Resilience of Emerging Adults After Adverse Childhood Experiences: A Qualitative Systematic Review

2020 ◽  
pp. 152483802093386
Author(s):  
Doris Y. L. Leung ◽  
Athena C. Y. Chan ◽  
Grace W. K. Ho
Keyword(s):  
Social Support ◽  
Emerging Adults ◽  
Adverse Childhood Experiences ◽  
Sense Of Self ◽  
Life Stage ◽  
Social Supports ◽  
World Health ◽  
Childhood Experiences ◽  
Self Reliance ◽  
Adverse Childhood

Introduction: Even as children experience adversity, they can become resilient adults, in large part due to their social supports as emerging adults. Objective: Authors examine constructs of social support applied to the concept of resilience among emerging adults having experienced adverse childhood experiences (ACE). Method: Authors conducted a meta-ethnography with six databases between January 1998 and October 2019. Inclusion criteria were as follows: (i) original peer-reviewed qualitative or mixed-method studies, (ii) sampling adults aged 18–35 years, (iii) reporting at least one ACE as defined by the World Health Organization, (iv) focused on resilience, and (v) in English. Data were collected from six electronic databases (MEDLINE, EMBASE, CINAHL, PsychINFO, Web of Science, and Google Scholar). Studies were appraised using the Critical Appraisal Skills Program Qualitative Checklist. Analysis drew on Bourdieu’s constructs of capital following Noblit and Hare’s methods. Results: Thirteen studies of 277 emerging adults, aged 18–35 years old (mean 23 years), from six countries, reported resilience as “self-righting” appraisals. These were interdependent of their social supports and within a culturally determined sense of self-reliance. Self-reliance appeared to be a precursor shaping resilience of emerging adults with ACE. Self-reliance may deter self-compassion and, as a self-righting appraisal/capacity, may inhibit accessing social support. Conclusion: This review emphasizes the life stage of emerging adulthood regarding the development of self-righting appraisal skills, which, when enabled with reliance, others help to transform ACEs and allow resilience to grow.

A systematic review of adverse childhood experiences (ACEs) with people with intellectual disabilities: an unsafe gap in the literature

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Chloe Crompton ◽  
Bethany Duncan ◽  
Graham Simpson-Adkins
Keyword(s):  
Systematic Review ◽  
Intellectual Disabilities ◽  
Adverse Childhood Experiences ◽  
World Health ◽  
Inclusion Criteria ◽  
Childhood Experiences ◽  
Content Type ◽  
Adverse Childhood ◽  
People With Intellectual Disabilities ◽  
The Impact

Purpose This paper aims to systematically review the available evidence that explores adverse childhood experiences (ACEs) in people with intellectual disabilities (PwID). It is important to systematically review this literature as, to date, there is little known about the number of studies in this area, despite the World Health Organization declaring ACE prevention and support as a global public health priority. Design/methodology/approach Published studies were identified from electronic database searches. Key journals and reference lists were also hand searched. Findings Two studies met the inclusion criteria and the prevalence and frequency of ACEs experienced by participants of these studies analysed. Overall, due to the small number of studies meeting the inclusion criteria, it is difficult to establish any meaningful conclusions. Originality/value This appears to be the first systematic review to try and identify a research base looking at the prevalence of ACEs within a PwID population. Findings suggest that this is a highly neglected area of research, and the authors hope to have identified that further evidence is required to draw clearer conclusions about the impact of ACEs on PwID.

scholarly journals Associations of adverse childhood experiences and social support with self-injurious behaviour and suicidality in adolescents

2018 ◽  
Vol 214 (3) ◽  
pp. 146-152 ◽  
Author(s):  
Yuhui Wan ◽  
Ruoling Chen ◽  
Shuangshuang Ma ◽  
Danielle McFeeters ◽  
Ying Sun ◽  
...  
Keyword(s):  
Social Support ◽  
Gender Differences ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Adverse Childhood Experiences ◽  
Interaction Effects ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Increased Risk ◽  
The Individual

