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

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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Evaluating the association of adverse childhood experiences, mood and anxiety disorders, and suicidal ideation among behavioral health patients at a large federally qualified health center

PLoS ONE ◽

10.1371/journal.pone.0254385 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254385

Author(s):

April Joy Damian ◽

May Oo ◽

Daniel Bryant ◽

Joseph J. Gallo

Keyword(s):

Suicidal Ideation ◽

Anxiety Disorders ◽

Generation X ◽

Adverse Childhood Experiences ◽

Childhood Experiences ◽

Behavioral Healthcare ◽

Mood And Anxiety Disorders ◽

Adverse Childhood ◽

Race Ethnicity ◽

The Relationship

Although numerous studies have examined the relationship between adverse childhood experiences (ACEs) and suicide, research is needed that studies the effects of specific ACEs, including subclasses of ACEs, independent of the effect of other ACEs. We explored the relationship between ACEs and suicidal ideation (SI) with special attention to patterns according to generation cohort (millennials: 22–37 years old, generation X: 38–53 years old, and baby boomers: 54–72 years old), and assessed the extent to which mood and anxiety disorders account for the relationship between ACEs and suicidal ideation. Patients in behavioral healthcare services of a large federally qualified health center (n = 4,392) were assessed at baseline on ACEs, SI, and mood and anxiety disorders. Logistic regression modeling was used to examine the data. Emotional neglect was the strongest predictor of SI among Millennials (OR = 1.59), Generation X (OR = 1.81), and Baby Boomers (OR = 1.88) after controlling for mood and anxiety disorders, race/ethnicity, and gender. Findings suggest ACEs predict an increased likelihood of having SI over and above the influence of mood and anxiety disorders, in models adjusted for gender and race/ethnicity. Across generations, the association with suicidal ideation was strongest for any child abuse and neglect, but not for household dysfunction. The observed association of ACEs with suicidal ideation suggests that ACEs should be considered as a risk factor and incorporated into screening assessments for suicidal ideation. Lastly, additional research on the association of ACEs and suicidality in individuals not actively being managed in behavioral healthcare settings is also warranted.

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The inter-relationship between acquired brain injury, substance use and homelessness; the impact of adverse childhood experiences: an interpretative phenomenological analysis study

Disability and Rehabilitation ◽

10.1080/09638288.2019.1700565 ◽

2019 ◽

pp. 1-13

Author(s):

Christian D. Adshead ◽

Alyson Norman ◽

Mark Holloway

Keyword(s):

Substance Use ◽

Brain Injury ◽

Adverse Childhood Experiences ◽

Interpretative Phenomenological Analysis ◽

Acquired Brain Injury ◽

Phenomenological Analysis ◽

Childhood Experiences ◽

Analysis Study ◽

Adverse Childhood ◽

The Impact

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The origins of the adverse childhood experiences movement and child sexual abuse: a brief history

Attachment New Directions in Psychotherapy and Relational Psychoanalysis ◽

10.33212/att.v13n1.2019.113 ◽

2019 ◽

Vol 13 (1) ◽

pp. 113-116

Author(s):

Simon Partridge

Keyword(s):

Sexual Abuse ◽

Child Sexual Abuse ◽

Adverse Childhood Experiences ◽

Childhood Experiences ◽

Adverse Childhood

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The Relationship between Adverse Childhood Experiences and Sleep Problems among Adolescent Students: Mediation by Depression or Anxiety

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010236 ◽

2020 ◽

Vol 18 (1) ◽

pp. 236

Author(s):

E-Jin Park ◽

Shin-Young Kim ◽

Yeeun Kim ◽

Dajung Sung ◽

Bora Kim ◽

...

