O'Leary C, Edwards V, Hardcastle KA, McCulloch A, Duckers JM. Adverse Childhood Experiences (ACEs) in Adults with Cystic Fibrosis.
Psychol Res Behav Manag 2022;
15:1601-1605. [PMID:
35789731 PMCID:
PMC9250325 DOI:
10.2147/prbm.s322425]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 06/07/2022] [Indexed: 11/23/2022] Open
Abstract
Objective
This exploratory study examines the prevalence of adverse childhood experiences (ACEs) in adults with cystic fibrosis (CF).
Design
Childhood exposure to 16 ACEs was measured during an annual review assessment (N = 80).
Methods
CF patients (n = 80) attending the All Wales Adult CF Service for a routine annual review assessment completed an adapted version of the Centers for Disease Control and Prevention (CDC) short-form ACE questionnaire alongside measures of psychological well-being.
Results
In this sample, 65 (78%) reported at least one type of childhood adversity and 11 (14%) experienced four or more ACEs. Parental divorce or separation and verbal abuse were the most frequently reported ACEs. Illness related trauma in childhood was also prevalent with 52 (64%) reporting having experienced a painful or frightening medical procedure and 23 (28%) feeling forced to have treatment or a procedure.
Conclusion
Individuals with CF reported a number of childhood traumas including trauma relating to medical procedures. Those with a history of ACEs may have increased risks of emotional and physical difficulties and may benefit from additional support from the CF psychosocial team.
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