scholarly journals Associations of adverse and positive childhood experiences with adult physical and mental health and risk behaviours in Slovenia

2021 ◽  
Vol 12 (1) ◽  
pp. 1924953
Author(s):  
Metka Kuhar ◽  
Gaja Zager Kocjan
2021 ◽  
Author(s):  
Peter Phiri ◽  
Isabel Clarke ◽  
Lydia Baxter ◽  
Kathryn Elliot ◽  
Shanaya Rathod ◽  
...  

Traumatic experiences are known to have a significant impact upon one’s physical and mental health. Post-traumatic stress disorder (PTSD) is understood to be a common mental health consequence of trauma. However, Complex Trauma and consequences of adverse childhood experiences appear more prevalent and a serious public health concern that hinders the individual’s daily existence, thus emphasising the need to implement a culturally free treatment intervention. In this chapter, we begin by introducing traumatic experiences in several contexts and explore the treatment for trauma. It will focus on a research study that employs Comprehend, Cope and Connect (CCC), a third wave CBT approach, to deliver a culturally free form of therapy that has been adapted for individuals from diverse populations. The CCC approach’s relevance to cultural adaptation is explained and discussed through the use of two case examples from the main study. The Culture Free study found that CCC was both feasible and acceptable in diverse populations, echoing existing research on cultural adaptations which found use of mindfulness to be accepted and appreciated as an effective intervention that can elicit concrete positive change across a broad range of mental health presentations, including trauma and trans-diagnostically. Further investigations utilising a robust methodology and powered sample are warranted in particular with diverse populations presenting with complex trauma.


BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022265 ◽  
Author(s):  
Teresa N Brockie ◽  
Jessica H L Elm ◽  
Melissa L Walls

ObjectivesThe purpose of this study was to determine the frequency of select adverse childhood experiences (ACEs) among a sample of American Indian (AI) adults living with type 2 diabetes (T2D) and the associations between ACEs and self-rated physical and mental health. We also examined associations between sociocultural factors and health, including possible buffering processes.DesignSurvey data for this observational study were collected using computer-assisted survey interviewing techniques between 2013 and 2015.SettingParticipants were randomly selected from AI tribal clinic facilities on five reservations in the upper Midwestern USA.ParticipantsInclusion criteria were a diagnosis of T2D, age 18 years or older and self-identified as AI. The sample includes n=192 adults (55.7% female; mean age=46.3 years).Primary measuresWe assessed nine ACEs related to household dysfunction and child maltreatment. Independent variables included social support, diabetes support and two cultural factors: spiritual activities and connectedness. Primary outcomes were self-rated physical and mental health.ResultsAn average of 3.05 ACEs were reported by participants and 81.9% (n=149) said they had experienced at least one ACE. Controlling for gender, age and income, ACEs were negatively associated with self-rated physical and mental health (p<0.05). Connectedness and social support were positively and significantly associated with physical and mental health. Involvement in spiritual activities was positively associated with mental health and diabetes-specific support was positively associated with physical health. Social support and diabetes-specific social support moderated associations between ACEs and physical health.ConclusionsThis research demonstrates inverse associations between ACEs and well-being of adult AI patients with diabetes. The findings further demonstrate the promise of social and cultural integration as a critical component of wellness, a point of relevance for all cultures. Health professionals can use findings from this study to augment their assessment of patients and guide them to health-promoting social support services and resources for cultural involvement.


2019 ◽  
pp. 125-142
Author(s):  
Usha S. Nayar ◽  
Priya Nayar

The new media is characterized by the convergence of technologies that allow information to be acquired, sorted, packaged and transmitted in multiple ways. This chapter focusses on how new media use has provided an opportunity to young people and affected their everyday lives. It also draws attention to the risk behaviours among young people associated with excessive television viewing. Some of the examples include physical and mental health issues around aggression, cyberbullying, addiction, violence, obesity, and loss of values. The empowerment potential of new media tools and technologies for adolescent self-identity is also examined. The problem of accessibility to new media and the increasing socio-economic divide are also examined. The issue of media policies for regulation vs. human rights is also discussed. The authors note the paucity of research in this area and indicate the need for further research.


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