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PACEs Research Corner — July 2022

 

[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Jane Stevens]

Child Abuse

Moreno-Manso JM, García-Baamonde ME, et. al.
Differences in Executive Functions in Minors Suffering Physical Abuse and Neglect. J Interpers Violence. 2022 Mar;37(5-6):NP2588-NP2604. PMID: 32713236
Of 44 Spanish minors 7 - 16 years of age who had suffered child abuse, and 24 controls, “The results showed difficulties in those minors who had been victim of physical abuse and neglect, in their cognitive flexibility capabilities, inhibitory control, the ability to take decisions, the ability to organize and plan their behavior, control of emotions, and attention control. It was the minors who were victims of physical neglect that showed the greatest difficulties in their executive functions. The results of the study will permit us to design an educational intervention.”

Neil L, Viding E, Armbruster-Genc D, et. al.
Trust and childhood maltreatment: evidence of bias in appraisal of unfamiliar faces. J Child Psychol Psychiatry. 2022 Jun;63(6):655-662. PMID: 34500497
Of 75 children aged 8-16 years with documented maltreatment and matched controls, “children with maltreatment experience were significantly less likely than their peers to rate unfamiliar faces as trustworthy…Over time, alterations in trust processing may disrupt the development of social bonds and contribute to 'social thinning' (a reduction in the extent and quality of social relationships), leaving children more vulnerable to environmental stressors, and increasing the risk of mental health difficulties.”

Gaietto K, Han YY, Forno E, et. al.
Violence-related distress and lung function in two longitudinal studies of youth. Eur Respir J. 2022 May 12;59(5):2102329. PMID: 34588198
In studies of youth aged 9-16 years with asthma in both the US and Puerto Rico, increasing violence-related distress was significantly associated in a dose-response fashion with decreasing lung function and lower asthma quality of life.

Royer MF, Ojinnaka CO, Zhang X, et. al.
Food insecurity and adverse childhood experiences: a systematic review. Nutr Rev. 2022 May 9:nuac029. PMID: 35535026
From a research review, “FI [food insecurity = limited or uncertain access to adequate food] and ACEs are consistently related…with most studies indicating a dose-response or a threshold effect of higher ACEs being associated with more severe FI.”

Hoyle ME, Chamberlain AW, Wallace D.
The Effect of Home Foreclosures on Child Maltreatment Rates: A Longitudinal Examination of Neighborhoods in Cleveland, Ohio. J Interpers Violence. 2022 Mar;37(5-6):NP2768-NP2790. PMID: 32723140
“Using substantiated child maltreatment cases, foreclosure, and census data at the neighborhood level in Cleveland, Ohio we find that home foreclosures are a significant predictor of neighborhood rates of child maltreatment. Importantly, this effect is durable and is not impacted by the housing crisis. Furthermore, this is a direct effect and is not shaped by other neighborhood conditions like poverty, as found in prior research. This suggests that policy makers need to be cognizant of the effect of foreclosures on child maltreatment regardless of the historical and economic contexts of the neighborhood.”

Rana GS, Nordsletten A, Sivananthan M, Hong V.
A 6-year retrospective review of psychiatric emergency service utilization by school-age children. Clin Child Psychol Psychiatry. 2022 May 20:13591045211070924. PMID: 35594032
“This was a 6-year retrospective chart review study of children 5-12 years of age who presented to a psychiatric emergency service from July 2012 to June 2018 (n = 1654 patients)...Increased service utilization as defined by inpatient psychiatric admission, recurrent visits, or increased length of stay were found in patients who were adopted, presented with suicidal ideation or self-harm behaviors, had a history of abuse, and had a diagnosis of depression or autism. Trends over the course of the study indicated a significantly increased percentage of patients presenting with suicidal ideation, bullying, and self-harm behaviors.”

