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Schweitzer S, Sonnentag TL. Role of the Sibling Relationship to Reduce the Negative Impact of Adverse Childhood Experiences (ACEs) on Wellbeing in Adulthood. J Genet Psychol 2024; 185:256-271. [PMID: 38059321 DOI: 10.1080/00221325.2023.2284900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 11/14/2023] [Indexed: 12/08/2023]
Abstract
Over the past two decades, public health research has demonstrated that Adverse Childhood Experiences (ACEs) are associated with significant and prolonged physical and mental health problems, demanding investigation into the factors that may mitigate the poor outcomes. One potential factor that may attenuate the negative impact of ACEs on individuals' health is social support. An important source of social support, both during and after adverse childhood experiences, is sibling relationships. Consequently, the purpose of the current study was to examine if two components of sibling relationships-perceived warmth and conflict-affect the relationship between ACEs and wellbeing in adulthood. A total of 439 participants (Mage = 35.06, SD = 11.19) completed self-report measures of their ACEs, their perceived warmth and conflict with a living sibling, and their wellbeing. Results revealed that sibling relationships characterized by higher perceived warmth-and, interestingly, higher perceived conflict-attenuated the negative impact of ACEs on wellbeing in adulthood. Findings from the current study provide valuable information about how psychologist, social workers, and other health professionals may use siblings as a source of social support to mitigate the negative effects of ACEs on wellbeing in adulthood.
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Albdour M, DiMambro MR, Solberg MA, Jenuwine ES, Kurzer JAMJ, Hong JS. Association of adversities and mental health among first- and second-generation Arab American young adults. Res Nurs Health 2024; 47:208-219. [PMID: 37778014 DOI: 10.1002/nur.22340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Revised: 08/11/2023] [Accepted: 09/17/2023] [Indexed: 10/03/2023]
Abstract
The prevalence of mental health problems among young adults is widely recognized. However, limited research has examined the mental health of Arab American young adults specifically. To address this gap in the literature, this study aimed to investigate the effects of multiple stressors including adverse childhood experiences (ACEs), discrimination, and bullying victimization on the mental health of first- and second-generation Arab American young adults. The participants (N = 162) were recruited from a Midwest university using online and in-person methods. They were screened and completed a demographic questionnaire and self-report measures of ACEs, discrimination, bullying victimization, and mental health. Hierarchical multiple regression analysis was conducted to examine the effect of psychosocial stressors on mental health and the moderating effect of generation (first vs. second) on that relationship. Female gender, increased perceived discrimination, and more ACEs were associated with lower mental health scores (β = -0.316, p < 0.001, β = -0.308, p < 0.001, and β = -0.230, p = 0.002, respectively). There was a significant negative relationship between victimization and mental health for first-generation Arab Americans (β = -0.356, p = 0.010). However, that association all but disappeared for second-generation participants (β = 0.006, p = 0.953). The results highlight the impact of multiple adversities on Arab American young adults' mental health and indicate important nuances related to their generation in the association between bullying victimization and mental health. Implications for practice and future research are discussed.
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Affiliation(s)
- Maha Albdour
- College of Nursing, Wayne State University, Detroit, Michigan, USA
| | | | - Marvin A Solberg
- College of Nursing, Wayne State University, Detroit, Michigan, USA
| | | | | | - Jun Sung Hong
- School of Social Work, Wayne State University, Detroit, Michigan, USA
- Department of Social Welfare, Ewha Womans University, Seoul, South Korea
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3
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Wei X, Lü W. Childhood trauma and internalizing and externalizing behavior problems among adolescents: Role of executive function and life events stress. J Adolesc 2023; 95:740-750. [PMID: 36751143 DOI: 10.1002/jad.12150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 01/24/2023] [Accepted: 01/25/2023] [Indexed: 02/09/2023]
Abstract
INTRODUCTION Exposure to childhood trauma is found to increase internalizing and externalizing behavior problems in adolescents, however, the potential mechanism of this link remains underexplored. This study investigated the associations between childhood trauma and internalizing and externalizing behavior problems among adolescents, and tested the mediating role of executive function and the moderating role of life events stress in this relationship. METHODS Questionnaire data were collected from 952 junior students in Northwest China. Participants ranged in age from 11 to 15 years old (M = 12.88 years, SD = 0.72; 53% females). SPSS 26.0 was used to analyze the relationship between variables and examine the mediation model and the moderated mediation model. RESULTS Childhood trauma was positively associated with internalizing and externalizing behavior problems among adolescents. In addition, executive function partially mediated the relations between childhood trauma and internalizing and externalizing behavior problems. Life events stress was observed to moderate the relations between childhood trauma and executive function, as well as executive function and internalizing and externalizing behavior problems, but the effect sizes were relatively small. CONCLUSIONS These findings underscore the role of executive function and life events stress in the association between childhood trauma and behavioral problems among adolescents.
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Affiliation(s)
- Xiaomin Wei
- Shaanxi Key Laboratory of Behavior and Cognitive Neuroscience, Shaanxi Key Research Center for Children Mental and Behavior Health, School of Psychology, Shaanxi Normal University, Xi'an, USA
| | - Wei Lü
- Shaanxi Key Laboratory of Behavior and Cognitive Neuroscience, Shaanxi Key Research Center for Children Mental and Behavior Health, School of Psychology, Shaanxi Normal University, Xi'an, USA
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4
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Kovács-Tóth B, Oláh B, Kuritárné Szabó I, Fekete Z. Psychometric properties of the Adverse Childhood Experiences Questionnaire 10 item version (ACE-10) among Hungarian adolescents. Front Psychol 2023; 14:1161620. [PMID: 37275710 PMCID: PMC10235773 DOI: 10.3389/fpsyg.2023.1161620] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 04/27/2023] [Indexed: 06/07/2023] Open
Abstract
Introduction Although a number of studies have been conducted since the 1995 initiation of the ACE study to map the effects of adverse childhood experiences, few studies have examined the psychometric properties of the individual versions of the ACE questionnaire. Aims The Adverse Childhood Experiences Questionnaire 10 item version (ACE-10) has only been tested in a single study in an adult population, while its applicability in a particularly vulnerable population, the adolescents, has not been investigated yet. Our present study aims to address this gap in an adolescent sample of 792 subjects from a non-representative general population. Methods Besides demographic data, the Adverse Childhood Experiences Questionnaire 10 item version (ACE-10), the Strengths and Difficulties Questionnaire (SDQ), and the HBSC Symptom Checklist (HBSC-SCL) were employed. Results Our results showed acceptable internal consistency (ɵ = 0.86, α = 0.64) and adequate internal validity (r = 0.28-0.70, p < 0.001). In addition, proper concurrent criterion validity of the questionnaire was found when tested along the SDQ and HBSC-SCL items. Conclusion Our results demonstrate that the ACE-10 is suitable for assessing intrafamilial adverse childhood experiences in adolescents.
