438: The Relationship of Childhood Abuse, Neglect and Household Dysfunction to Premature Death of Family Members: Findings from the Adverse Childhood Experiences Study

Adverse Childhood Experiences (ACEs) are common and known to have consequences for individuals’ adult health, leading to a higher risk of illness. The aims of the study were to investigate the ACEs in couples, to examine the extent of assortative mating and to investigate the association between the relationship of the load of ACEs within couples and health outcomes, one year after the birth of a common child. At antenatal clinics in Sweden 818 couples were recruited and investigated one year after the birth of a common child answering a questionnaire including the exposure to ten ACE categories and several outcome variables. In total, 59% of both mothers and partners reported exposure to at least one of the ten ACE categories. Among the mothers 11% and among the partners 9% reported exposure to ≥4 ACE categories (p = 0.12). There was a correlation between the numbers of ACE categories reported by the mothers and their partners (Spearman’s ρ = 0.18, p<0.001). This association pertained to six of the ten ACE categories. In multiple logistic regression analyses, there were associations between the ACE exposure load and unfavourable outcomes among the mothers, the partners and within the couples. Unfavourable outcomes concerning health were most prominent in couples where both members reported exposures to ≥4 ACE categories (self-rated bad health (OR 13.82; CI 2.75–69.49), anxiety (OR 91.97; CI 13.38–632.07), depression (OR 17.42; CI 2.14–141.78) and perceived stress (OR 11.04; CI 2.79–43.73)). Mothers exposed to ACEs tend to have partners also exposed to ACEs. Exposure to ACEs was associated with bad health and unfavourable life conditions within the couples, especially among couples where both members reported exposure to multiple ACEs. These results should stimulate incentives to find, to support and to treat individuals and couples where both members report multiple ACEs. The consequences for the children should be further studied as well as how these families should be treated in health care and society.

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The relationship of adverse childhood experiences to adult medical disease, psychiatric disorders and sexual behavior: implications for healthcare

The Impact of Early Life Trauma on Health and Disease ◽

10.1017/cbo9780511777042.010 ◽

2011 ◽

pp. 77-87 ◽

Cited By ~ 135

Author(s):

Vincent J. Felitti ◽

Robert F. Anda

Keyword(s):

Sexual Behavior ◽

Psychiatric Disorders ◽

Adverse Childhood Experiences ◽

Childhood Experiences ◽

Medical Disease ◽

Adverse Childhood ◽

Relationship Of ◽

The Relationship

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The relationship of adverse childhood experiences to adult health: Turning gold into lead/ Belastungen in der Kindheit und Gesundheit im Erwachsenenalter: die Verwandlung von Gold in Blei

Zeitschrift für Psychosomatische Medizin und Psychotherapie ◽

10.13109/zptm.2002.48.4.359 ◽

2002 ◽

Vol 48 (4) ◽

pp. 359-369 ◽

Cited By ~ 54

Author(s):

Vincent J. Felitti

Keyword(s):

Adverse Childhood Experiences ◽

Adult Health ◽

Childhood Experiences ◽

Adverse Childhood ◽

Relationship Of ◽

The Relationship

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Childhood Abuse, Household Dysfunction and the Risk of Attempting Suicide in a National Sample of Secondary School and University Students

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2014.065 ◽

2014 ◽

Vol 2 (2) ◽

pp. 379-383 ◽

Cited By ~ 1

Author(s):

Marija Raleva ◽

Dimitrinka Jordanova Peshevska ◽

Izabela Filov ◽

Dinesh Sethi ◽

Antoni Novotni ◽

...

Keyword(s):

