The Clinical Adverse Childhood Experiences (ACEs) Questionnaire: Implications for Trauma-Informed Behavioral Healthcare

Murphy, Anne; Steele, Howard; Steele, Miriam; Allman, Brooke; Kastner, Theodore A.; Dube, Shanta R.

doi:10.1007/978-3-319-31815-8_2

Cited by 45 publications

(37 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present study it seems that that multiple additional ACEs (Number of placements in residential care, Parents in debt and a Problematic caregiver-child relationship) and living circumstances of the child (a Mother with ID and Parents with ACEs, a Parent involved with justice and Parents experiencing limited parenting competence) were positively related to the presence of ACEs in children. As expected, the results showed a relationship between the presence of ACEs or ID in parents and the presence of ACEs in children and correspond to scientific literature on ACEs and ID, describing that children born to mothers with ID or parents with ACEs are at high risk of adverse experiences and attachment problems in which dysfunctional rearing and impaired caregiving play a mediating role [ 68 , 75 , 80 , 89 , 90 , 91 , 92 ]. Multivariate linear regression analysis underlined the importance of family living characteristics as both Child characteristics (30.5%) and Living characteristics (38.2%) explained a significant proportion in the number of ACEs.…”

Section: Discussionsupporting

confidence: 86%

“…A considerable number of children had parents with ACEs (28.6%), which correlated positively with the total number of ACEs from the original ACEs framework in children and the presence of Parental substance abuse, Parental incarceration, the child being a Witness of violence against a parent and the child experiencing Physical abuse and Emotional neglect specifically. Because parental ACEs are assumed to have a transgenerational relationship with dysfunctional rearing behavior, parental coping problems and mental health problems in their children, including attachment problems [ 64 , 68 , 80 , 89 , 90 ], it is plausible that children of these parents are at higher risk for ACEs themselves.…”

Section: Discussionmentioning

confidence: 99%

“…Impaired caregiving might play a role in the chronicity of the ACEs in children [ 68 ]. Parental ACEs may also influence attachment in the next generation, leading to difficulties in parenting and parent-child relationships [ 89 , 90 ]. Attachment was also found to have a mediating role in the associations between childhood adversity and health [ 91 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

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).

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

show abstract

“…Adverse childhood experiences such as child abuse and neglect are linked to leading causes of death such as heart disease, hypertension, cancer, obesity, and smoking, as well as to psychological and behavioral problems, ranging from internalizing to externalizing disorders (Murphy et al., ). One key mediator potentially linking child maltreatment to multidimensional problems later in life is the parent–child attachment relationship (Berzenski, Yates, & Egeland, ).…”

Section: Discussionmentioning

confidence: 99%

International child abuse prevention: insights from ACT Raising Safe Kids

Howe

Knox

Altafim

et al. 2017

Child Adoles Ment Health

View full text Add to dashboard Cite

Background: Evidence-based practices are often viewed as lofty goals endorsed by wealthy academics in developed nations, but impossible to implement in other contexts. This article will provide evidence suggesting that, to the contrary, we can indeed scale up western-developed parenting interventions that can be both effective and warmly received by parents in diverse cultural and economic contexts. Methods/Results: This paper gives a brief overview of the ACT Raising Safe Kids Program and summarizes the results of evaluation studies done with parents around the world. It discusses specific strategies facilitators use to modify the program as necessary to fit cultural contexts while also maintaining fidelity, implementing the manualized curriculum under varied, and complex circumstances. Conclusions: It is hoped that the lessons learned from our work will inspire practitioners to adapt ACT or other programs to diverse contexts, evaluate those programs, and thereby improve the mental health and life trajectories of children and families around the world. Key Practitioner Message• Evidence-based parenting interventions work to increase nurturing and decrease harsh parenting practices.• The ACT Raising Safe Kids program is an example of a western-developed, evidence-informed program that is affordable, flexible, and highly portable; it can be implemented with caregivers from diverse cultures in virtually any setting.• Well-trained mental health providers and program implementers and evaluators can effectively work with parents from diverse backgrounds to reduce coercive parenting practices and prevent child abuse.

show abstract

“…A number of cross-sectional and longitudinal studies regarding traumatic experiences indicate a far higher prevalence of exposure to trauma than once believed (Anda, Felitti, & Corwin, 2014;Cronholm et al, 2015;Felitti et al, 1998;Murphy et al, 2016). Findings from the CDC-Kaiser Permanente Adverse Child Experiences (ACE) study reveal a graded dose-response relationship between ACEs and negative health and well-being outcomes across the lifespan (Anda et al, 2014).…”

mentioning

confidence: 99%