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Affiliation(s)
- Beáta Kovács-Tóth
- Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
| | - Barnabás Oláh
- Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Ildikó Kuritárné Szabó
- Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
- Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Zita Fekete
- Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary
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Kautz-Turnbull C, Rockhold M, Handley ED, Olson HC, Petrenko C. Adverse childhood experiences in children with fetal alcohol spectrum disorders and their effects on behavior. ALCOHOL, CLINICAL & EXPERIMENTAL RESEARCH 2023; 47:577-588. [PMID: 36811189 PMCID: PMC10050124 DOI: 10.1111/acer.15010] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 12/12/2022] [Accepted: 01/03/2023] [Indexed: 02/24/2023]
Abstract
BACKGROUND Children with fetal alcohol spectrum disorders (FASD) have high rates of adverse childhood experiences (ACEs). ACEs are associated with a wide range of health outcomes including difficulty with behavior regulation, an important intervention target. However, the effect of ACEs on different areas of behavior has not been well characterized in children with disabilities. This study describes ACEs in children with FASD and how they impact behavior problems. METHODS A convenience sample of 87 caregivers of children (aged 3 to 12) with FASD participating in an intervention study reported on their children's ACEs using the ACEs Questionnaire and behavior problems on the Eyberg Child Behavior Inventory (ECBI). A theorized three-factor structure of the ECBI (Oppositional Behavior, Attention Problems, and Conduct Problems) was investigated. Data were analyzed using Pearson correlations and linear regression. RESULTS On average, caregivers endorsed 3.10 (SD = 2.99) ACEs experienced by their children. The two most frequently endorsed ACE risk factors were having lived with a household member with a mental health disorder, followed by having lived with a household member with a substance use disorder. Higher total ACEs score significantly predicted a greater overall frequency of child behavior (intensity scale), but not whether the caregiver perceived the behavior to be a problem (problem scale) on the ECBI. No other variable significantly predicted the frequency of children's disruptive behavior. Exploratory regressions indicated that a higher ACEs score significantly predicted greater Conduct Problems. Total ACEs score was not associated with Attention Problems or Oppositional Behavior. DISCUSSION Children with FASD are at risk for ACEs, and those with higher ACEs had a greater frequency of problem behavior on the ECBI, especially conduct problems. Findings emphasize the need for trauma-informed clinical care for children with FASD and increased accessibility of care. Future research should examine potential mechanisms that underlie the relationship between ACEs and behavior problems to optimally inform interventions.
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Affiliation(s)
- Carson Kautz-Turnbull
- Department of Psychology, Mt. Hope Family Center, University of Rochester, Rochester, New York, USA
| | - Madeline Rockhold
- Department of Psychology, Mt. Hope Family Center, University of Rochester, Rochester, New York, USA
| | - Elizabeth D Handley
- Department of Psychology, Mt. Hope Family Center, University of Rochester, Rochester, New York, USA
| | - Heather Carmichael Olson
- Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA
| | - Christie Petrenko
- Department of Psychology, Mt. Hope Family Center, University of Rochester, Rochester, New York, USA
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Houbrechts M, Bijttebier P, Calders F, Goossens L, Van Leeuwen K, Van Den Noortgate W, Bosmans G. Cumulative family stress and externalizing problems: Secure base script knowledge as a protective factor. Child Dev 2023. [PMID: 36806174 DOI: 10.1111/cdev.13911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 12/31/2022] [Accepted: 01/03/2023] [Indexed: 02/23/2023]
Abstract
The current study examined whether secure base script knowledge can buffer against higher concurrent externalizing problems and against relative increases in externalizing problems associated with cumulative family stress. We conducted a one-year longitudinal study with two waves between 2017 and 2019 in which 272 Dutch-speaking Western European children from Flanders (47.8% boys, M age = 10.20 , SD age = 0.60 $$ {M}_{\mathrm{age}}=10.20,{SD}_{\mathrm{age}}=0.60 $$ ) participated. Secure base script knowledge was associated with lower concurrent externalizing problems (f2 = 0.03). High levels of secure base script knowledge also buffered against relative increases in externalizing problems associated with cumulative family risk (f2 = 0.02). These findings suggest that secure base script knowledge can mitigate the negative effects of a stressful family environment on externalizing problems.
