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PACEs in Pediatrics

Blog Posts -- Research & Reports

Research roundup: Healthy parenting; resilience building; ACEs and substance use; ACEs and justice-involved youth recidivism; ACEs and fetal alcohol exposure; integrating ACEs into nursing curriculum

Effective Discipline to Raise Healthy Children [Pediatrics] Addressing the social emotional needs of children in chronic poverty: A pilot of the Journey of Hope [Children and Youth Services Review] From Child Maltreatment to Adolescent Substance Use: Different Pathways for Males and Females? [Feminist Criminology] Adverse Childhood Experiences and Justice-Involved Youth: The Effect of Trauma and Programming on Different Recidivistic Outcomes [Youth Violence and Juvenile Justice] Quality of...

Research roundup: ACEs and children with Autism Spectrum Disorder; ACEs impact on pre-diabetes; parental incarceration and health care use; can a safe neighborhood reduce the risk of obesity?

Adverse Childhood Experiences Are Associated with Unmet Healthcare Needs among Children with Autism Spectrum Disorder [The Journal of Pediatrics] Objective: "To explore associations between level of adverse childhood experiences (ACEs) and unmet healthcare needs among children with autism spectrum disorder (ASD) using a population-based sample." The Differential Impact of Adverse Childhood Experiences in the Development of Pre-Diabetes in a Longitudinal Cohort of US Adults [The Journal of...

Expanding concepts of youth adversity: Relationships with a positive Patient Health Questionnaire-2 [Journal of Pediatric Health Care]

" Research suggests that diverse examples of adverse childhood experiences (ACEs) may link to health. This study examines relationships between conventional (abuse, neglect, household dysfunction) and expanded examples (bullying, safety perceptions) of ACEs and adolescent mental health among youth participating in a statewide school-based survey," To read more of the abstract and for full text access options, please click on the link: ...

Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs

photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...

Adverse Childhood Experiences Run Deep: Toxic Early Life Stress, Telomeres, and Mitochondrial DNA Copy Number, the Biological Markers of Cumulative Stress [BioEssays]

" This manuscript reviews recent evidence supporting the utility of telomeres and mitochondrial DNA copy number (mtDNAcn) in detecting the biological impacts of adverse childhood experiences (ACEs) and outlines mechanisms that may mediate the connection between early stress and poor physical and mental health. Critical to interrupting the health sequelae of ACEs such as abuse, neglect, and neighborhood disorder, is the discovery of biomarkers of risk and resilience. The molecular markers of...

Surviving all the way to college: Pathways out of one of America’s most crime ridden cities [Journal of Interpersonal Violence]

photo: Daniel Case/ CC "The purpose of this study is to better understand the factors and processes related to resilience of youth who are among the most at risk for academic failure and involvement in the criminal justice system. To address the research questions about resilience and risk, in-depth interviews were conducted with a racially and ethnically diverse sample ( N = 146) from one of the “most dangerous” cities in America. To obtain an objective assessment of risk, crime data were...

The AAP opens up access to ACE studies to highlight long-term impact of family separations and detentions at the border

Photo by Gerald R. Nino/Wikimedia.org "We have created a collection of articles on toxic stress since the American Academy of Pediatrics Committee on Psychosocial Aspects of Child and Family Health, the Committee on Early Childhood, Adoption and Dependent Care, and the Section on Behavior and Developmental and Behavioral Pediatrics published their landmark policy statement, “ Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science into...

Research Roundup: Integrating ACEs science into nursing curriculum, ACEs and addiction, two-generational approaches to preventing ACEs

Photo by Rhonda Baer/Wikimedia Commons A nursing school in Memphis integrates ACEs curriculum https://www.sciencedirect.com/science/article/pii/S8755722318300978 Looking at addiction through a trauma lens https://iacp.ie/files/UserFiles/Eisteach-Journals-Edited-Art/IJCP-Summer-2018-Art.pdf#page=16 What role do ACEs play in food addiction, bariatric surgery and weight loss outcomes? https://link.springer.com/article/10.1007/s11695-018-3370-1 Researchers investigate two-generational approaches...

Research roundup of studies about ACEs and resilience

photo /CreativeCommons How do parents' perception of their children's resilience match up with their ACE scores? What is the scientific evidence that separating children from parents causes trauma? How does a trusted adult and other supports counteract the impact of high ACE scores? Looking at the National Survey of Children's Health for answers about bullying

Recently released research on ACEs; incarceration; separating families at the border

Behavioral risk factor surveillance system state survey on exposure to adverse childhood experiences (ACEs): Who declines to respond? [Children and Youth Services Review] "A wealth of research has examined the prevalence and impact of adverse childhood experiences (ACEs) via various research methodologies. Some of these studies have also examined the presence of nonresponse bias, showing minimal nonresponse bias effects. More recently, many states and the District of Columbia have used the...

Report reviews research and strategies for building resilience among trans youth

Some 41 percent of transgender adults report that they have attempted suicide at some point in their lives, according to a report by the University of Minnesota Extension Center for Family Development, Children, Youth & Family Consortium reviewing research. Those attempts are associated with bullying and victimization, according to a growing body of research, cited in the report. The authors reviewed research and strategies that could be used by communities to build resilience among...

Intergenerational associations of parent adverse childhood experiences and child health outcomes [ Pediatrics]

To what extent do parents' adverse childhood experiences (ACEs) affect ACEs and health status among their children? Linking data of 350 parents and their children from the 2012 Southeastern Pennsylvania Household Health Survey (HHS) and the Philadelphia ACE Survey, researchers found statistically significant correlations between parents' ACE scores and their children's health status. "Our results suggest that the full scope of health effects of ACEs is not limited to the exposed individual.

Cumulative childhood risk is associated with a new measure of chronic inflammation in adulthood [The Journal of Child Psychology and Psychiatry]

The CDC/Kaiser Permanente landmark ACEs study showed a dose-dependent association between ACEs and health outcomes in adulthood. In this study of 837 patients, researchers examined the association between childhood predictors, including higher ACE scores, with levels of inflammation in adulthood. Read more about the study that appeared in the Journal of Child Psychology and Psychiatry here .

A plethora of journal articles on ACEs science

As the community manager of ACEs in Pediatrics, I comb the web looking for pertinent studies and information that may be of interest to ACEs in Pediatric members. In the last several days the journals Pediatrics, the North Carolina Medical Journal, Child Abuse & Neglect and the Journal of Women's Health have published a number of articles on ACEs science. Here is a list of some of the articles and commentary featured in each journal: ACEs and Pregnancy: Time to Support All Expectant...

Parental Adverse Childhood Experiences and Offspring Development at 2 Years of Age [Pediatrics]

photo by D. Sharon Pruitt, Creative Commons "OBJECTIVES: The study objective was to determine if maternal and paternal exposure to adverse childhood experiences (ACEs) have a significant association with negative offspring development at 24 months of age in a suburban pediatric primary care population." Find out more about this study in the March 2018 issue of the journal PediatrIcs .

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