The association between adverse childhood experiences and traumatic brain injury/concussion in adulthood: A scoping review protocol

IntroductionExposure to adverse childhood experiences (ACEs) is a significant risk factor for physical and mental illnesses later in life. Concussion or traumatic brain injury is a challenging condition where preinjury factors may interact to affect recovery. The association between ACEs and traumatic brain injury/concussion is not well mapped in any previous reviews of the literature. Using a scoping review methodology, the research question that will be addressed is: what is known from the existing literature about the association between ACEs and traumatic brain injury/concussion in adults?Methods and analysisThe methodological frameworks outlined by Arksey and O’Malley and Levacet alwill be used. All original studies in English published since 2007 investigating ACEs and traumatic brain injury/concussion outcomes will be included with no limitations on study type. Literature search strategies will be developed using medical subject headings and text words related to ACEs and traumatic brain injury/concussions. Multiple electronic databases will be searched. Two independent reviewers will screen titles and abstracts for full-text review and full texts for final inclusion. Two independent reviewers will extract data on study characteristics for ACE exposure and traumatic brain injury/concussion outcomes. Extracted data will be summarised quantitatively using numerical counts and qualitatively using thematic analysis.DisseminationThis review will identify knowledge gaps on the associations between ACEs and traumatic brain injury/concussion and promote further research. Knowledge translation will occur throughout the review process with dissemination of project findings to stakeholders at the local, national and international levels.

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The association between adverse childhood experiences and adult traumatic brain injury/concussion: a scoping review

Disability and Rehabilitation ◽

10.1080/09638288.2018.1424957 ◽

2018 ◽

Vol 41 (11) ◽

pp. 1360-1366 ◽

Cited By ~ 4

Author(s):

Zechen Ma ◽

Mark T. Bayley ◽

Laure Perrier ◽

Priya Dhir ◽

Lana Dépatie ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Scoping Review ◽

Adverse Childhood Experiences ◽

Childhood Experiences ◽

Adverse Childhood

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Adverse childhood experiences and traumatic brain injury among adolescents: findings from the 2016–2018 National Survey of Children’s Health

European Child & Adolescent Psychiatry ◽

10.1007/s00787-020-01687-1 ◽

2021 ◽

Author(s):

Dylan B. Jackson ◽

Chad Posick ◽

Michael G. Vaughn ◽

Alexander Testa

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

National Survey ◽

Adverse Childhood Experiences ◽

Children's Health ◽

Children’S Health ◽

Childhood Experiences ◽

Adverse Childhood

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A commentary on Leza et al. (2021), Adverse childhood experiences (ACEs) and substance use disorder (SUD): A scoping review

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2021.108782 ◽

2021 ◽

pp. 108782

Author(s):

Michael T. McKay ◽

Mary C. Clarke

Keyword(s):

Substance Use ◽

Substance Use Disorder ◽

Scoping Review ◽

Adverse Childhood Experiences ◽

Childhood Experiences ◽

Adverse Childhood

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Associations between adverse childhood experiences and acquired brain injury, including traumatic brain injuries, among adults: 2014 BRFSS North Carolina

Injury Prevention ◽

10.1136/injuryprev-2018-042927 ◽

2018 ◽

Vol 25 (6) ◽

pp. 514-520 ◽

Cited By ~ 4

Author(s):

Angie S Guinn ◽

Katie A Ports ◽

Derek C Ford ◽

Matt Breiding ◽

Melissa T Merrick

Keyword(s):

Mental Illness ◽

North Carolina ◽

Sexual Abuse ◽

Brain Injury ◽

Adverse Childhood Experiences ◽

Acquired Brain Injury ◽

Childhood Experiences ◽

Adverse Childhood ◽

Race Ethnicity ◽

The Relationship

Adverse childhood experiences (ACEs) can negatively affect lifelong health and opportunity. Acquired brain injury (ABI), which includes traumatic brain injury (TBI) as well as other causes of brain injury, is a health condition that affects millions annually. The present study uses data from the 2014 North Carolina Behavioral Risk Factor Surveillance System to examine the relationship between ACEs and ABI. The study sample included 3454 participants who completed questions on both ABI and ACEs. Multivariable logistic regression models were used to determine the relationship between ACEs and ABI as well as ACEs and TBI. Sexual abuse, emotional abuse, physical abuse, household mental illness and household substance abuse were significantly associated with ABI after adjusting for age, race/ethnicity, gender and employment. Compared with those reporting no ACEs, individuals reporting three ACEs had 2.55 times the odds of having experienced an ABI; individuals reporting four or more ACEs had 3.51 times the odds of having experienced an ABI. Examining TBI separately, those who experienced sexual abuse, physical abuse, household mental illness and had incarcerated household members in childhood had greater odds of reported TBI, after adjusting for age, race/ethnicity, gender and income. Respondents reporting three ACEs (AOR=4.16, 95% CI (1.47 to 11.76)) and four or more ACEs (AOR=3.39, 95% CI (1.45 to 7.90)) had significantly greater odds of reporting TBI than respondents with zero ACEs. Prevention of early adversity may reduce the incidence of ABI; however, additional research is required to elucidate the potential pathways from ACEs to ABI, and vice versa.

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