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Affiliation(s)
- Melisse Houbrechts
- Clinical Psychology Research Group, KU Leuven (University of Leuven), Leuven, Belgium
| | - Patricia Bijttebier
- School Psychology and Development in Context Research Unit, KU Leuven (University of Leuven), Leuven, Belgium
| | - Filip Calders
- Parenting and Special Education Research Unit, KU Leuven (University of Leuven), Leuven, Belgium
| | - Luc Goossens
- School Psychology and Development in Context Research Unit, KU Leuven (University of Leuven), Leuven, Belgium
| | - Karla Van Leeuwen
- Parenting and Special Education Research Unit, KU Leuven (University of Leuven), Leuven, Belgium
| | - Wim Van Den Noortgate
- Methodology of Educational Sciences Research Group, KU Leuven (University of Leuven), Kortrijk, Belgium.,imec-ITEC, KU Leuven (University of Leuven), Kortrijk, Belgium
| | - Guy Bosmans
- Clinical Psychology Research Group, KU Leuven (University of Leuven), Leuven, Belgium
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Kopcakova J, Husarova D, Sigmund E, Banik G, Sokolova L. Editorial: Health of adolescents: Quantitative and qualitative perspective. Front Psychol 2023; 14:1156334. [PMID: 37034907 PMCID: PMC10074190 DOI: 10.3389/fpsyg.2023.1156334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 03/02/2023] [Indexed: 04/11/2023] Open
Affiliation(s)
- Jaroslava Kopcakova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, University of Pavol Jozef Šafárik in Kosice, Kosice, Slovakia
- *Correspondence: Jaroslava Kopcakova
| | - Daniela Husarova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, University of Pavol Jozef Šafárik in Kosice, Kosice, Slovakia
| | - Erik Sigmund
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czechia
| | - Gabriel Banik
- Institute of Psychology, Faculty of Arts, University of Presov, Presov, Slovakia
| | - Lenka Sokolova
- Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University, Bratislava, Slovakia
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Mackova J, Veselska ZD, Geckova AM, Jansen DEMC, van Dijk JP, Reijneveld SA. The role of parents in the care for adolescents suffering from emotional and behavioral problems. Front Psychol 2022; 13:1049247. [PMID: 36619121 PMCID: PMC9813959 DOI: 10.3389/fpsyg.2022.1049247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 12/06/2022] [Indexed: 12/24/2022] Open
Abstract
Background Parents play an important role in the psychosocial care of their children. Previous research has primarily examined their role in care entry, whereas evidence on their role in other stages of the care process is scarce and lacking particularly in regard to the perspective of care providers. Our aim was therefore to examine how psychosocial care providers perceive the role of parents in the process of psychosocial care for adolescents. Methods We used data from 25 semi-structured interviews with psychosocial care providers on the roles of parents in the care process. We analyzed data using consensual qualitative research and thematic analysis. Results Four main themes were identified: (1) parents as a source of adolescents' problems; (2) parents trying to escape from responsibility for adolescents with problems; (3) parents as an active part of the care for adolescents; and (4) parents as a barrier to effective care. Conclusion Psychosocial care providers should specifically address the role of the parents in psychosocial care to improve outcomes. Specific interventions are needed to support the involvement of parents in care, as their role is important. Moreover, professionals can be better trained in working with multi-problem families also to resolve some of the negative perceptions of these parents.
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Affiliation(s)
- Jaroslava Mackova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, Pavol Jozef Safarik University, Kosice, Slovakia
| | - Zuzana Dankulincova Veselska
- Department of Health Psychology and Research Methodology, Faculty of Medicine, Pavol Jozef Safarik University, Kosice, Slovakia,*Correspondence: Zuzana Dankulincova Veselska,
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, Pavol Jozef Safarik University, Kosice, Slovakia,Olomouc University Social Health Institute, Palacky University Olomouc, Olomouc, Czechia
| | - Danielle E. M. C. Jansen
- Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Jitse P. van Dijk
- Olomouc University Social Health Institute, Palacky University Olomouc, Olomouc, Czechia,Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Sijmen A. Reijneveld
- Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
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Lackova Rebicova M, Dankulincova Veselska Z, Madarasova Geckova A, Jansen DEMC, van Dijk JP, Reijneveld SA. Are Adverse Childhood Experiences Associated With Being in the System of Care? Front Psychol 2022; 13:909737. [PMID: 35814085 PMCID: PMC9263823 DOI: 10.3389/fpsyg.2022.909737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 05/13/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundAdverse childhood experiences (ACEs) can cause serious mental problems in adolescents and therefore may expected to be associated with higher use of psychosocial care, potentially varying by type of specific ACE. The aim of our study is to explore the association of the number of ACE and types of specific ACE with entering and using psychosocial care.MethodsWe used data from the Slovak Care4Youth cohort study, comprising 509 adolescents from 10 to 16 years old (mean age 13.2 years, 48.6% boys). We used logistic regression models adjusted for age, gender, and family affluence to explore the associations of number and type of specific ACE with the use of psychosocial care.ResultsHaving three or more ACE as well as experiencing some specific ACE (death of a mother/father, death of somebody else you love, problems of a parent with alcohol or drugs, conflicts or physical fights between parents, and separation/divorce of parents) increased the likelihood of using psychosocial care. Regarding experience with the death of somebody else you love, we found a decreased likelihood of the use of psychosocial care.ConclusionExperiencing ACE above a certain threshold (three or more) and parent-related ACE increase the likelihood of adolescent care use.
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Affiliation(s)
- Miriama Lackova Rebicova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
- Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
- *Correspondence: Miriama Lackova Rebicova,
| | - Zuzana Dankulincova Veselska
- Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
- Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
- Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
- Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | - Danielle E. M. C. Jansen
- Theoretical Sociology - Department Sociology, Faculty of Behavioural and Social Sciences, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Jitse P. van Dijk
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia
- Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
- Olomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, Czechia
| | - Sijmen A. Reijneveld
- Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
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Gatta M, Raffagnato A, Iannattone S, Mistrorigo C, Fasolato R, Traverso A, Zanato S, Miscioscia M. Hospitalisation in Child Neuropsychiatry: A Case Study Along a Five-Year Epidemiological-Clinical Trend. CLINICAL NEUROPSYCHIATRY 2022; 19:72-83. [PMID: 35601249 PMCID: PMC9112988 DOI: 10.36131/cnfioritieditore20220201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE In Italy, the number of patients admitted to child and adolescent neuropsychiatry services has almost doubled in the last 10 years. Despite this significant increase in demand, there is still a paucity of literature on mental disorders in the paediatric population. Therefore, we investigated and described the clinical and socio-demographic characteristics of a sample of young Italian inpatients with psychiatric disorders. The aim was to contribute to the jet scarce literature on this topic, while also providing useful information for the clinical-care organisation of mental health services dedicated to children and adolescents. METHOD In this retrospective cohort study, data were collected from 361 hospitalised patients aged̀ 1 to 18 who had been admitted to a Child Neuropsychiatry Unit in Northern Italy, from January 2016 to December 2020. Descriptive analyses, Univariate Analysis of Variance (ANOVA), and Chi-square tests were applied. RESULTS During a five-year timeline, a higher admission rate for females was recorded, and the average age of inpatients was 13.4 years (SD = 3.01). Most of the admissions occurred through the Paediatric Emergency Department, and suicidal behaviour was the most frequent reason for admission. At discharge, affective disorders were the main diagnoses, which were also found to be the most frequent in patients with self-injurious behaviours. Non-suicidal self-injury, which was mainly reported as occurring in order to obtain relief from suffering, regarded 40.8% of the total sample. Almost half of the subjects reported suicidal ideation, and 21.1% attempted suicide. The mean hospitalisation length significantly decreased from 2016-2018 to 2019-2020. In general, patients with psychotic disorders had the longest stays. CONCLUSIONS Ad hoc diagnostic-therapeutic protocols should be developed for psychiatric emergencies, and health personnel should be adequately trained to manage acute psychiatric conditions in developmental age. Primary and secondary prevention programs should be implemented to promptly recognise and treat mental health issues in this age group.
