scholarly journals Adverse childhood experiences—household stressors and children’s mental health: a single centre retrospective review

2021 ◽  
Vol 5 (1) ◽  
pp. e001209
Author(s):  
Hilary Holmes ◽  
Nicolas Darmanthe ◽  
Kevin Tee ◽  
Margaret Goodchild
Keyword(s):  
Mental Illness ◽  
Adverse Childhood Experiences ◽  
Retrospective Chart Review ◽  
Parental Mental Illness ◽  
Behavioural Disturbance ◽  
Childhood Experiences ◽  
Clinical Symptomatology ◽  
Adverse Childhood ◽  
Externalising Behaviours ◽  
Internalising Behaviours

ObjectiveTo determine the prevalence of reported ‘household stressor’ adverse childhood experiences (ACEs) in families of children presenting with neurodevelopmental, behavioural or emotional difficulties and to determine whether family vulnerabilities, individually or cumulatively, were associated with particular clinical symptomatology.DesignRetrospective chart review followed by statistical analysis of family stressors and clinical symptomatology.SettingA community paediatric clinic in Australia.ParticipantsAll 267 children who attended an initial paediatric appointment during 2018.Results162 (60.7%) children had been exposed to one or more household stressor ACEs, including 116 (43.4%) children exposed to parental mental illness. Behavioural disturbance occurred in 144 (53.9%) children and externalising behaviours (other than attention deficit hyperactivity disorder) were more frequent than internalising behaviours. Externalising and internalising behaviours were associated with individual and cumulative household stressor ACEs. Most other symptomatology apart from genetic/neurological conditions, autistic symptoms and some developmental delays appeared to be partially associated with ACEs.ConclusionHousehold stressor ACEs were common, frequently occurred concurrently, and were associated with much of the symptomatology, in this cohort. Parental mental illness was the most prevalent stressor and behavioural disturbance the most prevalent symptomatology. These findings may have implications for clinical practice and service provision.

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

2018 ◽  
Vol 25 (6) ◽  
pp. 514-520 ◽  
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.

scholarly journals The adverse childhood experiences questionnaire: Two decades of research on childhood trauma as a primary cause of adult mental illness, addiction, and medical diseases

2019 ◽  
Vol 6 (1) ◽  
pp. 1581447 ◽  
Author(s):  
Emily M. Zarse ◽  
Mallory R. Neff ◽  
Rachel Yoder ◽  
Leslie Hulvershorn ◽  
Joanna E. Chambers ◽  
...  
Keyword(s):  
Mental Illness ◽  
Childhood Trauma ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood

scholarly journals Health and financial burden of adverse childhood experiences in England and Wales: a combined primary data study of five surveys

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036374 ◽  
Author(s):  
Karen Hughes ◽  
Kat Ford ◽  
Rajendra Kadel ◽  
Catherine A Sharp ◽  
Mark A Bellis
Keyword(s):  
Mental Illness ◽  
Health Risks ◽  
Adverse Childhood Experiences ◽  
Financial Burden ◽  
High Body Mass Index ◽  
Childhood Experiences ◽  
England And Wales ◽  
Financial Costs ◽  
Adverse Childhood ◽  
Anxiety Depression

ObjectiveTo estimate the health and financial burden of adverse childhood experiences (ACEs) in England and Wales.DesignThe study combined data from five randomly stratified cross-sectional ACE studies. Population attributable fractions (PAFs) were calculated for major health risks and causes of ill health and applied to disability adjusted life years (DALYs), with financial costs estimated using a modified human capital method.SettingHouseholds in England and Wales.Participants15 285 residents aged 18–69.Outcome measuresThe outcome measures were PAFs for single (1 ACE) and multiple (2–3 and ≥4 ACEs) ACE exposure categories for four health risks (smoking, alcohol use, drug use, high body mass index) and nine causes of ill health (cancer, type 2 diabetes, heart disease, respiratory disease, stroke, violence, anxiety, depression, other mental illness); and annual estimated DALYs and financial costs attributable to ACEs.ResultsCumulative relationships were found between ACEs and risks of all outcomes. For health risks, PAFs for ACEs were highest for drug use (Wales 58.8%, England 52.6%), although ACE-attributable smoking had the highest estimated costs (England and Wales, £7.8 billion). For causes of ill health, PAFs for ACEs were highest for violence (Wales 48.9%, England 43.4%) and mental illness (ranging from 29.1% for anxiety in England to 49.7% for other mental illness in Wales). The greatest ACE-attributable costs were for mental illness (anxiety, depression and other mental illness; England and Wales, £11.2 billion) and cancer (£7.9 billion). Across all outcomes, the total annual ACE-attributable cost was estimated at £42.8 billion. The majority of costs related to exposures to multiple rather than a single ACE (ranging from 71.9% for high body mass index to 98.3% for cancer).ConclusionsACEs impose a substantial societal burden in England and Wales. Policies and practices that prevent ACEs, build resilience and develop trauma-informed services are needed to reduce burden of disease and avoidable service use and financial costs across health and other sectors.