Rothschild CB, Chaiyachati BH, Finck KR, et. al.
A Venn diagram of vulnerability: The convergence of pediatric palliative care and child maltreatment. Child Abuse Negl. 2022 Jun;128:105605. PMID: 35367899
“Child maltreatment and end-of-life care independently represent two of the most emotion-laden and uncomfortable aspects of pediatric patient care. Their overlap can be uniquely distressing. This review explores ethical and legal principles in such cases and provides practical advice for clinicians. The review focuses on three archetypal scenarios of overlap: life-limiting illness in a child for whom parental rights have been terminated; life-threatening injury under CPS investigation; and complex end-of-life care which may warrant CPS involvement. While each scenario presents unique challenges, one consistent theme is the centrality of effective communication.”

Adult Manifestations of Child Abuse

Grummitt LR, Kreski NT, Kim SG, et. al.
Association of Childhood Adversity With Morbidity and Mortality in US Adults: A Systematic Review. JAMA Pediatr. 2021 Dec 1;175(12):1269-1278. PMID: 34605870
A total of 19 meta-analyses with 20,654,832 participants were reviewed. Childhood adversity (CA) accounted for approximately 15% of the total US mortality in 2019 (2,854,838 deaths), through associations with leading causes of death (including heart disease, cancer, and suicide). In addition, CA was associated with millions of cases of unhealthy behaviors and disease markers, including more than 22 million cases of sexually transmitted infections, 21 million cases of illicit drug use, 19 million cases of elevated inflammation, and more than 10 million cases each of smoking and physical inactivity…CA is a leading contributor to morbidity and mortality in the US and may be considered a preventable determinant of mortality. The prevention of CA …should be considered a critical public health priority.”

Macpherson JM, Gray SR, Ip P, et. al.
Child maltreatment and incident mental disorders in middle and older ages: a retrospective UK Biobank cohort study. Lancet Reg Health Eur. 2021 Sep 27;11:100224. PMID: 34917999
Of 56,082 adult UK participants assessed in middle and older age, there was a dose-response relationship between child maltreatment and mental disorders, with those with 3+ ACEs having the highest risk…The mental health consequence of child maltreatment could last decades, even among those who had no recorded mental disorders in early adulthood.”

Walker HE, Wamser-Nanney R.
Revictimization Risk Factors Following Childhood Maltreatment: A Literature Review. Trauma Violence Abuse. 2022 Apr 27:15248380221093692. PMID: 35476548
Authors analyze risk factors linking child maltreatment with adult revictimization, including PTSS, emotion dysregulation, risk-taking behaviors, substance use, anger, dissociation/numbing/difficulty assessing risk and safety, and increased propensity for non-assertiveness when threatened. PTSS is a particularly important factor, which can lead to several of the other reviewed factors.

Song A, Yoon Y, Cho Y.
The Association Between Polyvictimization in Childhood and Intimate Partner Violence and Child Abuse in Adulthood. J Interpers Violence. 2022 May;37(9-10):6009-6033. PMID: 35128978
From a national South Korean adult survey, “adults who experienced polyvictimization in childhood were more likely to perpetrate child abuse regardless of the type of abuse. Polyvictimization in childhood was also significantly associated with perpetration and victimization of spousal abuse.”

Milan S, Carlone C, Printz D, Perez SD.
Understanding Children's Emotions: Differences in Mothers With a History of Childhood Maltreatment. Child Maltreat. 2022 Feb;27(1):33-42. PMID: 33176473
Comparing mothers with and without childhood maltreatment, “mothers who experienced maltreatment labeled more children with sad or angry emotions when given limited facial information and made different interpersonal inferences about children they labeled angry. They also reported more subjective difficulty interpreting emotions in unknown children and their own child…Interventions aimed at improving parental emotion understanding and mentalization [the ability to reflect upon, and to understand one's state of mind; to have insight into what one is feeling, and why] may be particularly useful for mothers with a history of childhood maltreatment.”