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Affiliation(s)
- Michela Gatta
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Alessia Raffagnato
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Sara Iannattone
- Department of General Psychology, University of Padua, 35131 Padua, Italy,Corresponding author Sara Iannattone Department of General Psychology–University of Padua Via Venezia, 8, 35131, Padua (PD), Italy E-mail:
| | - Claudia Mistrorigo
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Rachele Fasolato
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Annalisa Traverso
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Silvia Zanato
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Marina Miscioscia
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy,Department of General Psychology, University of Padua, 35131 Padua, Italy,Department of Developmental Psychology and Socialization, University of Padua, 35131 Padua, Italy
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11
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deSteiguer AJ, Frazier EA, Gelman DJ, Hedrick MA, Micalizzi L. Adverse Childhood Experiences and Mental Health in an Adolescent Partial Hospital Program. EVIDENCE-BASED PRACTICE IN CHILD AND ADOLESCENT MENTAL HEALTH 2022; 7:452-462. [PMID: 36465480 PMCID: PMC9718448 DOI: 10.1080/23794925.2021.1986869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Childhood adversity has been associated with myriad physical, emotional, and mental health symptoms across the lifespan, including higher risk for substance abuse, depression, suicidal ideation, and premature mortality. The current study evaluates the association between cumulative adverse childhood experiences and mental health distress at admission and discharge in an adolescent partial hospital program. Data were collected from 157 adolescents through clinical assessments administered during admission and discharge procedures (Youth Outcomes Questionnaire Self-Report (YOQ-SR), Treatment Support Measure (TSM), and Center for Youth Wellness Adverse Childhood Experiences Questionnaire Teen (CYW ACE-Q Teen)). Regression analyses were conducted to assess how cumulative ACEs predict admission mental health distress (Intrapersonal Distress, Critical Items, and Total Score) as well as mental health distress at discharge, above and beyond other clinically relevant factors. While ACEs significantly predicted overall distress at admission (p = .026), there were no other significant associations between ACEs and outcomes at admission, nor ACEs and any outcomes at discharge. This suggests experiences of adversity may not hinder or influence outcomes over the course of treatment in this setting. Experiences of adversity were highly endorsed in this sample; thus, further understanding of experiences of trauma and resilience in acute treatment settings is a critical area for future research to improve interventions for adolescents.
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Affiliation(s)
| | - Elisabeth A. Frazier
- Emma Pendleton Bradley Hospital, East Providence, Rhode Island, USA;,Department of Psychiatry and Human Behavior, Brown University, USA
| | | | - Molly A. Hedrick
- Emma Pendleton Bradley Hospital, East Providence, Rhode Island, USA
| | - Lauren Micalizzi
- Brown University, Providence, Rhode Island, USA;,Department of Behavioral and Social Sciences, Brown University, Providence, Rhode Island, USA
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12
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Lackova Rebicova M, Dankulincova Veselska Z, Husarova D, Madarasova Geckova A, Jansen DEMC, van Dijk JP, Reijneveld SA. Does Resilience Mediate the Association of Adverse Early Childhood Experiences With Emotional and Behavioural Problems? Int J Public Health 2021; 66:1604006. [PMID: 34899140 PMCID: PMC8656252 DOI: 10.3389/ijph.2021.1604006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Accepted: 10/25/2021] [Indexed: 11/13/2022] Open
Abstract
Objectives: To explore the role of resilience as a mediator in the association between adverse childhood experiences (ACE) and emotional and behavioural problems (EBP) among adolescents. Methods: We used data from the Slovak 2018 Health Behaviour in School-aged Children study, comprising 2,839 adolescents aged 13–15 (mean age 13.93; 49.6% boys). We used multivariate linear regression performed on 5000 bootstrap samples adjusted for age, gender, family affluence to explore mediation of the associations between ACE (measured using the adapted Adverse Childhood Experience Questionnaire) and EBP (measured using the Strengths and Difficulties Questionnaire) by resilience (measured with the Child and Youth Resilience Measure). Results: We found ACE [B = 0.78; 95% confidence interval (CI): 0.67|0.90] and resilience (B = −0.73; 95% CI: −0.79|−0.67) to be significantly associated with EBP. The association of ACE and EBP was mediated by resilience. The mediated indirect effect of resilience was ab = 0.25; 95% CI: 0.18|0.32. Conclusion: Resilience seems to play a mediator role in the relationship between ACE and EBP. Helping adolescents with ACE to build and use internal and external sources of resilience can decrease the negative impact of ACE on EBP.
