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ACEs Research Corner - January 2019

 

[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 will post the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! -- Jane Stevens]

Houtepen LC, Hardy R, Maddock J, et. al.
Childhood adversity and DNA methylation in two population-based cohorts. Transl Psychiatry. 2018 Dec 3;8(1):266. PMID: 30510187
Using data from 2 different large UK groups of middle-aged women, methylation (changes to DNA caused by external circumstances) was consistently found in certain gene regions for the circumstances of larger total ACE score, parental mental illness, parental physical illness, and parental death.

Bellis MA, Hughes K, Ford K, et. al.
Does adult alcohol consumption combine with adverse childhood experiences to increase involvement in violence in men and women? A cross-sectional study in England and Wales. BMJ Open. 2018 Dec 6;8(12):e020591. PMID: 30523131In this UK survey study, younger age, being male, alcohol abuse, and having 4 or more ACEs had a cumulative effect on IPV perpetration. [Audit-C = alcohol screen] 

Esden JL.
Adverse childhood experiences and implementing trauma-informed primary care. Nurse Pract. 2018 Dec;43(12):10-21. PMID: 30379710 
Review of ACEs for nurse practitioners in a primary care setting, including the 4 E’s model of trauma-informed care – educate, empathize, explain, and empower. 

Finkelhor D.
Screening for adverse childhood experiences (ACEs): Cautions and suggestions. Child Abuse Negl. 2018 Nov;85:174-179. PMID: 28784309 
“This article argues that it is still premature to start widespread screening for adverse childhood experiences (ACE) in health care settings until we have answers to several important questions: 1) what are the effective interventions and responses we need to have in place to offer to those with positive ACE screening, 2) what are the potential negative outcomes and costs to screening that need to be buffered in any effective screening regime, and 3) what exactly should we be screening for? The article makes suggestions for needed research activities.”

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