scholarly journals Instrumentos mais utilizados na avaliação da exposição a Experiências Adversas na Infância: uma revisão da literatura

2021 ◽  
Vol 45 (129) ◽  
pp. 501-513
Author(s):  
Flávia Garcia Pereira ◽  
Maria Carmen Viana

RESUMO O objetivo deste estudo foi identificar e descrever os instrumentos mais frequentemente utilizados nas pesquisas epidemiológicas para a avaliação das Experiências Adversas na Infância, nos últimos dez anos. Trata-se de uma revisão da literatura, cujos critérios de inclusão foram artigos disponíveis na íntegra, nos idiomas inglês, espanhol e português, publicados e indexados nas bases de dados Medline e Lilacs, que citassem no resumo os instrumentos de avaliação utilizados nos estudos. Foram analisados 6 dos 38 instrumentos identificados nos 253 artigos selecionados para análise. Os instrumentos mais citados foram: 1) Childhood Trauma Questionnaire, 2) Childhood Experience of Care and Abuse, 3) Adverse Childhood Experiences Questionnaire, 4) Child Abuse and Trauma Scale, 5) Early Trauma Inventory Self Report e 6) Adverse Childhood Experiences International Questionnaire. Os instrumentos descritos diferiram quanto às propriedades psicométricas, à idade para aplicação e à quantidade de Experiências Adversas na Infância avaliadas. Predominaram estudos publicados em periódicos internacionais na língua inglesa. Três instrumentos apresentam versão em português vigente no Brasil, sendo que um deles considera somente a avaliação de aspectos específicos de Experiências Adversas na Infância, enquanto que os outros dois avaliam, também, outras experiências traumáticas.

2017 ◽  
Vol 2 (1) ◽  
pp. 18-28
Author(s):  
S Adeyemo ◽  
I Adeosun ◽  
O Ogun ◽  
A Adegbohun

Objective: Adverse childhood experience is a known risk factor for risky behavior and negative mental health outcomes. There is dearth of information on adverse childhood experiences among adolescents living with HIV-AIDS in Nigeria. This study assessed the prevalence, pattern and correlates of adverse childhood experience among adolescents with HIV/AIDS attending two tertiary health facilities in Lagos, Nigeria.Method: Using a cross-sectional study design, 201 adolescents with HIV-AIDS attending out-patient clinics at the Nigerian Institute of Medical Research, Yaba, Lagos and the Lagos state University Teaching Hospital completed the adverse childhood experience questionnaire (ACE) and a socio-demographic questionnaire. The data was analysed with SPSS version 20. Result: The mean age of the participants was 13.88 (± 2.53) years, and 61.7% were males. High levels of adverse childhood experiences ( AC E > 4 ) were reported by 28.4% of the participants. Nearly three quarters (73.6%) were victims of physical abuse, while 48.7% and 11.8% had been emotionally and sexually abused. There was statistically significant association between high levels of adverse experiences in childhood and occupational class of the father (p=0.022), previous history of hospitalisation (p=0.027) and having HIV positive siblings (p=0.009). Conclusion: There is a crucial need for interventions targeted towards prevention of physical, emotional and sexual child abuse, and other forms of adverse childhood experiences.HIV-AIDS, adverse childhood experiences, child abuse, adolescents


Author(s):  
E-Jin Park ◽  
Shin-Young Kim ◽  
Yeeun Kim ◽  
Dajung Sung ◽  
Bora Kim ◽  
...  

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.


Author(s):  
Marissa Anto ◽  
Sara Jaffee ◽  
Gretchen Tietjen ◽  
Adys Mendizibal ◽  
Christina Szperka

2017 ◽  
Vol 35 (3-4) ◽  
pp. 662-681 ◽  
Author(s):  
Myriam Forster ◽  
Amy L. Gower ◽  
Barbara J. McMorris ◽  
Iris W. Borowsky