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Affiliation(s)
- Miriama Lackova Rebicova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Zuzana Dankulincova Veselska
- Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Daniela Husarova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, PJ Safarik University, Kosice, Slovakia.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Olomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, Czech
| | - Danielle E M C Jansen
- Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Jitse P van Dijk
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Olomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, Czech
| | - Sijmen A Reijneveld
- Department of Community and Occupational Health, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
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13
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Lackova Rebicova M, Dankulincova Veselska Z, Husarova D, Madarasova Geckova A, Jansen DEMC, van Dijk JP, Reijneveld SA. Does Schoolmate and Teacher Support Buffer against the Effect of Adverse Childhood Experiences on Emotional and Behavioural Problems? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413009. [PMID: 34948619 PMCID: PMC8701890 DOI: 10.3390/ijerph182413009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 12/06/2021] [Accepted: 12/07/2021] [Indexed: 11/16/2022]
Abstract
This study aims to explore the associations of schoolmate and teacher support with emotional and behavioural problems (EBP) and whether schoolmate and teacher support affects the associations of adverse childhood experiences (ACE) and of EBP in adolescence. We obtained data from 5220 students aged from 11 to 15 (48.7% boys), who participated in the Health Behaviour in a School-aged Children study (2018, Slovakia). Using logistic regression adjusted for gender, age and family affluence we assessed the modification of the relations of ACE and EBP by schoolmate and teacher support. Schoolmate and teacher support decreased the probability of EBP (Odds Ratios, 95% confidence intervals: 0.76, 0.74|0.79; and 0.86, 0.83|0.89, respectively). However, we found no statistically significant interactions of schoolmate and teacher support regarding the association of ACE with EBP. Schoolmate and teacher support decreased the likelihood of EBP among adolescents but do not buffer the relation of any previous ACE with EBP.
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Affiliation(s)
- Miriama Lackova Rebicova
- Department of Health Psychology and Research Methodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia; (Z.D.V.); (D.H.); (A.M.G.)
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia;
- Correspondence: ; Tel.: +421-055-234-3263
| | - Zuzana Dankulincova Veselska
- Department of Health Psychology and Research Methodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia; (Z.D.V.); (D.H.); (A.M.G.)
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia;
| | - Daniela Husarova
- Department of Health Psychology and Research Methodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia; (Z.D.V.); (D.H.); (A.M.G.)
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia;
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia; (Z.D.V.); (D.H.); (A.M.G.)
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia;
- Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, 771 11 Olomouc, Czech Republic
| | - Danielle E. M. C. Jansen
- Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands; (D.E.M.C.J.); (S.A.R.)
| | - Jitse P. van Dijk
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 040 11 Kosice, Slovakia;
- Olomouc University Social Health Institute, Palacky University in Olomouc, Univerzitni 22, 771 11 Olomouc, Czech Republic
- Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands; (D.E.M.C.J.); (S.A.R.)
| | - Sijmen A. Reijneveld
- Department of Community & Occupational Health, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands; (D.E.M.C.J.); (S.A.R.)
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14
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Macková J, Dankulincova Veselska Z, Madarasova Geckova A, Jansen D, van Dijk JP, Reijneveld SA. The Association of Family-Related Adversity With Fighting in Adolescents: Does Hopelessness Mediate This Association? Int J Public Health 2021; 66:607199. [PMID: 34744573 PMCID: PMC8565274 DOI: 10.3389/ijph.2021.607199] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 02/11/2021] [Indexed: 11/13/2022] Open
Abstract
Objectives: To explore the association of family-related adversities with physical fighting, and whether this association is mediated by hopelessness. Methods: The sample consisted of 3712 Slovak adolescents (mean age: 13.9, 50.7% girls). Participants answered questions regarding experienced family-related adversities, involvement in physical fighting in the last 12 months and the Hopelessness Questionnaire. First, the association of family adversities in general with fighting and of each of family-related adversity separately was assessed using linear regression models and second, mediation was assessed using the a*b product method with bootstrapped 95% confidence intervals Results: Adolescents who had experienced at least one family adversity reported more frequent fighting. Similarly, each of reported family adversities (death of a parent, substance abuse problems of a parent, conflicts/physical fights, divorce) was associated with more frequent fighting among adolescents. The mediation effect of hopelessness was found in each association of family-related adversity with fighting. Conclusion: These findings suggest that interventions to support adolescents who had experienced family adversities could among other things be directed at better coping with hopelessness.
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Affiliation(s)
- Jaroslava Macková
- Department of Health Psychology and Research Methodology, Faculty of Medicine, University of Pavol Jozef Šafárik, Kosice, Slovakia.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University of Groningen, Groningen, Netherlands
| | - Zuzana Dankulincova Veselska
- Department of Health Psychology and Research Methodology, Faculty of Medicine, University of Pavol Jozef Šafárik, Kosice, Slovakia.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University of Groningen, Groningen, Netherlands
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, University of Pavol Jozef Šafárik, Kosice, Slovakia.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University of Groningen, Groningen, Netherlands.,Olomouc University Social Health Institute (OUSHI), Olomouc, Czechia
| | - Danielle Jansen
- Department of Community and Occupational Health, University of Groningen, Groningen, Netherlands
| | - Jitse P van Dijk
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Kosice, Slovakia.,Department of Community and Occupational Health, University of Groningen, Groningen, Netherlands.,Olomouc University Social Health Institute (OUSHI), Olomouc, Czechia
| | - Sijmen A Reijneveld
- Department of Community and Occupational Health, University of Groningen, Groningen, Netherlands
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15
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Korpics J, Altman L, Feinglass J, Stillerman A. Prevalence and Impact of Adverse Childhood Experiences on Chicago Public School Students in the Youth Risk Behavior Survey. THE JOURNAL OF SCHOOL HEALTH 2021; 91:802-812. [PMID: 34426968 DOI: 10.1111/josh.13075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 03/03/2021] [Accepted: 04/11/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Adverse Childhood Experiences (ACEs) can impair health and other outcomes. To obtain district-level data about the prevalence and impact of ACEs in Chicago Public Schools (CPS), we advocated for CPS to add a short ACE screener to the 2017 Youth Risk Behavior Survey (YRBS) and analyzed the results. METHODS Responses to the screener were scored zero, one, or two ACEs. Student scores for violence and victimization, substance use, sexual health risk, mental health, housing insecurity, physical health, grades, and multiple risk/high vulnerability (those students in the top 20% of affirmative responses) were correlated with ACE scores for categories and individual items. RESULTS Among 1883 student respondents (response rate 73%), there were 17.8% affirmative responses for experiencing physical abuse and 19.8% for witnessing domestic violence; 20% reported at least one ACE and 8% both. A significant dose-response was found for behaviors, experiences, and sleep by ACE scores. CONCLUSIONS ACEs were common among CPS high school students and associated with many negative behavior and health-related outcomes. Increased awareness of ACEs and their impact among all school personnel can inform and strengthen the development of safer, more supportive, and trauma-informed schools that help all students and families thrive.
