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I want to be sure what I'm saying about it is accurate. Does this say that over 90% of people with an ACE score of 4 or more have been prescribed antidepressants at age 50 or at one point in the 50 years following their ACEs? Is that an accurate read of this slide?

I share this one to remind survivors that it's not that shocking that we might struggle with mood issues. Though most of us, hearing this news, are pretty shocked. Mental health isn't something we talk about with friends, family, loved ones, co-workers or even doctors. And though we get prescriptions, we may lack a ton of context about who else does and does not. Anyhow, I just want to make sure I'm reading it accurately and not reading into it wrong.

antidepressants

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While I'm not immediately able to offer a refutation on all the assertions presented here, I had a higher ACE score on the World Health Organization's ACE International Questionaire (6), than on the CDC/Kaiser 8/10 question ACE screen (4), but I also had a Resilience score of 10. I did have occasion to be prescribed an antidepressant--before I learned of the ACE study, but I don't recall being on the medication for more than one "person year", in the fifty years since I experienced those ACEs. Some of my ACEs are only 48-49 years 'old', although most are over 50 years 'old'.

I'm wondering who prepared the graph, and what ACE screening tool was used to calculate their ACE score, and why a 'Resilience score' was not considered in the criteria. Where did you find this graph, Cissy, and was it accompanied by an article or explanatory material[s] ?

Last edited by Robert Olcott
 

I'm wondering who prepared the graph, and what ACE screening tool was used to calculate their ACE score, and why a 'Resilience score' was not considered in the criteria. Where did you find this graph, Cissy, and was it accompanied by an article or explanatory material[s] ?"

Robert: 

This is from one of the presentations shared in the Resource Center. There are several. They are fabulous.

Adverse Childhood Experiences and their Relationship to Adult Well-being and Disease, 2012
Description: [PDF] A presentation by Dr. Vincent Felitti, co-principle investigator of the CDC-Kaiser Permanente Adverse Childhood Experiences Study.

I'm learning more about the resilience and scales. I don't think there's much research, at least yet, on how the resilience factors (or scores) impact risks, in relation to antidepressants. Do you know of such research? 

Cissy

 

i would say instead in your presentations that the graph shows that those w 4 or more ACE have 3x the likelihood of antidepressant RX in their lifetimes compared to those w 0 ACE...

because, no the graph does not mean "over 90% of people with an ACE score of 4 or more have been prescribed antidepressants at age 50 or at one point in the 50 years following their ACEs". the vertical scale on the graph is Rx rate per 100 person years. person years is not a concept general public typically encounters regularly.

Here's a definition of person years follows, see https://practice.sph.umich.edu...tral/person_time.php  for examples

"A measurement combining the number of persons and their time contribution in a study. This measure is most often used as denominator in incidence rates. It is the sum of individual units of time that the persons in the study population have been exposed or at risk to the conditions of interest. The most frequently used person-time is person-years."

so would use the top statement instead which compares the rates (90 vs 30 Rx/100 person-years) of those w 4+ vs 0 ACE, ie 3 times more likely

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