Associations between adverse childhood experiences and need and unmet need for care coordination

2021 ◽  
pp. 205343452110676
Author(s):  
Chidiogo Anyigbo ◽  
Anne E. Fuller ◽  
Yao I Cheng ◽  
Linda Y. Fu ◽  
Harolyn M. Belcher ◽  
...  
Keyword(s):  
Health Care ◽  
Care Coordination ◽  
Adverse Childhood Experiences ◽  
Systems Of Care ◽  
Unmet Need ◽  
Parental Mental Illness ◽  
Material Hardship ◽  
Childhood Experiences ◽  
Multiple Systems ◽  
Adverse Childhood

Introduction Children exposed to adverse childhood experiences (ACEs) may access multiple systems of care to address medical and social complexities. Care coordination (CC) optimizes health outcomes for children with special health care needs who often use multiple systems of care. Little is known about whether ACEs are associated with the need and unmet need for CC. Methods Use of the 2016–2017 National Survey of Children’s Health to identify children who saw ≥1 health care provider in the last 12 months. The study team used weighted logistic regression analyses to examine associations between 9 ACE types, ACE score, and need and unmet need for CC. Results In the sample ( N  = 39,219, representing 38,316,004 US children), material hardship (adjusted odds ratio (aOR), 1.50; 95% confidence interval (CI), 1.29–1.75), parental mental illness (aOR, 1.31; 95% CI, 1.07–1.60), and neighborhood violence (aOR, 1.33; 95% CI, 1.01–1.74) were significantly associated with an increased need for CC. Material hardship was also associated with an unmet need for CC (aOR, 2.37; 95% CI, 1.80–3.11). Children with ACE scores of 1, 2, 3, and ≥4 had higher odds of need and unmet need for CC than children with 0 ACEs. Discussion Specific ACE types and higher ACE scores were associated with the need and unmet need for CC. Evaluating the unique needs of children who endured ACEs should be considered in the design and implementation of CC processes in the pediatric health care system.

Adverse Childhood Experiences, Smoking and Mental Illness in Adulthood: A Preliminary Study

2007 ◽  
Vol 19 (2) ◽  
pp. 89-97 ◽  
Author(s):  
Kristi A. Sacco ◽  
Tony P. George ◽  
Cory A. Head ◽  
Jennifer C. Vessicchio ◽  
Caroline J. Easton ◽  
...  
Keyword(s):  
Mental Illness ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Preliminary Study

scholarly journals Neurocognition and its association with adverse childhood experiences and familial risk of mental illness

2021 ◽  
Author(s):  
Sai Priya Lakkireddy ◽  
Srinivas Balachander ◽  
Pavithra Dayal ◽  
Mahashweta Bhattacharya ◽  
Mino Susan Joseph ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Working Memory ◽  
Mental Illness ◽  
Theory Of Mind ◽  
Psychiatric Disorders ◽  
Processing Speed ◽  
Adverse Childhood Experiences ◽  
Familial Risk ◽  
Childhood Experiences ◽  
Adverse Childhood

Background: Neurocognitive deficits are considered an endophenotype for several psychiatric disorders, typically studied in unaffected first-degree relatives (FDRs). Environmental factors such as adverse childhood experiences (ACEs) may also affect neurocognition. This study examines the effect of ACEs on neurocognitive performance in FDRs of patients with severe mental illness in order to determine whether familial risk has a moderating effect on the relationship between ACEs and neurocognition. Methods: The sample consists of a total of 512 individuals composed of unaffected FDRs from multiplex families with severe mental illnesses (schizophrenia, bipolar disorder, obsessive-compulsive disorder or alcohol use disorder) and healthy controls (with no familial risk). Neurocognitive tests included processing speed (Color Trails), new learning (Auditory Verbal Learning Test), working memory (N-Back), and Theory of Mind (SOCRATIS). ACEs were measured using the WHO ACE-International Questionnaire (ACE-IQ). Regression models adjusted for age, gender and education were done to predict each neurocognitive domain by the effect of familial risk, ACE-IQ Total Score and the interaction (familial risk x ACE-IQ Total score). Results: When all FDRs were examined as a group, the main effect of familial risk predicted poor performance in all domains of neurocognition (p <0.01), and the ACEs x familial risk interaction had a significant negative association with global neurocognition, processing speed & working memory. This interaction effect was driven predominantly by the familial risk of AUD. In FDRs of schizophrenia & bipolar disorder, only the main effects of familial risk were significant (working memory, theory of mind & global neurocognition), with no impact of ACEs or its interaction in both these sub-groups. Conclusions: The impact of childhood adversity on neurocognition is moderated by familial risk of psychiatric disorders. Genetic or familial vulnerability may play a greater role in disorders such as schizophrenia and bipolar disorder, while the interaction between ACEs and family history may be more relevant in the case of disorders with greater environmental risk, such as substance use.

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