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Affiliation(s)
- Jacqueline Korpics
- Cook County Health and Northwestern Feinberg School of Medicine, 1950 W Polk St, Chicago, IL, 60612
| | - Lara Altman
- Illinois ACE Response Collaborative, PhD Candidate, School of Education and Social Policy, Northwestern University, Walter Annenberg Hall, 2120 Campus Drive, Evanston, IL, 60208
| | - Joseph Feinglass
- Division of General Internal Medicine, Northwestern University, 750 N Lakeshore Dr. 10th Floor, Chicago, IL, 60611
| | - Audrey Stillerman
- School Health Centers, Clinical Assistant Professor of Family Medicine, Office of Community Engagement and Neighborhood Health Partnerships, University of Illinois at Chicago, 818 S. Wolcott, Rm 809, Chicago, IL, 60612
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16
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Mlouki I, Bouanene I, Sioud I, Bchir A, al'Absi M, El Mhamdi S. Impulsivity mediates the impact of early life adversity on high risk behaviors among Tunisian adolescents. Prev Med Rep 2021; 23:101424. [PMID: 34150480 PMCID: PMC8190465 DOI: 10.1016/j.pmedr.2021.101424] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 04/20/2021] [Accepted: 05/25/2021] [Indexed: 12/05/2022] Open
Abstract
Adverse childhood experience (ACE) has become an alarming phenomenon exposing youth at a great risk of developing mental health issues. Several studies have examined the mechanism by which ACE affects adolescent's engagement in risky behaviors. However, little is known about these associations in the Tunisian/African context. We investigated the role of impulsivity in the link between ACE and health risk behaviors among schooled adolescents in Tunisia. We performed a cross sectional study among 1940 schooled adolescents in the city of Mahdia (Tunisia) from January to February 2020. To measure ACE, we used the validated Arabic version of the World Health Organization ACE questionnaire. The Barratt Impulsivity Scale and the Internet Addiction Test were used as screening tools for impulsivity and internet addiction. A total of 2520 adolescents were recruited. Of those, 1940 returned the questionnaires with an overall response rate of 77%. The majority (97.5%) reported experiencing at least one ACE. Emotional neglect (83.2%) and witnessing community violence (73.5%) were the most reported intra-familial ACEs. Males had higher rates of exposure to social violence than females. The most common risky behavior was internet addiction (50%, 95%CI = [47.9-52.3%]). Our survey revealed that ACEs score predict problematic behaviors through impulsiveness (% mediated = 16.7%). Specifically, we found a major mediating role of impulsivity between the exposure to ACE and the risk of internet addiction (% mediated = 37.5%). Our results indicate the role of impulsivity in translating the risk associated with ACE leading to engagement in high risk behaviors.
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Affiliation(s)
- Imen Mlouki
- Department of Community Medicine, Faculty of Medicine of Monastir, University of Monastir, Tunisia
- Department of Preventive and Community Medicine, University Hospital Tahar Sfar of Mahdia, Tunisia
- Research laboratory “Epidemiology Applied to Maternal and Child Health” 12SP17, Tunisia
| | - Ines Bouanene
- Department of Community Medicine, Faculty of Medicine of Monastir, University of Monastir, Tunisia
- Research laboratory “Epidemiology Applied to Maternal and Child Health” 12SP17, Tunisia
| | - Imen Sioud
- Department of Community Medicine, Faculty of Medicine of Monastir, University of Monastir, Tunisia
| | - Abdallah Bchir
- Department of Community Medicine, Faculty of Medicine of Monastir, University of Monastir, Tunisia
- Research laboratory “Epidemiology Applied to Maternal and Child Health” 12SP17, Tunisia
| | - Mustafa al'Absi
- Department of Family Medicine and Biobehavioral Health, University of Minnesota Medical School, Duluth, MN, USA
| | - Sana El Mhamdi
- Department of Community Medicine, Faculty of Medicine of Monastir, University of Monastir, Tunisia
- Department of Preventive and Community Medicine, University Hospital Tahar Sfar of Mahdia, Tunisia
- Research laboratory “Epidemiology Applied to Maternal and Child Health” 12SP17, Tunisia
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17
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Strzelewicz AR, Vecchiarelli HA, Rondón-Ortiz AN, Raneri A, Hill MN, Kentner AC. Interactive effects of compounding multidimensional stressors on maternal and male and female rat offspring outcomes. Horm Behav 2021; 134:105013. [PMID: 34171577 PMCID: PMC8403628 DOI: 10.1016/j.yhbeh.2021.105013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 05/27/2021] [Accepted: 05/28/2021] [Indexed: 10/21/2022]
Abstract
Exposure to adverse childhood experiences (ACEs) is a risk factor for the development of psychiatric disorders in addition to cardiovascular associated diseases. This risk is elevated when the cumulative burden of ACEs is increased. Laboratory animals can be used to model the changes (as well as the underlying mechanisms) that result in response to adverse events. In this study, using male and female Sprague Dawley rats, we examined the impact of increasing stress burden, utilizing both two adverse early life experiences (parental/offspring high fat diet + limited bedding exposure) and three adverse early life experiences (parental/offspring high fat diet + limited bedding exposure + neonatal inflammation), on maternal care quality and offspring behavior. Additionally, we measured hormones and hippocampal gene expression related to stress. We found that the adverse perinatal environment led to a compensatory increase in maternal care. Moreover, these dams had reduced maternal expression of oxytocin receptor, compared to standard housed dams, in response to acute stress on postnatal day (P)22. In offspring, the two-hit and three-hit models resulted in a hyperlocomotor phenotype and increased body weights. Plasma leptin and hippocampal gene expression of corticotropin releasing hormone (Chrh)1 and Crhr2 were elevated (males) while expression of oxytocin was reduced (females) following acute stress. On some measures (e.g., hyperlocomotion, leptin), the magnitude of change was lower in the three-hit compared to the two-hit model. This suggests that multiple early adverse events can have interactive, and often unpredictable, impacts, highlighting the importance of modeling complex interactions amongst stressors during development.
