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PACEs in Pediatrics

ACEs Research Corner — July 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's posting  the summaries of the abstracts and links to research articles that address only ACEs. Thank you, Harise!! — Jane Stevens]

Wang X, Maguire-Jack K. 
Family and Environmental Influences on Child Behavioral Health: The Role of Neighborhood Disorder and AdverseChildhood Experiences. J Dev Behav Pediatr. 2018 Jan;39(1):28-36. PMID: 28914730
“Neighborhood disorder is associated with higher levels of ACEs and is both directly and indirectly (through its relation with ACEs) negatively related to child behavioral health. Screening for ACEs for children living in disordered neighborhoods may help reduce those experiences and their impacts in this high-risk population.”

McEwen CA, Gregerson SF.
A Critical Assessment of the Adverse Childhood Experiences Study at 20 Years. Am J Prev Med. 2019 Jun;56(6):790-794. PMID: 30803781
On the 20thanniversary of the seminal research by Drs. Felitti and Anda, authors provide a broader framework including the social determinants of health, new research on the biology/neuroscience of early childhood adversity, understand protective factors, and incorporating individual therapeutic interventions and primary prevention efforts.

Grissom M, Iroku-Malize T.
Outcomes of Adverse Childhood Experiences. FP Essent. 2019 May;480:11-15. PMID: 31063340
General review article.

Alm S, Brolin Låftman S, Bohman H.
Poor Family Relationships in Adolescence and the Risk of Premature Death: Findings from the Stockholm Birth Cohort Study. Int J Environ Res Public Health. 2019 May 14;16(10). pii: E1690. PMID: 31091771
For Swedish individuals born in 1953 who were followed until the age of 65, “poor family relationships in adolescence had an independent and long-lasting negative effect in terms of an increased risk of premature death. The associations were clear and robust even when adjusting for household social class in childhood and a range of adverse childhood experiences.”

Kuhlman KR, Robles TF, Bower JE, Carroll JE.
Screening for childhood adversity: the what and when of identifying individuals at risk for lifespan health disparities. J Behav Med. 2018 Aug;41(4):516-527. PMID: 29603040
Effect of cumulative childhood adversity on common heath conditions in adulthood for males and females.

Hargreaves MK, Mouton CP, Liu J, Zhou YE, Blot WJ.
Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population. J Health Care Poor Underserved. 2019;30(2):749-767. PMID: 31130549
Of 38,200 adults with mean age 54, 2/3 African American, from community health centers across 12 Southeastern states, higher ACEs were associated with more doctor visits, more ER visits, and having 3 or more chronic diseases.   

Quilliot D, Brunaud L, Mathieu J, et. al.
Links between traumatic experiences in childhood or early adulthood and lifetime binge eating disorder. Psychiatry Res. 2019 Jun;276:134-141. PMID: 31082748
Of almost 1500 obese French patients, 34.9% reported binge eating disorder (BED). Of those with BED, 77.8% of females and 63.5% of males reported emotional neglect, 23.3% physical abuse, 17.7% witnessed domestic violence, and sexual abuse 11.8% of females vs. 2.8% of males.

Frewen P, Zhu J, Lanius R.
Lifetime traumatic stressors and adverse childhood experiences uniquely predict concurrent PTSD, complex PTSD, and dissociative subtype of PTSD symptoms whereas recent adult non-traumatic stressors do not: results from an online survey study. Eur J Psychotraumatol. 2019 May 8;10(1):1606625. PMID: 31105905
Using data from 418 online adult participants residing in Canada, looking at the effects of various life stressors on the occurrence of PTSD, complex PTSD and dissociative PTSD, “ACEs uniquely predicted all outcomes even after accounting for lifetime traumatic stress.”

Tsuyuki K, Al-Alusi NA, Campbell JC, et. al.
Adverse childhood experiences (ACEs) are associated with forced and very early sexual initiation among Black women accessing publicly funded STD clinics in Baltimore, MD. PLoS One. 2019 May 7;14(5):e0216279. PMID: 31063469
Of 241 Black women seen in a public health clinic in Baltimore for sexually transmitted infections, 12% (vs. national 3-10%) reported very early sexual initiation (11-12 years), and 29% (vs. national 7%) early sexual initiation (13-14 years). Increasing numbers of ACEs were associated with greater risk of very early sexual initiation. 

Karatekin C, Almy B.
Adverse Childhood Experiences 101: A Primer for Clinicians. Creat Nurs. 2019 May 1;25(2):87-102. PMID: 31085661
General review article.

Bethell CD, Gombojav N, Whitaker RC.
Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity. Health Aff (Millwood). 2019 May;38(5):729-737. PMID: 31059374
Using data from the National Survey of Children’s Health with US children ages 6-17, 40.3% were flourishing, indicated by: the child’s interest and curiosity in learning new things, persistence in completing tasks, and capacity to regulate emotions.  “At each level of adverse childhood experiences, household income, and special health care needs, the prevalence of flourishing increased in a graded fashion with increasing levels of family resilience and connection.”

 

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