[Editor's note: Dr. Harise Stein at Stanford University edits a web site -- abuseresearch.info -- that focuses on the health effects of abuse, and includes research articles on ACEs. Every month, she's posting the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens]
Brown NM, Brown SN, Briggs RD, et. al.
Associations Between Adverse Childhood Experiences and ADHD Diagnosis and Severity. Acad Pediatr. 2017 May - Jun;17(4):349-355. PMID: 28477799
“ACEs are prevalent among a large, nationally representative sample of children with ADHD…Enhanced efforts to identify ACEs should be an important component of ongoing efforts to optimize ADHD evaluation methods, diagnosis, and management.” [And ADHD may be misdiagnosed.]
Bymaster A, Chung J, Banke A, Choi HJ, Laird C.
A Pediatric Profile of a Homeless Patient in San Jose, California. J Health Care Poor Underserved. 2017;28(1):582-595. PMID: 28239020
“Santa Clara County has both the highest median income and the highest rate of unsheltered homelessness in the nation.” In this survey of the homeless population in Santa Clara County, CA, 5+ ACEs were prevalent in almost 70%. 76% recalled at least one traumatic brain injury, 58.4% with loss of consciousness. 19% were in foster care as children, and 40.2% reported having someone other than a parent as a primary caregiver. 37.5% had experienced homelessness as children. “The majority of homeless people have experienced massive trauma as children, including damaging abuse, neglect, household distress, traumatic brain injuries, and home and family instability.” [VHHP = Valley Homeless Healthcare Program]
Basto-Pereira M, Miranda A, Ribeiro S, Maia Â.
Growing up with adversity: From juvenile justice involvement to criminal persistence and psychosocial problems in young adulthood. Child Abuse Negl. 2016 Dec;62:63-75. PMID: 27794243
For 75 Portuguese young adults with a juvenile justice record, compared to a similar community sample, after an ACE survey the strongest predictor of juvenile justice involvement and criminal persistence during early adulthood was a history of childhood sexual abuse.
Rahman A, Perri A, Deegan A, Kuntz J, Cawthorpe D.
On Becoming Trauma-Informed: Role of the Adverse Childhood Experiences Survey in Tertiary Child and Adolescent Mental Health Services and the Association with Standard Measures of Impairment and Severity. Perm J. 2018;22. PMID: 29401055
Discussion of the role of ACEs in child and adolescent mental health services. “A child presenting with anxiety and a high ACE score likely requires treatment that is different from a child presenting with anxiety and an ACE score of zero. The ACE survey score is an important index of presenting clinical status that guides patient care planning and intervention.”
Goldstein E, Murray-García J, Sciolla AF, Topitzes J.
Medical Students' Perspectives on Trauma-Informed Care Training. Perm J. 2018;22. PMID: 29401053
Description of a 6 hour training program for medical students covering recognition of clinical manifestations of ACEs in adult patients, how to ask and respond appropriately, and how to identify resources for patients.
Mersky JP, Janczewski CE, Topitzes J.
Rethinking the Measurement of Adversity. Child Maltreat. 2017 Feb;22(1):58-68. PMID: 27920222
Systematic approach to “second generation of ACE research”, testing the original 10 ACEs with 7 potential ACEs in a sample of 1241 low income Wisconsin women receiving home visiting services. Additional ACEs included family financial problems, food insecurity, homelessness, parental absence, parent/sibling death, bullying, and violent crime.
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