Secondary School ◽

University Students ◽

Physical Abuse ◽

Childhood Abuse ◽

Adverse Childhood Experiences ◽

Attempted Suicide ◽

Childhood Experiences ◽

Household Dysfunction ◽

Adverse Childhood ◽

Physical Neglect

OBJECTIVES: One of the main objectives of this paper is to analyze the associations between childhood abuse, household dysfunction and the risk of attempting suicide among young adolescents in the country.METHOD: A representative sample consisted of total 1277 students (58.6% female and 41.6% male), aged 18 and above in year four of 664 secondary school and 613 first- and second-year university students. The data were obtained using Adverse Childhood Experiences Study Questionnaires (Family Health History Questionnaire) for collecting information on child maltreatment, household dysfunction and other socio-behavioural factors, applying WHO/CDC-recommended methodology. Statistical significance was set up at p<0.05.RESULTS: Emotional neglect, physical abuse and physical neglect were the most frequent abusive experiences students had. Overall, suicide attempts were reported by 3.1 % of respondents (4.7% by females and 0.8% by males). Those respondents who had been emotionally abused were almost three times as likely to attempt suicide, physical abuse almost doubles the chances of attempting suicide, substance abuse in the family increased the chances 2.3 times for attempting suicide, violent treatment of the mother almost quadrupled them for attempted suicide, having a family member who had been in prison increased the odds of almost 3.5 times for attempting suicide. Attempted suicide was found to be 1.5 times more likely as the number of ACEs reached 3 and 3.4 times more likely as the number of adverse childhood experiences reached four or more. CONCLUSION: Identifying and treating children, adolescents and young adults who have been affected by adverse childhood experiences may have substantial value in our evolving efforts to prevent suicide.

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Mentalization and Dissociation after Adverse Childhood Experiences

10.21203/rs.3.rs-907657/v1 ◽

2021 ◽

Author(s):

Jolana Wagner-Skacel ◽

David Riedl ◽

Hanna Kampling ◽

Astrid Lampe

Keyword(s):

Indirect Effect ◽

Early Treatment ◽

Adverse Childhood Experiences ◽

Brief Symptom Inventory ◽

Ptsd Symptoms ◽

Childhood Experiences ◽

Adverse Childhood ◽

Explained Variance ◽

Relationship Of ◽

The Relationship

Abstract Background: Impairment of mentalization may impact coping strategies, regulation of affect and stress. So far, little is known about the influence of impaired mentalization on dissociation in patients with adverse childhood experiences (ACEs). The aim of this study is to assess the relationship between ACEs, mentalizing and dissociation in adult individuals. Methods: Sixty-seven patients with ACEs completed the Mentalization Questionnaire (MZQ), the Essener Trauma Inventory (ETI) and the Brief Symptom Inventory-18 (BSI-18). The SPSS PROCESS macro tool was applied to test if mentalization mediated the relationship of ACEs and dissociation. Results: ACEs were significantly associated with higher dissociation (β=.42, p<.001) and lower mentalization (β=-.49, p<.001). When mentalization was added to the model as a predictor, the association of ACEs with dissociation was no longer significant (β=.11, p=.31) and a statistically significant indirect effect was found (β=.32, 95% CI: .16-.47). The overall explained variance of dissociation notably improved after inclusion of mentalization (17.5% to 49.1%). Thus, the results indicated that the association of ACEs on dissociation was fully mediated by mentalization. Conclusion: Our results suggest that ACEs are associated with lower mentalization and higher dissociation. Lower mentalization was also associated with worse depression, anxiety, somatization and PTSD symptoms. These findings underline the increasing importance of early treatment of individuals affected by ACDs with a focus to foster the development of mentalization.

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EFFECT OF ADVERSE CHILDHOOD EXPERIENCES ON DAILY SUPPORT TO FAMILY AND EMOTIONAL WELL-BEING IN ADULTHOOD

Innovation in Aging ◽

10.1093/geroni/igz038.874 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S235-S235

Author(s):

Jooyoung Kong ◽

Yin Liu ◽

David Almeida

Keyword(s):

Negative Affect ◽

Family Relationships ◽

Emotional Support ◽

Adverse Childhood Experiences ◽

Family Members ◽

Well Being ◽

National Study ◽

Childhood Experiences ◽

Adverse Childhood ◽

The Impact

Abstract Extensive evidence suggests that adverse childhood experiences (ACEs) can lead to negative health effects across a lifetime. This study examines the impact of ACEs on the frequency of providing daily support (i.e., unpaid assistance, emotional support, and disability-related assistance) to family members and the moderating effects of ACEs in the association between providing daily support to family and daily negative affect. Using the National Study of Daily Experiences II, we analyzed a total of 14,912 daily interviews from 2,022 respondents aged 56 on average. Key results showed that a greater number of ACEs were associated with providing more frequent emotional support to family. We also found the significant interaction effect that adults with more ACEs showed greater negative affect on the days when they provided assistance to family members with disabilities. The findings underscore the long-term negative impact of ACEs on daily well-being in the context of family relationships.

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