Tagged With "civil conflict"

By World Health Organization (photo by WHO/Malin Bring) The findings of a new study on the life-course health consequences and associated annual costs of adverse childhood experiences (ACEs) show that preventable trauma in childhood costs north America and the European Region US$ 1.3 trillion a year. The article, published in the Lancet and co-authored by Dinesh Sethi and Jonathon Passmore, Programme Manager, Violence and Injury Prevention, WHO/Europe, looks at the legacy of ACEs and their...

The University of Florida College of Public Health and Health Professions partnered with Peace4Tarpon under the Robert Wood Johnson Mobilizing Action for Resilient Communities (MARC) grant. Together they created 2 online graduate courses that focus on addressing ACEs and creating trauma-informed and resilience-based programs from a public health approach. Peace4Gainesville and Peace4 TheBigBend have also contributed to these courses. This post is intended to showcase some of the work of the...

By Nadia Akseer, Arjumand Rizvi, Zaid Bhatti, et al., JAMA Network Open, November 8, 2019 Key Points Question: Is conflict severity associated with the performance of health systems and population health outcomes in Afghanistan during the 2003 to 2018 reconstruction period? Findings: In this survey study of 64 815 women in Afghanistan, notable health and health system improvements were made despite increasing conflict after 2010. However, regions with greater conflict had lower gains in...

When I look at Victoria through a clearer lens, there are many clues—her anxiety, troubled marriage and family life, avoidance of physically intrusive examina- tions. I realize that I hardly know her at all. I focus on her health issues, and despite many stumbles, we have a nice rapport. I accept whatever she is willing to share about her tumultuous home life, but I do not ask how it all came to be so. Now I float with her in a reservoir of pain and shame.

Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...

At this point, COVID-19 has been a part of our lives for nearly six months now. While the most recent current events are not unfamiliar social problems, this pandemic has provided us with a stronger lens with which to see many of the underlying inequities within our communities. This article, “The Moral Determinants of Health,” explores these inequities by illustrating the systemic imbalances within the field of medicine and the amount of resources we allocate to solving problems as opposed...

By : Ahmad Jabri, MD ; Ankur Kalra, MD ; Ashish Kumar, MBBS ; et al, July 9, 2020, JAMA. Question Is psychological, social, and economic stress associated with coronavirus disease 2019 (COVID-19) associated with the incidence of stress cardiomyopathy? See attached pdf - or [ Please click here to read more. ]

“In order to cope,” writes Mary Trump, “Donald began to develop powerful but primitive defenses, marked by an increasing hostility to others and a seeming indifference to his mother’s absence and father’s neglect….In place of [his emotional needs] grew a kind of grievance and behaviors—including bullying, disrespect, and aggressiveness—that served their purpose in the moment but became more problematic over time. With appropriate care and attention, they might have been overcome.”

A patient-centered approach to opioid tapers must account for the reality that many people who are given a prescription for an opioid to treat pain have significant mental health conditions—for which opioids act as a psychotropic agent. An opioid taper must therefore address psychological trauma, in particular.

The downstream effect of childhood trauma has been well documented regarding the biological and psychosocial impacts. This presentation will highlight the neurobiological changes associated with ACEs that function as a "primer" for the onset of addiction and related behaviors. It will conclude with principles for influencing these same pathways that assist with restoration of the mind and health downstream effect of childhood trauma has been well documented regarding the biological and...

Each year, STAR hosts a Trauma-Informed Care Conference to help educate the next generation of leaders and build a strong network of Trauma-Informed professionals in the state of Georgia. The conference will be held on Saturday, October 3rd from 10:00am- 1:00pm EST and Sunday, October 4th , 2020 from 2:00pm-5:00pm EST conducted virtually via Zoom.

By Christin Bergmann , Thomas Muth , Adrian Loerbroks , 2019 Dec;24(1):1603526. doi: 10.1080/10872981.2019.1603526. Abstract Background: Medical students have been found to experience considerable stress due to their academic studies. The high demands associated with academic studies may interfere with demands in other domains of life. Conversely, demands in those other domains of life may conflict with academic studies. Objective: We aimed to better understand the potential...

By Corina Benjet, PhD; William G. Axinn, PhD; Sabrina Hermosilla, PhD; Paul Schulz, MS; Faith Cole, BA; Laura Sampson, PhD; Dirgha Ghimire, PhD. JAMA Netw Open. 2020; 3(11):e2019848. Question Is neighborhood-level violence associated with incidence of major depressive disorder (MDD) during and after armed conflict? Findings In a cohort study including 10 623 participants within 151 neighborhoods in Nepal, the occurrence of 2 or more beatings within 1 km was associated with incidence of MDD...

Sharing our recent publication of data on ACEs and immune cell gene expression

It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...

It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...

Recurring nightmares lead to much needless suffering for survivors of adverse childhood experiences—suffering that goes well beyond disturbed sleep. Five steps help take back the night.

Life is hard. None of us makes it through unscathed. Unfortunately, though, some of us have a much tougher journey on this planet than others. Most distressingly of all, children and babies are by no means immune from the wounds that this world all too often inflicts. Indeed, for many children, trauma is not a future threat but a present reality. And these adverse childhood experiences (ACE) can have a devastating long-term impact across all domains of a child’s life. This includes...

Although the USPSTF in its publications and analyses recognizes that child abuse and neglect trauma strongly contributes to suicide ideation and completion, it does not recommend or endorse ACE screening or otherwise discuss it. Suicide ( Evidence Synthesis, Number 221, Screening for Depression, Anxiety, and Suicide Risk in Children and Adolescents: An Evidence Review for the U.S. Preventive Services Task Force) " Suicide is the second leading cause of death among youth ages 10 to 19 years.

The Mr. Nice Guy Syndrome is a curious mixture of appealing strengths, insecurities, and problematic behaviors rooted in adverse childhood experiences. Mr. Nice Guy compensates for hidden childhood wounds by struggling to do everything right, but the syndrome's limited gains come at a cost. The syndrome suggests strategies for a more satisfying adulthood and better relationships.

The Mr. Nice Guy syndrome's dysfunctional thought patterns are common in survivors of adverse childhood experiences. Uprooting these patterns can improve self-esteem and relationships.