This study evaluates the association between
parental adverse experiences and resilience and coping difficulty after pediatric discharge.
Not exact matches
In contrast, children may
experience chronic mismatch in the face of such things as
parental mental illness, substance abuse or other
adverse experiences.
Whether a child has
experienced major trauma, or more ubiquitous
adverse childhood
experiences such as
parental mental illness, domestic violence, or divorce, protecting space and time to listen to the story in the setting of trusting relationships is central to growth and healing
A new study of national survey information gathered on more than 12,000 Hispanic children from immigrant and U.S. - native families found that although they
experience more poverty, those from immigrant families reported fewer exposures to such
adverse childhood
experiences (ACEs) as
parental divorce and scenes of violence.
In 2010, more than 1 in 5 children were reported to be living in poverty.6, 10 Economic disadvantage is among the most potent risks for behavioral and emotional problems due to increased exposure to environmental, familial, and psychosocial risks.11 — 13 In families in which parents are in military service,
parental deployment and return has been determined to be a risk factor for behavioral and emotional problems in children.14 Data from the 2003 National Survey of Children's Health demonstrated a strong linear relationship between increasing number of psychosocial risks and many poor health outcomes, including social - emotional health.15 The
Adverse Childhood
Experience Study surveyed 17000 adults about early traumatic and stressful
experiences.
In fact, childhood stressors such as abuse, witnessing domestic violence, and other forms of household dysfunction are highly interrelated23, 24 and have a graded relationship to numerous health and social problems.23 - 28 We examined the relationship of 8
adverse childhood
experiences (childhood abuse [emotional, physical, and sexual], witnessing domestic violence,
parental separation or divorce, and living with substance - abusing, mentally ill, or criminal household members) to the lifetime risk of suicide attempts.
Main Outcome Measure Self - reported suicide attempts, compared by number of
adverse childhood
experiences, including emotional, physical, and sexual abuse; household substance abuse, mental illness, and incarceration; and
parental domestic violence, separation, or divorce.
Felitti and colleagues1 first described ACEs and defined it as exposure to psychological, physical or sexual abuse, and household dysfunction including substance abuse (problem drinking / alcoholic and / or street drugs), mental illness, a mother treated violently and criminal behaviour in the household.1 Along with the initial ACE study, other studies have characterised ACEs as neglect,
parental separation, loss of family members or friends, long - term financial adversity and witness to violence.2 3 From the original cohort of 9508 American adults, more than half of respondents (52 %)
experienced at least one
adverse childhood event.1 Since the original cohort, ACE exposures have been investigated globally revealing comparable prevalence to the original cohort.4 5 More recently in 2014, a survey of 4000 American children found that 60.8 % of children had at least one form of direct
experience of violence, crime or abuse.6 The ACE study precipitated interest in the health conditions of adults maltreated as children as it revealed links to chronic diseases such as obesity, autoimmune diseases, heart, lung and liver diseases, and cancer in adulthood.1 Since then, further evidence has revealed relationships between ACEs and physical and mental health outcomes, such as increased risk of substance abuse, suicide and premature mortality.4 7
Specifically, high rates of
adverse childhood
experiences are linked to low
parental education (34 %),
parental psychopathology (33 %),
parental marital conflict (23 %), and poor parent - child relationship (16 %)(Chartier et al., 2010).
Estimates of the OR for each of the 8
adverse childhood
experiences were statistically significant (P <.01) and ranged from 1.9 (95 % CI, 1.6 - 2.2) for
parental separation or divorce to 5.0 (95 % CI, 4.2 - 5.9) for emotional abuse (Table 2).
In a recent study, researchers strengthened the association between ACEs and mental health symptoms by adding such measures to the ACE index and removing
parental separation / divorce and incarceration of a household member.28 Thus, the original index might be improved by considering a wider array of
adverse experiences.
Early - life events related to maternal care in animals as well as
parental care in humans play a powerful role in later mental and physical health, which was shown by the
adverse childhood
experiences (ACE) studies and recent work noted below.
This study examined the association between 10 categories of
adverse childhood
experiences (ACEs): abuse (physical, emotional, or sexual); neglect (physical or emotional); and growing up with household substance abuse, criminality of household members, mental illness among household members, and
parental discord and illicit drug use.
