The Relationship Between Adverse Childhood Events, Resiliency and Health Among Children with Autism

Rigles, Bethany

doi:10.1007/s10803-016-2905-3

Cited by 66 publications

(51 citation statements)

References 51 publications

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“…Using data from the 2011–2012 National Survey of Children’s Health (NSCH), Berg et al (2016) found that a caregiver-reported ASD diagnosis was associated with higher probability of experiencing 1–3 and ≥ 4 ACEs in US children, after controlling for poverty and residential disadvantage. Building upon these findings, Rigles (2016) found ACEs to be negatively associated with health and mental health, but not resiliency (a protective factor that can be eroded by ACEs; Tiet et al, 1998), in children with ASD in the NSCH.…”

Section: Introductionmentioning

confidence: 86%

“…The findings of Berg et al (2016) and Rigles (2016) provide compelling and novel evidence of disparities in both ACEs and mental health outcomes in children with and without ASD. However, they do not fully illustrate how the varied clinical profiles of children with ASD may moderate or contribute to these relationships.…”

Section: Introductionmentioning

confidence: 94%

“…Research suggests that individuals with autism spectrum disorder (ASD) experience a greater number of adverse childhood experiences (ACEs; Felitti et al, 1998) that may compromise their chances for optimal physical and mental health outcomes (Berg et al, 2016; Rigles, 2016). Using data from the 2011–2012 National Survey of Children’s Health (NSCH), Berg et al (2016) found that a caregiver-reported ASD diagnosis was associated with higher probability of experiencing 1–3 and ≥ 4 ACEs in US children, after controlling for poverty and residential disadvantage.…”

Section: Introductionmentioning

confidence: 99%

“…Though Berg et al (2016) and Rigles (2016) included poverty as a covariate in their regression models, this approach may obscure a differential relationship between ACEs and ASD by poverty level (e.g., a vulnerability to ACEs in children with ASD and financial insecurity), a pattern discernable by stratification.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Brief Report: Examining the Association of Autism and Adverse Childhood Experiences in the National Survey of Children’s Health: The Important Role of Income and Co-occurring Mental Health Conditions

Kerns

Newschaffer

Berkowitz

et al. 2017

J Autism Dev Disord

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Adverse childhood experiences (ACEs) are risk factors for mental and physical illness and more likely to occur for children with autism spectrum disorder (ASD). The present study aimed to clarify the contribution of poverty, intellectual disability and mental health conditions to this disparity. Data on child and family characteristics, mental health conditions and ACEs were analyzed in 67,067 youth from the 2011–2012 National Survey of Children’s Health. In an income-stratified sample, the association of ASD and ACEs was greater for lower income children and significantly diminished after controlling for child mental health conditions, but not intellectual disability. Findings suggest that the association of ACEs and ASD is moderated by family income and contingent on co-occurring mental health conditions.

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Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Brief Report: Examining the Association of Autism and Adverse Childhood Experiences in the National Survey of Children’s Health: The Important Role of Income and Co-occurring Mental Health Conditions

Kerns

Newschaffer

Berkowitz

et al. 2017

J Autism Dev Disord

View full text Add to dashboard Cite

show abstract

“…Importantly, though less often discussed, adverse life experiences may also increase the risk for anxiety in individuals with ASD [45]. For example, individuals with ASD frequently experience limited opportunities to express preferences and make choices, are at greater risk for being bullied, and exhibit extensive unmet needs throughout the lifespan and across dimensions of social, psychological, and medical support [46–49].…”

Section: Presentation and Origins Of Anxiety Disorders In Asdmentioning

confidence: 99%

Anxiety Disorders and Obsessive-Compulsive Disorder in Individuals with Autism Spectrum Disorder

Postorino

Kerns

Vivanti

et al. 2017

Curr Psychiatry Rep

144

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Purpose of Review This review aims to synthesize the most recent research on anxiety disorders and obsessive-compulsive disorder (OCD) in individuals with autism spectrum disorder (ASD) and discuss the relationship between these conditions and challenges for assessment. Furthermore, implications for treatment and future directions are discussed. Recent Findings Research suggests that anxiety disorders and OCD are highly prevalent in individuals with ASD. However, the significant overlap of ASD features with anxiety and OCD symptomology makes differential diagnosis of these disorders particularly challenging. Though several treatments for anxiety have been adapted for youth with ASD (e.g., cognitive behavior therapy), pharmacological treatments and treatments for adults are still marked undeveloped. Summary Despite the high prevalence of anxiety disorders and OCD in ASD and some recent advances in assessment and treatment, research is needed to clarify the multifaceted relationship of these conditions and develop tailored assessment and treatment approaches appropriate for a full range of individuals with ASD.

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Intergenerational trauma: Parental PTSD and parent‐reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection

2022

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Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94 years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed.

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The Relationship Between Adverse Childhood Events, Resiliency and Health Among Children with Autism

Cited by 66 publications

References 51 publications

Brief Report: Examining the Association of Autism and Adverse Childhood Experiences in the National Survey of Children’s Health: The Important Role of Income and Co-occurring Mental Health Conditions

Brief Report: Examining the Association of Autism and Adverse Childhood Experiences in the National Survey of Children’s Health: The Important Role of Income and Co-occurring Mental Health Conditions

Anxiety Disorders and Obsessive-Compulsive Disorder in Individuals with Autism Spectrum Disorder

Intergenerational trauma: Parental PTSD and parent‐reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection

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