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Affiliation(s)
- Arielle R Strzelewicz
- School of Pharmacy, Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, United States
| | - Haley A Vecchiarelli
- Divisions of Medical Sciences, University of Victoria, BC V8P 5C2, Canada; Neuroscience Graduate Program, Hotchkiss Brain Institute, Mathison Centre for Mental Health, Research and Education, Cumming School of Medicine, University of Calgary, AB T2N 1N4, Canada
| | - Alejandro N Rondón-Ortiz
- School of Pharmacy, Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, United States
| | - Anthony Raneri
- School of Arts & Sciences, Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, United States
| | - Matthew N Hill
- Neuroscience Graduate Program, Hotchkiss Brain Institute, Mathison Centre for Mental Health, Research and Education, Cumming School of Medicine, University of Calgary, AB T2N 1N4, Canada
| | - Amanda C Kentner
- School of Arts & Sciences, Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, United States.
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18
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Kovács-Tóth B, Oláh B, Papp G, Szabó IK. Assessing adverse childhood experiences, social, emotional, and behavioral symptoms, and subjective health complaints among Hungarian adolescents. Child Adolesc Psychiatry Ment Health 2021; 15:12. [PMID: 33618739 PMCID: PMC7901200 DOI: 10.1186/s13034-021-00365-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 02/10/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Adverse Childhood Experiences (ACEs) can have lifelong adverse impacts; they can play a role in the development of subsequent emotional, cognitive, and social impairments leading to somatic and mental difficulties, as well as health damaging behaviours. Unfortunately, there are currently no research data available in Hungary regarding the frequency of ACEs among adolescents. AIMS A cross sectional questionnaire survey was conducted in a community sample of Hungarian adolescents to assess the frequency of ACEs and analyse their association with current social, emotional, and behavioural symptoms (SEB), and subjective health complaints (SHC). METHODS Demographic data, ACEs, SEB and SHC status of 516 adolescents aged 12 to 17 were collected. ACEs were assessed using the ACE Score Calculator; for SEB the Strengths and Difficulties Questionnaire, and for SHC some specific items from the Health Behaviour of School Children questionnaire were employed. To analyse the relationship of ACEs to SEB and SHC logistic regression was performed. RESULTS Our results showed that the frequency of ACEs, SEB and SHC is high among adolescents. One-fourth of the students reported ≥ 2 categories of childhood exposures, and 7.4% reported having experienced ≥ 4 types of ACEs. The most prevalent forms of child maltreatment were emotional neglect (15.5%) and emotional abuse (14.5%). The most frequent dysfunctional household condition was parental divorce or separation (23.8%), followed by household substance abuse (8.9%) and household mental illness (8.1%). Almost one-fifth of students (17.5%) reported SEB symptoms (peer relationship problems in 21.7%, emotional symptoms in 14.6%, conduct problems in 18.3%, hyperactivity in 15%). The prevalence of SHC was also high: more than half of the students experienced at least one subjective health complaint multiple times a week. Significant associations were found between ACEs and the SEB/SHC reported by students. CONCLUSIONS Adverse childhood experiences, social, emotional, and behavioural symptoms, and SHC are common among Hungarian adolescents. The cumulation of ACEs is associated with a higher number of SEB and SHC symptoms. Therefore, prevention programmes, early recognition, risk reduction, and therapy are needed.
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Affiliation(s)
- Beáta Kovács-Tóth
- Department of Behavioural Sciences, University of Debrecen Faculty of Medicine, Nagyerdei krt. 98, POB. 45, Debrecen, 4032, Hungary. .,Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary.
| | - Barnabás Oláh
- grid.7122.60000 0001 1088 8582Department of Behavioural Sciences, University of Debrecen Faculty of Medicine, Nagyerdei krt. 98, POB. 45, Debrecen, 4032 Hungary ,grid.7122.60000 0001 1088 8582Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
| | - Gábor Papp
- grid.7122.60000 0001 1088 8582Institute of Psychology, University of Debrecen, Debrecen, Hungary
| | - Ildikó Kuritárné Szabó
- grid.7122.60000 0001 1088 8582Department of Behavioural Sciences, University of Debrecen Faculty of Medicine, Nagyerdei krt. 98, POB. 45, Debrecen, 4032 Hungary ,grid.7122.60000 0001 1088 8582Doctoral School of Health Sciences, University of Debrecen, Debrecen, Hungary
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19
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Rosado JI, Ramirez A, Montgomery J, Reyes E, Wang Y. Adverse childhood experiences and its association with emotional and behavioral problems in U.S. children of Latino immigrants. CHILD ABUSE & NEGLECT 2021; 112:104887. [PMID: 33401158 DOI: 10.1016/j.chiabu.2020.104887] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 12/03/2020] [Accepted: 12/10/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Research has long shown that Adverse Childhood Experiences (ACEs) are correlated with major risk factors for several of the leading causes of death in adults. However, only recently have studies begun to measure the impact of ACEs during childhood and on underserved populations. OBJECTIVE This study assessed the prevalence of 8 ACEs, including physical, emotional, and sexual abuse, among rural U.S. Latino children of immigrant parents. We examined the association of those adversities with several factors including emotional and behavioral difficulties, health problems and healthcare utilization. PARTICIPANTS AND SETTING A total of 100 Latino subjects (ages 8-17) were recruited from a community health center in Southwest Florida. METHODS Parents and children were asked to complete the Child Trust Events Survey to measure child ACEs; Parents were asked to complete the Strengths and Difficulties Questionnaire to measure child emotional and behavioral problems. RESULTS Child ACEs ranged from 1.38 (parent-report) to 1.56 (child self-report) with emotional abuse, incarceration, and loss/separation from a caregiver being the most common. ACEs were correlated with emotional symptoms (p = .038 for child-report; p = .043 for parent-report), hyperactivity/inattention problems (p = .011 for parent-report), and with total behavioral difficulties (p = .021 for parent-report). There was a negative correlation between ACES and child chronic health diagnosis (p = .038 for parent-report; p = .010 for child-report) and total health problems (p = .021). There was no significant relationship between ACEs and healthcare utilization. CONCLUSIONS ACEs appear to be more prevalent among rural Latino youth in immigrant families and may be associated with emotional and behavioral problems during childhood.