BackgroundThere is little investigation on the interaction effects of adverse childhood experiences (ACEs) and social support on non-suicidal self-injury (NSSI), suicidal ideation and suicide attempt in community adolescent populations, or gender differences in these effects.AimsTo examine the individual and interaction effects of ACEs and social support on NSSI, suicidal ideation and suicide attempt in adolescents, and explore gender differences.MethodA school-based health survey was conducted in three provinces in China between 2013–2014. A total of 14 820 students aged 10–20 years completed standard questionnaires, to record details of ACEs, social support, NSSI, suicidal ideation and suicide attempt.ResultsOf included participants, 89.4% reported one or more category of ACEs. The 12-month prevalence of NSSI, suicidal ideation and suicide attempt was 26.1%, 17.5% and 4.4%, respectively; all were significantly associated with increased ACEs and lower social support. The multiple adjusted odds ratio of NSSI in low versus high social support was 2.27 (95% CI 1.85–2.67) for girls and 1.81 (95% CI 1.53–2.14) for boys, and their ratio (Ratio of two odds ratios, ROR) was 1.25 (P = 0.037). Girls with high ACEs scores (5–6) and moderate or low social support also had a higher risk of suicide attempt than boys (RORs: 2.34, 1.84 and 2.02, respectively; all P < 0.05).ConclusionsACEs and low social support are associated with increased risk of NSSI and suicidality in Chinese adolescents. Strategies to improve social support, particularly among female adolescents with a high number of ACEs, should be an integral component of targeted mental health interventions.Declaration of interestNone.

scholarly journals Socio-Demographic and Environmental Determinants of Adverse Childhood Experience among School-Going Adolescents in Jimma town, Jimma, Southwest Ethiopia

2021 ◽  
Vol 14 (1) ◽  
pp. 62-68
Author(s):  
Mekonnen Tsehay ◽  
Mogesie Necho ◽  
Asmare Belete ◽  
Zelalem Belayneh
Keyword(s):  
Social Support ◽  
Adverse Childhood Experiences ◽  
Associated Factors ◽  
Well Being ◽  
Health Concern ◽  
Adverse Childhood Experience ◽  
Full Potential ◽  
Childhood Experience ◽  
Childhood Experiences ◽  
Adverse Childhood

Introduction: Adverse childhood experience in adolescents is a global public health concern. Several risk factors have been identified so far across different parts of the world. However, there is a paucity of data in Ethiopia. Objective: To determine the prevalence and associated factors of Adverse Childhood Experience among school-going adolescents retrospectively. Methods: A cross-sectional school-based study was employed. Participants were selected using a multistage sampling technique. Adverse Childhood Experience Questionnaire Scale for childhood maltreatment. Multiple linear regressions were used to determine the association between Adverse Childhood Experience & associated factors. Results: A total of 546 adolescents participated in the study with a response rate of 86%. The mean (±SD) age of participants was 16.83 ± 1.26 years. The majority (442 (81%)) were studying in public schools and 104 (19%) in private schools. Results show that 51.1% reported at least one, and respondents most often faced two ACEs (29.4%), and as many as 10.4% reported at least four or more ACEs. According to the three categories of adverse childhood experience (ACE), from 329 female adolescents, 144(43.8%) had been abused physically, verbally, or sexually, 65(17.8%) had been neglected, and 169(51.1%) had been household dysfunctional. And also, from 217 male adolescents, 93(42.9%) had been abused physically, verbally, or sexually, 49(22%) had neglected, and 117(53.9%) had household dysfunction. Gender, social support, residence, educational status of parent, and having one or more chronic medical, mental, or neurological disorders were significantly associated with Adverse Childhood Experiences. Conclusion: Results of the study show that there was a significant prevalence of Adverse Childhood Experiences. Adverse Childhood Experiences have a tremendous impact on future health, well-being, and opportunity. Reduction and prevention of Adverse Childhood Experiences are mandatory for all children to reach their full potential. Those who are already exposed to Adverse Childhood Experiences also need social support, help them manage their experiences, and lead meaningful lives.