Linden W, LeMoult J.
Editorial Perspective: Adverse childhood events causally contribute to mental illness - we must act now and intervene early. J Child Psychol Psychiatry. 2022 Jun;63(6):715-719. PMID: 34811756
“There is substantial evidence to support causal pathways between ACE exposure and disease development. Based on this evidence, we posit that multi-pronged prevention and treatment are urgently needed now and likely cost-efficient.”

Loeb DF, Durfee J, Monson S, et. al.
Prevalence of adverse childhood experiences and post traumatic stress disorder symptoms in a primary care safety-net population: Implications for healthcare service needs. Gen Hosp Psychiatry. 2022 Apr 9;77:102-108. PMID: 35596962
From a survey with 63% participation among adult patients attending primary care at three urban federally qualified healthcare centers, 81% reported any ACEs, and 38% reported 4+ ACEs. 29% screened positive for PTSD. Patients with 4+ ACEs or positive PTSD screen “reported stress in attending medical visits and that trauma-informed provider behaviors would make their visits less stressful.”

Wrobel AL, Köhler-Forsberg O, Sylvia LG, et. al.
Childhood trauma and treatment outcomes during mood-stabilising treatment with lithium or quetiapine among outpatients with bipolar disorder. Acta Psychiatr Scand. 2022 Jun;145(6):615-627. PMID: 35243620
Of 476 adults in a multi-site study of bipolar disorder treatment, “A history of any childhood trauma was reported by 52.7% of the sample (N = 476). Although participants with a history of any childhood trauma presented with greater symptom severity and functional impairment at most study visits, participants with and without a history of any childhood trauma showed similar rates of improvement in symptom severity and functional impairment over the 24 weeks of treatment.”

Li M, Gao T, Su Y, Zhang Y, Yang G, D'Arcy C, Meng X.
The Timing Effect of Childhood Maltreatment in Depression: A Systematic Review and meta-Analysis. Trauma Violence Abuse. 2022 May 24:15248380221102558. PMID: 35608502
From a research review, any type of childhood maltreatment was associated with increased risk of adult depression. However, “Significant differential effects of maltreatment in depression were found across age groups. Age of exposure in middle childhood (6-13 years) had the highest risk of depression, followed by late childhood (12-19 years) and early childhood (0-6 years).”

Reffi AN, Kalmbach DA, Cheng P, et. al.
Sleep reactivity as a potential pathway from childhood abuse to adult insomnia. Sleep Med. 2022 Jun;94:70-75. PMID: 35504109
Of 241 US adults surveyed during the pandemic, reporting more frequent childhood emotional, physical, or sexual abuse was associated with more severe insomnia during the COVID-19 pandemic. Childhood emotional and physical (but not sexual) abuse histories were associated with greater sleep reactivity, which refers to the sensitivity of the sleep system to stress and is a strong risk factor for insomnia. These findings were robust to the effects of gender, age, and stress about the COVID-19 pandemic.

Vallières F, Gilmore B, Nolan A, et. al.
Sexual Violence and Its Associated Psychosocial Effects in Ireland. J Interpers Violence. 2022 Jun;37(11-12):NP9066-NP9088. PMID: 33319616
Of a nationally representative sample of 1020 Irish adults, “approximately one-in-three (34.4%) Irish adults experienced some form of sexual violence, including 14.8% who were sexually assaulted (raped) and 31.1% who were sexually harassed. Women were significantly more likely than men to have experienced all forms of sexual violence, with the exception of sexual assault by a parent or guardian. All forms of sexual violence were associated with an increased likelihood of serious mental health problems, with sexual assault by a parent/guardian associated with several other life outcomes, including education achievement, history of being taken into state care, salary, and employment status. Sexual violence is a common experience in the general population and women are disproportionately affected (1-in-2 women versus 1-in-5 men). Additional resources for mental health care among survivors is urgently needed.”