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Affiliation(s)
- Javier I Rosado
- Florida State University College of Medicine - Immokalee Health Education Site, 1441 Heritage Blvd, Immokalee, FL, 34142, United States.
| | - Andrea Ramirez
- Florida State University College of Medicine, 1115 West Call St., Tallahassee, FL, 32306, United States.
| | - Jordan Montgomery
- Florida State University College of Medicine - Immokalee Health Education Site, 1441 Heritage Blvd, Immokalee, FL, 34142, United States.
| | - Elena Reyes
- Florida State University College of Medicine - Immokalee Health Education Site, 1441 Heritage Blvd, Immokalee, FL, 34142, United States.
| | - Yuxia Wang
- Florida State University College of Medicine, 1115 West Call St., Tallahassee, FL, 32306, United States.
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Translating ACE Research into Multi-tiered Systems of Supports for At-risk High-school Students. JOURNAL OF PEDIATRIC NEUROPSYCHOLOGY 2020. [DOI: 10.1007/s40817-020-00093-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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21
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The Scarcity of Literature on the Psychological, Social, and Emotional Effects of Gastroparesis in Children. CHILDREN-BASEL 2020; 7:children7090115. [PMID: 32877988 PMCID: PMC7552653 DOI: 10.3390/children7090115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 08/09/2020] [Accepted: 08/27/2020] [Indexed: 11/30/2022]
Abstract
Gastroparesis (GP) is a chronic, gastric dysmotility disorder with significant morbidity and mortality. The hallmark of GP is the delayed emptying of the contents of the stomach in the absence of any mechanical obstruction. Patients most commonly report chronic symptoms of nausea, vomiting, feeling full quickly when eating, bloating, and abdominal pain. Treatments are limited with relatively poor efficacy. As such, children with GP are at significant risk for the development of psychological co-morbidities. In this paper, we provide a topical review of the scientific literature on the psychological, social, and emotional impacts of gastroparesis in pediatric patients. We aim to document the current state of research, identify gaps in our knowledge with appropriate recommendations for future research directions, and highlight the unique challenges pediatric patients with GP and their families may face as they manage this disease. Based on the current review, research into the psychosocial impacts in children with GP is essentially non-existent. However, when considering research in children with other chronic digestive diseases, children with GP are likely to face multiple psychosocial challenges, including increased risk for anxiety and depression, stigma, and reduced quality of life. These significant gaps in the current understanding of effects of GP across domains of childhood functioning allow for ample opportunities for future studies to address psychosocial outcomes.
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22
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Lackova Rebicova M, Dankulincova Veselska Z, Husarova D, Klein D, Madarasova Geckova A, van Dijk JP, Reijneveld SA. Does family communication moderate the association between adverse childhood experiences and emotional and behavioural problems? BMC Public Health 2020; 20:1264. [PMID: 32819332 PMCID: PMC7439671 DOI: 10.1186/s12889-020-09350-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 08/04/2020] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Adverse childhood experiences (ACEs) and poor family support and communication can increase emotional and behavioural problems (EBP). Therefore, we assessed the association of difficult communication with mother and with father separately with both emotional and behavioural problems (EBP), and whether adolescents' communication with mother and with father moderates the association of adverse childhood experiences (ACE) with the EBP of adolescents. METHODS We used data from the Health Behaviour in School-aged Children study conducted in 2018 in Slovakia, comprising 5202 adolescents aged from 11 to 15 (mean age 13.53; 49.3% boys). EBP were measured using the Strengths and Difficulties Questionnaire. We used generalized linear regression adjusted for age, gender and family affluence to explore the modification of the associations between ACE and EBP by communication (easy vs. difficult communication) with mother and father. RESULTS Difficult communication or a complete lack of communication due to the absence of mother and father increased the probability of emotional (exp (b): 0.96, 95% CI: 0.92|1.00; and 0.95, 95% CI: 0.91|0.99, respectively) and also of behavioural problems (exp (b): 0.96, 95% CI: 0.92|1.00; and 0.94, 95% CI: 0.90|0.97, respectively). We found a statistically significant interaction of communication with father on the association of ACE with EBP, showing that the joint effects were less than multiplicative. CONCLUSION Difficult communication with mother and father is related to EBP among adolescents, and adolescents' communication with father moderates the association of ACE with both emotional and behavioural problems among adolescents.
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Affiliation(s)
- Miriama Lackova Rebicova
- Department of Health Psychology and Research Metodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 01, Kosice, Slovak Republic. .,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 04001, Kosice, Slovak Republic.
| | - Zuzana Dankulincova Veselska
- Department of Health Psychology and Research Metodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 01, Kosice, Slovak Republic.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 04001, Kosice, Slovak Republic
| | - Daniela Husarova
- Department of Health Psychology and Research Metodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 01, Kosice, Slovak Republic.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 04001, Kosice, Slovak Republic
| | - Daniel Klein
- Institute of Mathematics, Faculty of Natural Sciences, P.J. Safarik University, Srobarova 2, 04154, Kosice, Slovak Republic
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Metodology, Medical Faculty, PJ Safarik University, Trieda SNP 1, 040 01, Kosice, Slovak Republic.,Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 04001, Kosice, Slovak Republic.,Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11, Olomouc, Czech Republic
| | - Jitse P van Dijk
- Graduate School Kosice Institute for Society and Health, PJ Safarik University, Trieda SNP 1, 04001, Kosice, Slovak Republic.,Olomouc University Social Health Institute, Palacky University, Univerzitni 22, 771 11, Olomouc, Czech Republic.,Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713, AV, Groningen, the Netherlands
| | - Sijmen A Reijneveld
- Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, 9713, AV, Groningen, the Netherlands
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