Female Prisoners in Spain: Adverse Childhood Experiences, Negative Emotional States, and Social Support

2019 ◽  
Vol 44 (3) ◽  
pp. 157-166
Author(s):  
Francisco Caravaca-Sánchez ◽  
Noelle E Fearn ◽  
Kristina R Vidovic ◽  
Michael G Vaughn
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Adverse Childhood Experiences ◽  
Significant Proportion ◽  
Population Data ◽  
Emotional States ◽  
Female Inmates ◽  
Childhood Experiences ◽  
Female Prisoners ◽  
Adverse Childhood

Abstract A growing body of literature on correctional populations from the past two decades indicates that a significant proportion of prison inmates report experiencing adverse childhood experiences (ACEs) during childhood. Extant literature also suggests that women suffer disproportionate victimization at all life stages. The current study examines the prevalence and magnitude of the associations between ACEs, social support, and negative emotional states (that is, anxiety, depression, and stress) among a sample of incarcerated women—a small but growing correctional population. Data were obtained from a survey of women incarcerated in two prisons in Spain (N = 174); survey questions elicited information on these women’s emotional, physical, and sexual victimization during childhood in addition to their self-reported levels of social support and mental health. A series of analyses indicated that female inmates who reported ACEs similarly reported lower levels of social support and higher levels of depression, anxiety, and stress as compared with nonvictimized women inmates. The findings reported here underscore the importance of attaining a fuller understanding of female inmates’ histories of ACEs so that we can more accurately identify and, ideally, provide necessary services to those women at highest risk of mental health–related problems during incarceration.

Modeling the Adverse Childhood Experiences Questionnaire–International Version

2021 ◽  
pp. 107755952110431
Author(s):  
Jordan A. Gette ◽  
Tre D. Gissandaner ◽  
Andrew K. Littlefield ◽  
Chelsy S. Simmons ◽  
Adam T. Schmidt
Keyword(s):  
Adverse Childhood Experiences ◽  
World Health ◽  
Physical And Mental Health ◽  
Future Directions ◽  
Childhood Experiences ◽  
Component Structure ◽  
Adverse Childhood ◽  
Health Organization ◽  
The Individual ◽  
Measure Evaluation

Adverse childhood experiences (ACEs) are related to a host of deleterious physical and mental health outcomes. The ACE–International Questionnaire (ACE-IQ) was developed to assess categories of ACEs (e.g., sexual, emotional, and physical abuse) in internationally representative samples. Though the ACE-IQ has been used world-wide, little work has examined the structure of this measure. Further, much of the modeling techniques implemented lacked theoretical rationale. The present work used two principal components analyses (PCA) to evaluate the ACE-IQ structure using both the identified ACE categories as defined by the World Health Organization (WHO) and using the ACE-IQ items as individual indicators. Using the WHO method, a two-component structure was indicated. Alternatively, a PCA of the individual items yielded a six-component structure. Results highlight the importance of theoretically grounded measure evaluation and the potential distinctions amongst types of ACEs. Implications and future directions for research and practice are discussed.

Multiple Maltreatment and Adverse Childhood Experiences: Exploring Cumulative Threats to Attachment Quality

2020 ◽  
pp. VV-D-19-00158
Author(s):  
James E. Barnett ◽  
Tasha R. Howe
Keyword(s):  
Emerging Adults ◽  
Adverse Childhood Experiences ◽  
Attachment Styles ◽  
Cumulative Risk ◽  
Screening Tools ◽  
Childhood Experiences ◽  
Attachment Quality ◽  
Adverse Childhood ◽  
Poor Outcomes ◽  
Socioemotional Outcomes

Child maltreatment and other adverse childhood experiences (ACEs) often cooccur and are related to negative socioemotional outcomes; however, limited research differentiates how maltreatment versus other ACEs predict such outcomes. These efforts are necessary to determine whether cumulative ACE screening efforts best predict those at risk for poor outcomes. We examined cumulative childhood ACEs, cumulative maltreatment subtypes, and adult attachment quality in 379 young and middle-aged adults. This sample enabled comparison between emerging adults and older adults who have navigated additional developmental tasks that may counteract the effects of early ACEs. More ACEs and maltreatment experiences predicted insecure anxious, avoidant, and fearful attachment styles; however, maltreatment failed to predict unique variance in attachment quality beyond other ACEs. Results suggest that maltreatment may be best categorized as part of a general cumulative risk profile predicting poor socioemotional outcomes. Findings support burgeoning trends in medical and social service settings assessing ACEs using simple dichotomous screening tools to identify those requiring intervention and support services.

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