Similarly,
adverse childhood
experiences (such as
parental separation or divorce, abuse, or neglect) have detrimental effects on the child's cognitive, physical, social, and emotional well - being.
Dr. Lane Strathearn, Director of Developmental and Behavioral Pediatrics and Physician Director at the University of Iowa's Center for Disabilities and Development, presents information regarding research conducted in the Attachment and Neurodevelopment Lab, discusses how face - to - face parent - infant interaction promotes healthy social and emotional development, explains the mechanisms through which
adverse childhood
experiences may adversely impact child development, and explores some specific examples of
parental psychopathology and potential effects on parenting capacity.
Adverse Childhood
Experiences (ACEs): Are potentially traumatic events that can have negative, lasting effects on health and well - being; These experiences range from physical, emotional, or sexual abuse to parental divorce or the incarceration of a parent o
Experiences (ACEs): Are potentially traumatic events that can have negative, lasting effects on health and well - being; These
experiences range from physical, emotional, or sexual abuse to parental divorce or the incarceration of a parent o
experiences range from physical, emotional, or sexual abuse to
parental divorce or the incarceration of a parent or guardian.
Being a male child, lower
parental education, unmarried parents, having a father figure and recent
experience of
adverse family events all emerged as statistically significant predictors of a poor father - child relationship.
Target Population: Overburdened families who are at - risk for child abuse and neglect and other
adverse childhood
experiences; families are determined eligible for services once they are screened and / or assessed for the presence of factors that could contribute to increased risk for child maltreatment or other poor childhood outcomes, (e.g., social isolation, substance abuse, mental illness,
parental history of abuse in childhood, etc.); home visiting services must be initiated either prenatally or within three months after the birth of the baby
Race / Ethnicity Caucasian Hispanic African American Asian American Native American Other races not listed N / A Socioeconomic status < $ 10,000 $ 10,000 - $ 20,000 $ 20,000 - $ 30,000 $ 30,000 - $ 40,000 $ 40,000 - $ 50,000 $ 50,000 - $ 60,000 $ 60,000 - $ 70,000 > $ 70,000 Education level High school diploma Vocational training Some college Bachelor's degree Graduate / professional training Doctoral degree Marital status Measures The
Adverse Childhood
Experiences Study Questionnaire (ACEs Questionnaire; Felitti et al., 1998) assessed mothers» exposure to seven dimensions of ACEs, including psychological, physical, and sexual abuse and exposure to
parental substance abuse, mental illness, domestic violence, and criminal behavior.
Descriptive Statistics for Variables of Interest Variables (available range) ACEs Total Score (0 — 10) ACEs total score for sample with high ACEs (4 — 10) Mothers» parenting behaviors Positive parenting (12 — 60) Negative / inconsistent parenting (7 — 35) Punitive parenting (5 — 25)
Parental reflective functioning High - low reflective functioning (1 — 7) Low - high reflective functioning (1 — 7) Middle reflective functioning (1 — 7) Total reflective functioning (1 — 7) ACEs =
adverse childhood
experiences M 2.21 5.61 SD 2.44 1.61 Actual Range 0 — 10 4 — 10 41.88 20.41 13.89 4.65 2.46 2.61 26 — 56 11 — 30 6 — 21 Relationship Between ACEs and Reflective Functioning Mediation analyses then were conducted to test the hypothesis that reflective functioning mediated the relationship between mothers» ACEs and their negative parenting behaviors.
* p <.05, ** p <.01 ACEs =
Adverse Childhood
Experiences Questionnaire (Felitti et al., 1998); APQ - PR = Alabama Parenting Questionnaire - Preschool Revision (Clerkin, Halperin, Marks, & Policaro, 2007); PRFQ =
Parental Reflective Functioning Questionnaire (Luyten et al., 2009) 1 ---.07 -.16 * -.03.05.17 * -.06.11 2 3 4 5 6 7 8 — .46 **.49 **.15 * -.02 -.22 ** -.13 — .28 **.15 * -.27 **.03 -.04 — .07 -.02 -.14 * -.11 — .30 ** -.26 **.48 ** ---.32 **.47 ** — .56 ** — 8 ZERO TO THREE • SEPTEMBER 2016