Adolescents

Font SA, Caniglia M, Kennedy R, Noll JG.
Child Protection Intervention and the Sexual and Reproductive Health of Female Adolescents Ages 13 to 17 Years. JAMA Pediatr. 2022 May 1;176(5):461-469. PMID: 35188543
Of 9392 female adolescents investigated by Wisconsin CPS for suspected maltreatment prior to age 13, by age 18 23.5% had a concerning sexual health outcome, including 8.4% sexually transmitted infection, 11.2% pregnancy, and 6.1% parenthood. Compared with CPS without formal intervention, foster care was associated with lower odds of pregnancy and live birth.

Salmon S, Garcés Dávila I, Taillieu TL, et. al.
Adolescent health outcomes: associations with child maltreatment and peer victimization. BMC Public Health. 2022 May 6;22(1):905. PMID: 35524250
From a survey of 2910 Canadian adolescents aged 14-17 years, 10% experienced both childhood maltreatment (CM) and peer victimization (PV). “Presence of both CM and PV magnifies the effect on self-injury and all suicide outcomes for females, and on suicidal ideation, suicide attempts, and mental health disorders for males.”

Tucker JS, Davis JP, Perez LG, Klein DJ, D'Amico EJ.
Late Adolescent Predictors of Homelessness and Food Insecurity During Emerging Adulthood. J Adolesc Health. 2022 May;70(5):736-742. PMID: 34903427
From a study of 2110 US adolescents at age 17 and then 5 years later, at follow-up 7.5% reported homelessness, and 29.3% food insecurity. “Multivariate analyses indicated that only adverse childhood experiences and weaker academic orientation predicted both outcomes.” This was true across all race/ethnicity subgroups. Living with both biological parents and better mental health were protective factors.

Osborne MC, Self-Brown S, Lai BS.
Child maltreatment, suicidal ideation, and in-home firearm availability in the U.S.: findings from the longitudinal studies of child abuse and neglect. Int J Inj Contr Saf Promot. 2022 Mar;29(1):56-65. PMID: 34711135
“Suicide is the second leading cause of death among adolescents in the U.S., and risk factors include child maltreatment (CM), especially physical and emotional abuse, and in-home firearm availability ('availability'). In this longitudinal study of 1,354 CPS-involved families, 27.5% of adolescents with suicidal ideation at age 16 reported availability…prevention efforts should explore…firearm safe storage guidance.”

Choi YJ, Rai A, Yun SH, Lee JO, Hong S, Cho H, An S.
Risk factors for intimate partner violence perpetration among college students: Impact of childhood adversities. J Am Coll Health. 2022 May 12:1-9. PMID: 35549994
From a survey of 3725 college students from seven US and Canadian universities, “Peer violence victimization, witnessing parental IPV, experiencing child maltreatment, drug use, and depression were associated with higher odds of perpetrating IPV.”

Schober DJ.
Examining the protective effects of social capital and social support on the perpetration of violence among a national sample of adolescents. Inj Prev. 2022 May 5:injuryprev-2022-044548. PMID: 35512898
From a sample of high school students with mean age 15, reporting having seen someone shoot or stab another person put the student at 4.77 times increased risk for perpetrating interpersonal violence. Having a high level of school social capital (strong social relations in the school environment that can result in trust, support, norms, and values of benefit to all) dropped the risk to 3.47.

Rovito KE, Herring RP, Beeson WL, et. al.
Social-Ecological Correlates of Loneliness Among Young Adult U.S. Males.
Health Promot Pract. 2022 May 11:15248399221092753. PMID: 35543520
From an online survey of 495 US males aged 18-25 years, mental health diagnosis, childhood physical and emotional abuse, and childhood sexual abuse, were significantly associated with greater loneliness.

Moussaoui D, Grover SR.
The Association between Childhood Adversity and Risk of Dysmenorrhea, Pelvic Pain, and Dyspareunia in Adolescents and Young Adults: A Systematic Review J Pediatr Adolesc Gynecol. 2022 May 12:S1083-3188(22)00195-4. PMID: 35569788
From a research review, “There was an association between the number and severity of ACEs and the risk of dysmenorrhea [painful periods]. Sexual abuse and posttraumatic stress disorder appeared to be associated with dysmenorrhea, pelvic pain, and dyspareunia [pain with intercourse]”, but it was unclear how much of an influence was made by poorer mental health.

