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ACEs Research Corner — June 2019


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

Wickramasinghe YM, Raman S, Garg P, Hurwitz R.
Burden of adverse childhood experiences in children attending paediatric clinics in South Western Sydney, Australia: a retrospective audit.
BMJ Paediatr Open. 2019 Mar 8;3(1):e000330. PMID: 30957023
In New South Wales, Australia, in clinics for children with developmental delay concerns, 5% of children had 4 or more ACEs.  63% had 4 or more ACEs in clinics for vulnerable children (care and protection risks, out of home care, children of parents with substance use or psychopathology, ad indigenous and refugee children).

Berg KL, Shiu CS, Feinstein RT, et. al.
Children with developmental disabilities experience higher levels of adversity.
Res Dev Disabil. 2019 Jun;89:105-113. PMID: 30974258
Using national data, children with developmental disabilities were 1.28 more likely to experience 1-2 Adverse Family Experiences, and 1.60 times more likely for 3 or more regardless of income level or residential status.

Hambrick EP, Rubens SL, Brawner TW, Taussig HN.
Do sleep problems mediate the link between adverse childhood experiences and delinquency in preadolescentchildren in foster care?
J Child Psychol Psychiatry. 2018 Feb;59(2):140-149. PMID: 28862324
For 516 maltreated children in foster care ages 9-11 years, after controlling for many variables, sleep problems partially were responsible for the association between ACEs and delinquent behaviors. 

Mersky JP, Janczewski CE.
Racial and ethnic differences in the prevalence of adverse childhood experiences: Findings from a low-income sample of U.S. women.
Child Abuse Negl. 2018 Feb;76:480-487. PMID: 29272816
In an expanded ACE survey (original 10 plus food insecurity, homelessness, prolonged parental absence, peer victimization, and violent crime victimization) of 1423 low-income women in Wisconsin receiving home visiting services, the highest ACE scores were found in American Indians, followed by non-Hispanic Whites, Blacks, and Hispanics.”

Priester MA, Kulkarni S, Mennicke A, Bell BA.
Factors Associated With Batterer Intervention Program Attrition.
Violence Vict. 2019 Apr 1;34(2):296-311. PMID: 31019013
Of 268 men enrolled in a county-operated Batterer Intervention Program (BIP), participants who experienced ACEs had decreased odds of BIP attrition compared to participants with no ACEs.

King E, Steenson C, Shannon C, Mulholland C.
Prevalence rates of childhood trauma in medical students: a systematic review.
BMC Med Educ. 2017 Sep 12;17(1):159. PMID: 28899378
In a research review, studies of prevalence of ACEs in medical students were limited and difficult to generalize.  Medical students may be more reluctant than the general population to disclose. These experiences may make a medical student more vulnerable to academic stress and may be associated with alcohol or other substance use; however they may also make a person more comfortable asking patients about abuse.  Authors advocate well-organized, large-scale prospective studies. 

Gill ME, Zhan L, Rosenberg J, Breckenridge LA.
Adverse Childhood Experiences: Concept Mapping in the Bachelor of Science in Nursing Curriculum.
J Nurs Educ. 2019 Apr 1;58(4):193-200. PMID: 30943293  

Arenas JH, Shin EK, Shaban-Nejad A. 
An Ontological Framework to Improve Surveillance of Adverse Childhood Experiences (ACEs).
Stud Health Techno Inform. 2019;258:3-35. PMID: 30942708
"To better understand the relationship between ACEs and the associated health outcomes and eventually to plan and implement preventive interventions, access to an integrated coherent actionable data set is crucial...we introduce a formal reusable ontological framework to capture knowledge in the domain of ACEs."

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