Keyword(s):

Adverse Childhood Experiences ◽

Sleep Problems ◽

Short Form ◽

Community Sample ◽

Mediating Effect ◽

Self Report ◽

Depression And Anxiety ◽

Childhood Experiences ◽

Adverse Childhood ◽

The Relationship

Adverse childhood experiences (ACEs) are known to be closely related to depression, anxiety and sleep problems. However, it remains unclear whether adolescents with ACEs have sleep problems regardless of depression or anxiety or under a mediating effect from depression or anxiety. Therefore, our aim was to examine whether depression or anxiety mediates the relationship between ACEs and sleep problems in adolescents by using a community sample. The Early Trauma Inventory Self Report–Short Form (ETISR-SF) and List of Threatening Experiences Questionnaire (LTE-Q) were used to assess traumatic ACEs. Ultimately, data from 737 students (M = 448, F = 289, 15.1 ± 1.4 years old) were included in the statistical analysis. A total of 576 (78.1%) participants reported that they had experienced one or more ACEs. Adolescents with ACEs had higher levels of depression, anxiety and sleep problems than did adolescents without ACEs, and boys tended to experience more trauma than girls. Depression and anxiety partially mediated the relationship between ACEs and sleep problems. The results of this study suggest the need for depression and anxiety interventions for adolescents with ACEs to reduce the long-term consequences, including sleep problems and physical health problems.

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Disparities in adverse childhood experiences by race/ethnicity, gender, and economic status: Intersectional analysis of a nationally representative sample

Child Abuse & Neglect ◽

10.1016/j.chiabu.2021.105066 ◽

2021 ◽

Vol 117 ◽

pp. 105066

Author(s):

Joshua P. Mersky ◽

Changyong Choi ◽

ChienTi Plummer Lee ◽

Colleen E. Janczewski

Keyword(s):

Adverse Childhood Experiences ◽

Representative Sample ◽

Economic Status ◽

Childhood Experiences ◽

Intersectional Analysis ◽

Adverse Childhood ◽

Race Ethnicity ◽

Nationally Representative

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Breaking the Cycle of Adverse Childhood Experiences (ACEs): Economic Position Moderates the Relationship Between Mother and Child ACE Scores among Black and Hispanic Families

Children and Youth Services Review ◽

10.1016/j.childyouth.2021.106067 ◽

2021 ◽

pp. 106067

Author(s):

Katie A. Ports ◽

Shichao Tang ◽

Sarah Treves-Kagan ◽

Whitney Rostad

Keyword(s):

Adverse Childhood Experiences ◽

Hispanic Families ◽

Childhood Experiences ◽

Adverse Childhood ◽

Mother And Child ◽

Economic Position ◽

The Relationship

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Adverse Childhood Experiences and Prevalence of Cigarette and E-Cigarette Use Among Adolescents in Bangkok, Thailand

Asia Pacific Journal of Public Health ◽

10.1177/1010539520962956 ◽

2020 ◽

Vol 32 (8) ◽

pp. 398-405

Author(s):

Takuma Ofuchi ◽

Aye Myat Myat Zaw ◽

Bang-on Thepthien

Keyword(s):

Adverse Childhood Experiences ◽

Multinomial Logistic Regression ◽

Tobacco Product ◽

Dual Use ◽

Childhood Experiences ◽

Adverse Childhood ◽

Different Types ◽

History Of ◽

The Relationship ◽

Score Range

Currently, e-cigarettes are the most popular tobacco product among adolescents. The purpose of this study was to explore the relationship between exposure to adverse childhood experiences (ACEs) and use of cigarettes, e-cigarettes, and dual use in a sample of adolescents in Bangkok, Thailand. The sample comprises 6167 students from 48 schools (grades 9, 11, and vocational year 2) who participated in the 2019 round of the Behavior Surveillance Survey. History of 11 ACEs was used to calculate a cumulative ACE score (range 0-11). Multinomial logistic regression was used to assess the relationship between history of ACEs and smoking. In the sample, 7.0% reported using e-cigarettes only and 9.5% used e-cigarettes and cigarettes (dual use). After controlling for sociodemographic characteristics, history of ACEs was associated with increased odds of dual use. The odds of cigarette, e-cigarette, and dual use was significantly greater if the adolescent had a history of ≥4 ACEs. Special attention is needed to prevent smoking of different types among those with a history of ACEs.

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