Retrospective studies using adult self-report data have demonstrated that adverse childhood experiences (ACEs) increase risk of violence perpetration and victimization. However, research examining the associations between adolescent reports of ACE and school violence involvement is sparse. The present study examines the relationship between adolescent reported ACE and multiple types of on-campus violence (bringing a weapon to campus, being threatened with a weapon, bullying, fighting, vandalism) for boys and girls as well as the risk of membership in victim, perpetrator, and victim–perpetrator groups. The analytic sample was comprised of ninth graders who participated in the 2013 Minnesota Student Survey ( n ~ 37,000). Multinomial logistic regression models calculated the risk of membership for victim only, perpetrator only, and victim–perpetrator subgroups, relative to no violence involvement, for students with ACE as compared with those with no ACE. Separate logistic regression models assessed the association between cumulative ACE and school-based violence, adjusting for age, ethnicity, family structure, poverty status, internalizing symptoms, and school district size. Nearly 30% of students were exposed to at least one ACE. Students with ACE represent 19% of no violence, 38% of victim only, 40% of perpetrator only, and 63% of victim–perpetrator groups. There was a strong, graded relationship between ACE and the probability of school-based victimization: physical bullying for boys but not girls, being threatened with a weapon, and theft or property destruction ( ps < .001) and perpetration: bullying and bringing a weapon to campus ( ps < .001), with boys especially vulnerable to the negative effects of cumulative ACE. We recommend that schools systematically screen for ACE, particularly among younger adolescents involved in victimization and perpetration, and develop the infrastructure to increase access to trauma-informed intervention services. Future research priorities and implications are discussed.


2021 ◽  
Vol 14 (1) ◽  
pp. 62-68
Author(s):  
Mekonnen Tsehay ◽  
Mogesie Necho ◽  
Asmare Belete ◽  
Zelalem Belayneh

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.


2020 ◽  
Vol 3 (3) ◽  
pp. 24-32
Author(s):  
Yanro Judd C. Ferrer ◽  
Roy Moore

This paper aimed to determine the prevalence of Adverse Childhood Experiences (ACEs) in Payatas, an urban poor community in Quezon City, Philippines. In total, 260 people were surveyed in two areas of Payatas. The results of these surveys were then compared with existing ACE Surveys in other communities. Results found that ACEs were reported at significantly higher levels than in existing surveys, which were typically made of Middle-Class populations. The discrepancy grew at higher ACE Scores. Moderate childhood trauma, ACE Scores of 4 or more, was reported as two to five times more common in our Payatas populations than in the existing survey populations. Severe childhood trauma Scores are less available; however, these trends appear to grow at higher ACE Scores. These results suggest that ACEs are far more common in urban poor communities. That ACE Scores are higher in poorer communities is not a surprising finding. However, the scale of the problem is highly significant. As ACEs are a major root cause of many social problems, including, but not limited to, addiction, teen pregnancy, domestic violence, depression, attempted suicide, and drug abuse, it does indicate a strong area for effective support. The potential for improving the well-being, quality of life, and life expectancy through this framework is large, provided appropriate investment is made in these communities.  


2020 ◽  
pp. 009385482097545
Author(s):  
Laura Van Duin ◽  
Michiel De Vries Robbé ◽  
Reshmi Marhe ◽  
Floor Bevaart ◽  
Josjan Zijlmans ◽  
...  

This study examines the relationship between criminal history and adverse childhood experiences (ACEs) and how they collectively predict (a) recidivism and (b) positive social functioning among multi-problem young adults. Criminal records and self-report data regarding ACEs and adult education/employment and quality of life (QoL) were collected for 692 multiproblem young adults (18–27 years). Results indicated that an extensive criminal history was related to non-violent and violent recidivism and lack of involvement in education/employment in young adulthood. On the contrary, a higher number of ACEs was related to lower QoL later in life, while this was not associated with recidivism or education/employment. These findings highlight again that past criminal behavior is a strong predictor of future criminality, particularly within this group of young adults with multiple problems. Furthermore, experiencing negative events in childhood shows to have long-term negative effects on QoL even for these individuals who already experience multiple life problems. Implications are discussed.


2017 ◽  
Vol 45 (2) ◽  
pp. 106-118 ◽  
Author(s):  
Ashley M. Wilkins ◽  
Cynthia B. Eriksson ◽  
Candace Coppinger Pickett ◽  
Justin L. Barrett

Research has established that adverse experiences in childhood are far-reaching. Attachment persists into adulthood, impacted by internal structures that make sense of relational experience. Dunbar (1993) has estimated that humans maintain approximately 150 personal relationships, structured in concentric rings of decreasing intimacy within the active social network. However, no literature exists examining the relationship among adverse childhood experiences (ACEs), adult attachment dynamics, and social networks. Relational mission workers (N=84) completed a self-report questionnaire. Hierarchical multiple regressions revealed that, after controlling for Extraversion, ACEs and Global Anxiety attachment were significant predictors of the size of the innermost social network ring, and ACEs predicted the change in ratio between the innermost social network ring and the social network as a whole. Interpersonal, internal factors, such as attachment style, and experiential, external factors, such as ACEs, can impact the structure and size of an individual's social network.


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