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Parenting with PACEs. PACEs science & stories. Trauma-informed change.

ACEs Research Corner — July 2018

 

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

Tilson EC. 
Adverse Childhood Experiences (ACEs): An Important Element of a Comprehensive Approach to the Opioid Crisis. N C Med J. 2018 May-Jun;79(3):166-169. PMID: 29735620
“Basically, one-half to two-thirds of drug use problems could be traced back to ACEs…In caring for a person struggling with addiction, we must understand their own history of trauma and the resultant effect on their neurobiology.  But we must also think about health in a multigenerational view…In households where parents are currently struggling with their own addiction, influenced by their own past ACEs, are children who are currently experiencing their own ACEs, greatly increasing their likelihood of future addiction. “

Lê-Scherban F, Wang X, Boyle-Steed KH, Pachter LM
Intergenerational Associations of Parent Adverse Childhood Experiences and Child Health Outcomes. Pediatrics. 2018 Jun;141(6). pii: e20174274. PMID: 29784755
Comparing two Philadelphia telephone surveys, one on parental ACEs and one on child’s health, 85% of parents had experienced 1 or more ACE and 18% 6 or more ACEs.  Each additional parent ACE was associated with higher odds of poor child overall health, asthma, and excessive television watching.

Carroll TD, Currier JM, McCormick WH, Drescher KD.
Adverse childhood experiences and risk for suicidal behavior in male Iraq and Afghanistan veterans seeking PTSD treatment. Psychol Trauma. 2017 Sep;9(5):583-586. PMID: 28080076
Of 217 men in a residential program for combat-related PTSD, 41.5% reported 4 or more ACEs.  “Namely, for every 1-point increase on the ACE Questionnaire, veterans' risk of suicidal ideation and attempts increased by 23% and 24%, respectively.”

DeLisi M, Beauregard E.
Adverse Childhood Experiences and Criminal Extremity: New Evidence for Sexual Homicide. J Forensic Sci. 2018 Mar;63(2):484-489. PMID: 28834569
Of 616 Canadian incarcerated adult male sexual offenders, the 85 who committed sexual homicide were significantly more likely to have increased ACEs.

Guillaume S, Jaussent I, Maimoun L, et. al.
Associations between adverse childhood experiences and clinical characteristics of eating disorders. Sci Rep. 2016 Nov 2;6:35761. PMID: 27804994
Of 192 French patients with identified eating disorders, childhood emotional abuse had the strongest impact, and the number of ACEs had an additive impact on severity of symptoms.

Maddoux J, McFarlane J, Symes L, Fredland N, Feder G.
Using Baseline Data to Predict Chronic PTSD 48-months After Mothers Report Intimate Partner Violence: Outcomes for Mothers and the Intergenerational Impact on Child. Arch Psychiatr Nurs. 2018 Jun;32(3):475-482. PMID: 29784233
Initial study using a chronic PTSD predictor tool, with elements of self-efficacy, social support, ACEs, and PTSD symptoms. 

Kalmakis KA, Shafer MB, Chandler GE, Aponte EV, Roberts SJ.
Screening for childhood adversity among adult primary care patients. J Am Assoc Nurse Pract. 2018 Apr;30(4):193-200. PMID: 29757787
Of 71 rural Massachusetts adults (almost 100% Caucasian), 53% reported more than 4 ACEs. Increasing ACEs were associated with chronic health conditions, and with increasing number of clinic visits.

Wen FK, Miller-Cribbs JE, Coon KA, et. al.
A simulation and video-based training program to address adverse childhood experiences. Int J Psychiatry Md. 2017 May;52(3) :255-264. PMID 28893142
Description of a 4-hour simulation and video-based training program for primary care residents about how to conduct brief interventions connecting their patients' current health concerns with their experiences of ACEs.

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