract

Section: Measures Of Early Life Adversitymentioning

confidence: 99%

Section: Prevalence Of Adverse Childhood Experiencesmentioning

confidence: 99%

Section: Limitations Of the Aces Scorementioning

confidence: 99%

See 1 more Smart Citation

The social ecology of childhood and early life adversity

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Adverse childhood experiences (ACEs) are traumatic events occurring before the age of 18 and are considered an increasing public health crisis. ACEs affect cognitive [ 28 ], social and emotional [ 29 , 30 ], financial [ 31 ], and physical health [ 32 ] domains across the lifespan, with racial and ethnic minorities disproportionally affected [ 33 ].…”

Section: Psychological Co-morbiditiesmentioning

confidence: 99%

The Scarcity of Literature on the Psychological, Social, and Emotional Effects of Gastroparesis in Children

Taft

Doerfler

Edlynn³

et al. 2020

Children

View full text Add to dashboard Cite

Gastroparesis (GP) is a chronic, gastric dysmotility disorder with significant morbidity and mortality. The hallmark of GP is the delayed emptying of the contents of the stomach in the absence of any mechanical obstruction. Patients most commonly report chronic symptoms of nausea, vomiting, feeling full quickly when eating, bloating, and abdominal pain. Treatments are limited with relatively poor efficacy. As such, children with GP are at significant risk for the development of psychological co-morbidities. In this paper, we provide a topical review of the scientific literature on the psychological, social, and emotional impacts of gastroparesis in pediatric patients. We aim to document the current state of research, identify gaps in our knowledge with appropriate recommendations for future research directions, and highlight the unique challenges pediatric patients with GP and their families may face as they manage this disease. Based on the current review, research into the psychosocial impacts in children with GP is essentially non-existent. However, when considering research in children with other chronic digestive diseases, children with GP are likely to face multiple psychosocial challenges, including increased risk for anxiety and depression, stigma, and reduced quality of life. These significant gaps in the current understanding of effects of GP across domains of childhood functioning allow for ample opportunities for future studies to address psychosocial outcomes.

show abstract

“…[3][4][5][6] An analysis of the 2016 cross-sectional National Survey of Children's Health (NSCH; http://childhealthdata.org/learn/nsch) found that parent responses to two of the nine ACE questions, (parental divorce/separation and family income instability) was associated with a fourfold increase in emotional, behavioral, and developmental problems in their children. 7 This study was a first to suggest a brief preliminary universal screener as a start to the process of providing trauma-informed care to children as they grow. Even though there are national directives to screen and support children, 8 it is unknown whether pediatricians in primary care can efficiently screen using this brief screener and whether parents would more willingly answer two ACE questions compared to a longer nine question screener, thereby reducing one barrier to systematic screening for ACEs.…”

Section: Introductionmentioning

confidence: 99%