Zaidi F, Johnson ME, Akbari Z, Vroom EB, Bristol SC.
Sex differences in the association of adverse childhood experiences on past 30-day opioid misuse among Florida justice-involved children. J Subst Abuse Treat. 2022 Apr 29:108787. PMID: 35568572
Among 79,960 Florida justice-involved children, those with an ACE score of 4 or higher were significantly more likely to have had self-disclosure or other evidence of opioid consumption within the past 30 days, more so for females.

Li M, He Q, Zhao J, Xu Z, Yang H.
The effects of childhood maltreatment on cyberbullying in college students: The roles of cognitive processes. Acta Psychol (Amst). 2022 Jun;226:103588. PMID: 35427930
From a study of 528 college students, analysis showed that hostile attribution bias (when a person is more likely to interpret ambiguous situations as hostile than benign) and anger rumination (the tendency to dwell on frustrating experiences and recall past anger experiences) was the link between experiencing child maltreatment and perpetrating cyberbullying. This analysis helps provide an intervention direction.

Domestic Violence – Effects on Children

Sayrs LW, Ortiz JB, Notrica DM, et. al.
Intimate Partner Violence, Clinical Indications, and Other Family Risk Factors Associated With Pediatric Abusive Head Trauma. J Interpers Violence. 2022 May;37(9-10):NP6785-NP6812. PMID: 33092447
Using 6 years of data from a single Level 1 children’s trauma center of patients aged 0-17 years seen with suspicion for fatal and non-fatal abusive head trauma (AHT), reported IPV in the family was associated with a twofold increase in the risk of AHT.

Vidourek RA, Andrew Yockey R, King KA.
Family and Parent Correlates to Anxiety in a National Sample of 12 to 17 Year Olds. J Prev (2022). 2022 Jun;43(3):327-336. PMID: 35286548
“Using data from the 2017 National Child Health Survey, we found an estimated one adolescent in seven reported anxiety, and nearly one in five reported anxiety related to witnessing family violence.”

Tullberg E, Vaughon W.
Revisiting the Co-Occurrence of Intimate Partner Violence and Child Maltreatment. J Interpers Violence. 2022 May 26:8862605221104533. PMID: 35617252
Using national data, “after controlling for other risk factors, children living in a household with IPV were more likely to be determined to be physically abused and emotionally maltreated than neglected, and less likely to be determined to be sexually abused than neglected, compared with children who did not live in a household with IPV.” From interviews with CPS stakeholders, “Qualitative results revealed IPV and children's exposure to IPV may be categorized as different types of child maltreatment by child welfare agencies and staff, and that this categorization can vary by agency and staff level…Recommendations are presented to improve CW data accuracy.”

Race/Cultural Concerns

Galán CA, Auguste EE, Smith NA, Meza JI.
An Intersectional-Contextual Approach to Racial Trauma Exposure Risk and Coping Among Black Youth. J Res Adolesc. 2022 Jun;32(2):583-595. PMID: 35441500
Authors expand the concept of racism as an ACE to “how gendered racism framed by historical trauma, as well as gender-based socialization experiences, may have implications for negative mental health outcomes among Black youth.”

Galán CA, Tung I, Tabachnick AR, et. al.
Combating the Conspiracy of Silence: Clinician Recommendations for Talking About Racism-Related Events With Youth of Color. J Am Acad Child Adolesc Psychiatry. 2022 May;61(5):586-590. PMID: 35026407
“Graphic videos of race-based violence…have exploded over the past year…has resulted in youth of color being exposed to racial stressors more than ever before across numerous social media and news platforms…both direct and vicarious exposure to racial discrimination can compromise psychological well-being of youth and cause trauma-like symptoms, such as intrusive thoughts, vigilance, and depression.” Authors suggest how to bring up and manage the discussion of impact of racism.

