Adverse childhood experiences: Assessing the impact on physical and psychosocial health in adulthood and the mitigating role of resilience.

Child Abuse & Neglect
Nancy RossMichael Ungar

Abstract

More than 2000 studies demonstrate adverse childhood experiences ACEs are universal and that experiencing multiple ACEs increases risk for developing physical and psychosocial health problems in adulthood. A challenge faced by clinicians is identifying those most at risk. Recent evidence suggests socio-ecological resilience may mitigate the consequences ACEs. We hypothesize that integrated assessment of ACEs and resilience might improve identification of those at highest risk. We examined ACEs among adults attending a rural family practice clinic and explored associations between ACE, socio-ecological resilience and health. A cross-sectional survey measured ACEs, resilience, and health in adult patients attending a collaborative family health care centre in Lunenburg, Nova Scotia, Canada. Correlation analyses were used to determine associations between the measures. The impact of socio-economic status, level of education and gender was considered. Two hundred and twenty-six persons participated in this study. Approximately 73 % of participants had experienced at least one ACEs and 31 % experienced 4 or more. Overall with increasing numbers of ACEs prevalence of health problems increased. However, individuals with high resilienc...Continue Reading

References

Nov 29, 2005·European Archives of Psychiatry and Clinical Neuroscience·Robert F AndaWayne H Giles
May 31, 2011·Journal of Affective Disorders·Alec RoyMarco Sarchiapone
Apr 15, 2016·The American Journal of Orthopsychiatry·Leslie E RoosJitender Sareen
Aug 10, 2016·Clinical Medicine & Research·Kristen C Iniguez, Rachel V Stankowski
Dec 19, 2017·The Lancet. Public Health·Karen HughesMichael P Dunne

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Citations

Jun 25, 2021·Journal of Gambling Studies·Lindsay A BristowLaurence Y Katz
Aug 3, 2021·Frontiers in Sports and Active Living·Gareth Norris, Heather Norris

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