Ward K, Ryan-Ibarra S, Smith M, Sanchez-Vaznaugh EV.
Adverse childhood experiences and cognitive disability in the 2019 United States behavioral risk factor surveillance system. Prev Med Rep. 2022 May 13;27:101826. PMID: 35600427
“This study found ACEs were associated with elevated odds of self-reported cognitive disability after controlling for demographics, socioeconomic factors, and perceived general health,” and was greater for various racial/ethnic groups.

Kahn GD, Rabinowitz JA, Stuart EA, Wilcox HC.
Prospective examination of self-harm up to three years after contact with Child Protective Services (CPS). Int J Inj Contr Saf Promot. 2022 Mar;29(1):15-22. PMID: 34663166
From a national survey, for adolescents followed for three years after a CPS investigation, “The prevalence of self-harm among older adolescents (15-17 years) remained stable at ∼10%, while among younger adolescents (11-14 years), it declined from 13% to 3.5%. Approximately 4.5% of youth reported self-harm at multiple survey waves. Native American and Asian/Pacific Islander youth were five times more likely to report repeated self-harm.”

Argabright ST, Moore TM, Visoki E, et. al.
Association between racial/ethnic discrimination and pubertal development in early adolescence. Psychoneuroendocrinology. 2022 Jun;140:105727. PMID: 35344870
“We investigated associations between self-reported experiences of discrimination and pubertal development (PD) in a diverse sample of young American adolescents (N = 11,235, mean age 10.9 years, 20.5% Black participants)…Compared to their non-Black counterparts, Black youth experienced more racial/ethnic discrimination in the past year (10.4% vs 3.1%) and had a greater likelihood of being in late/post-pubertal status (3.6% vs 1.5% in boys, 21.3% vs 11.4% in girls).” These associations remained significant after controlling for multiple personal and environmental variables. “Furthermore, racial/ethnic discrimination was associated with elevated estradiol [estrogen] levels in girls.”

Providers

Yaun JA, Rogers LW, Marshall A, et. al.
Whole Child Well-Child Visits: Implementing ACEs and SDOH Screenings in Primary Care. Clin Pediatr (Phila). 2022 May 1:99228221093279. PMID: 35499122
“This program was developed to screen for ACEs and SDOH [social determinants of health] in the primary care setting in families with children 9 months to 5 years of age at well-child checks and provide interventions that support families and build resiliency…56.9% of caregivers reported 1 or more ACEs for their child, 63% of caregivers reported an SDOH need, and 39.4% of caregivers reported both…This program…provides a model that can be implemented in a primary care setting while providing wraparound resources, including integrated mental health resources and referrals.”

Prevention

Riggs JL, Rosenblum KL, Muzik M, et. al.
Infant Mental Health Home Visiting Mitigates Impact of Maternal Adverse Childhood Experiences on Toddler Language Competence: A Randomized Controlled Trial. J Dev Behav Pediatr. 2022 May 1;43(4):e227-e236. PMID: 34698704
In this study of 62 at-risk families, maternal ACE score significantly predicted child language competence. The intervention of a mental health home visitation treatment “which aims to enhance responsive caregiving and improve child social-emotional development” completely removed this maternal ACE negative influence on child language competence.

Radford A, Toombs E, Zugic K, Boles K, Lund J, Mushquash CJ.
Examining Adverse Childhood Experiences (ACEs) within Indigenous Populations: a Systematic Review. J Child Adolesc Trauma. 2021 Aug 18;15(2):401-421. PMID: 35600513
From a research review, “ACEs were reported to be higher in Indigenous populations when compared to non-Indigenous population. Higher ACE scores for Indigenous participants were associated with increased rates of suicidality and psychological distress. Protective factors to reduce the impact of ACEs were cultural identity and connectedness, education, social support, and psychological resilience.”

Gervin DW, Holland KM, Ottley PG, et. al.
Centers for Disease Control and Prevention Investments in Adverse Childhood Experience Prevention Efforts. Am J Prev Med. 2022 Jun;62(6S1):S1-S5. PMID: 35597578
Review article on the history of the CDC and ACEs, starting with the original Kaiser Felitti study, development of national awareness and programs, and future efforts. “Ensuring safe, stable, nurturing relationships and environments for all children is a critical step to preventing ACEs and mitigating their consequences in ways that can impact health across the lifespan and across generations. CDC investments in ACE prevention have increased the awareness of the importance of prevention and improved state infrastructures to support population-level change.”

Sahle BW, Reavley NJ, Morgan AJ, et. al.
A Delphi study to identify intervention priorities to prevent the occurrence and reduce the impact of adverse childhood experiences. Aust N Z J Psychiatry. 2022 Jun;56(6):686-694. PMID: 34231407
ACE-related Australian experts were asked to prioritize 34 possible ACE prevention interventions. “Seven of the 34 interventions were endorsed as priority interventions for adverse childhood experiences. These included four general categories of intervention: community-wide interventions, parenting programmes, home-visiting programmes and psychological interventions. Two broad intervention programmes were also endorsed: school-based anti-bullying interventions and psychological therapies for children exposed to trauma. Positive Parenting Program (Triple P) was the only specific intervention that achieved consensus.”

Lurie LA, Hangen EJ, Rosen ML, Crosnoe R, McLaughlin KA.
Reduced growth mindset as a mechanism linking childhood trauma with academic performance and internalizing psychopathology. Child Abuse Negl. 2022 May 21:105672. PMID: 35610110
Of 408 youth aged 10-18, threat adversities were significantly associated with lower growth mindset (growth mindset = belief that through dedication and hard work a person’s abilities and intelligence can be improved, vs. will always be what they are). Lower growth mindset was associated with worse academic performance and greater symptoms of both anxiety and depression…growth mindset could be a promising target for efforts aimed at mitigating the impact of childhood adversity on academic achievement and psychopathology.”

Messina NP.
An Experimental Study of the Effectiveness of a Trauma-Specific Intervention for Incarcerated Men. J Interpers Violence. 2022 May 27:8862605221104526. PMID: 35623631
This 6 session “Exploring Trauma” intervention for 221 men incarcerated for violent offenses showed significant effectiveness in 11 out of 13 trauma-related outcomes, including improved mental health functioning, and less trait anger and anxiety. “Support for the effectiveness of this brief intervention and capability of a Peer-facilitated model of delivery was demonstrated.”

Researchers

Brown CE, Curtis JR, Doll KM.
A Race-Conscious Approach Toward Research on Racial Inequities in Palliative Care. J Pain Symptom Manage. 2022 May;63(5):e465-e471. PMID: 34856335
“Public Health Critical Race Praxis (PHCRP)…contains 10 principles within four foci to guide researchers toward a more race conscious approach for the generation of research questions, research processes, and development of interventions targeting racial inequities.”

Matjasko JL, Herbst JH, Estefan LF.
Preventing Adverse Childhood Experiences: The Role of Etiological, Evaluation, and Implementation Research. Am J Prev Med. 2022 Jun;62(6S1):S6-S15. PMID: 35597583
The CDC “is investing in a number of research initiatives that are designed to advance what is known about the causes and consequences of adverse childhood experiences (i.e., etiological research), the strategies that are effective at reducing and preventing them (i.e., evaluation research), and how to best adapt and scale effective strategies (i.e., implementation research).” This article briefly provides highlights of recent research investments and strategic directions.

Anderson KN, Swedo EA, Clayton HB, et. al.
Building Infrastructure for Surveillance of Adverse and Positive Childhood Experiences: Integrated, Multimethod Approaches to Generate Data for Prevention Action. Am J Prev Med. 2022 Jun;62(6S1):S31-S39. PMID: 35597581
Authors describe components of expansion and improvement in adverse and positive childhood experiences surveillance data—including at federal, state, territorial, tribal, and local levels. Comprehensive data can help to ensure effective, focused prevention strategies.

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