Bonnie D Kerker1, Jinjin Zhang2, Erum Nadeem3, Ruth E K Stein4, Michael S Hurlburt5, Amy Heneghan6, John Landsverk7, Sarah McCue Horwitz3. 1. Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY; Nathan Kline Institute of Psychiatric Research, Orangeburg, NY. Electronic address: Bonnie.Kerker@nyumc.org. 2. Child and Adolescent Services Research Center, Rady Children's Hospital, San Diego, Calif. 3. Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York, NY. 4. Department of Pediatrics, Albert Einstein College of Medicine/Children's Hospital at Montefiore, Bronx, NY. 5. School of Social Work, University of Southern California, Los Angeles, Calif. 6. Department of Pediatrics, Palo Alto Medical Foundation, Palo Alto, Calif. 7. Oregon Social Learning Center, Eugene, Ore.
Abstract
OBJECTIVE: To determine the relationships between adverse childhood experiences (ACEs) and mental health, chronic medical conditions, and social development among young children in the child welfare system. METHODS: This cross-sectional study used a nationally representative sample of children investigated by child welfare (National Survey of Child and Adolescent Well-Being II) from 2008 to 2009. Our analysis included caregiver interviews and caseworker reports about children aged 18 to 71 months who were not in out-of-home care (n = 912). We examined the associations between ACEs and mental health (measured by the Child Behavior Checklist [CBCL]), reported chronic medical conditions, and social development (measured by the Vineland Socialization Scale) in bivariate and multivariate analyses. RESULTS: Nearly all children (98.1%) were reported to have had an ACE in their lifetime; the average number of ACEs was 3.6. For every additional reported ACE, there was a 32% increased odds of having a problem score on the CBCL (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.14, 1.53) and a 21% increased odds of having a chronic medical condition (OR 1.21, 95% CI 1.05, 1.40). Among children aged 36 to 71 months, for every additional reported ACE, there was a 77% increased odds of a low Vineland Socialization score (OR 1.77, 95% CI 1.12, 2.78). CONCLUSIONS: ACEs were associated with poor early childhood mental health and chronic medical conditions, and, among children aged 3 to 5, social development. Efforts are needed to examine whether providing early intervention to families with multiple stressors mitigates the impact of ACEs on children's outcomes.
OBJECTIVE: To determine the relationships between adverse childhood experiences (ACEs) and mental health, chronic medical conditions, and social development among young children in the child welfare system. METHODS: This cross-sectional study used a nationally representative sample of children investigated by child welfare (National Survey of Child and Adolescent Well-Being II) from 2008 to 2009. Our analysis included caregiver interviews and caseworker reports about children aged 18 to 71 months who were not in out-of-home care (n = 912). We examined the associations between ACEs and mental health (measured by the Child Behavior Checklist [CBCL]), reported chronic medical conditions, and social development (measured by the Vineland Socialization Scale) in bivariate and multivariate analyses. RESULTS: Nearly all children (98.1%) were reported to have had an ACE in their lifetime; the average number of ACEs was 3.6. For every additional reported ACE, there was a 32% increased odds of having a problem score on the CBCL (odds ratio [OR] 1.32, 95% confidence interval [CI] 1.14, 1.53) and a 21% increased odds of having a chronic medical condition (OR 1.21, 95% CI 1.05, 1.40). Among children aged 36 to 71 months, for every additional reported ACE, there was a 77% increased odds of a low Vineland Socialization score (OR 1.77, 95% CI 1.12, 2.78). CONCLUSIONS: ACEs were associated with poor early childhood mental health and chronic medical conditions, and, among children aged 3 to 5, social development. Efforts are needed to examine whether providing early intervention to families with multiple stressors mitigates the impact of ACEs on children's outcomes.
Authors: Emalee G Flaherty; Richard Thompson; Alan J Litrownik; Adam J Zolotor; Howard Dubowitz; Desmond K Runyan; Diana J English; Mark D Everson Journal: Acad Pediatr Date: 2009 May-Jun Impact factor: 3.107
Authors: V J Felitti; R F Anda; D Nordenberg; D F Williamson; A M Spitz; V Edwards; M P Koss; J S Marks Journal: Am J Prev Med Date: 1998-05 Impact factor: 5.043
Authors: Andrea Danese; Carmine M Pariante; Avshalom Caspi; Alan Taylor; Richie Poulton Journal: Proc Natl Acad Sci U S A Date: 2007-01-17 Impact factor: 11.205
Authors: Sarah Nelson; Natoshia Cunningham; James Peugh; Anjana Jagpal; Leslie M Arnold; Anne Lynch-Jordan; Susmita Kashikar-Zuck Journal: Arthritis Care Res (Hoboken) Date: 2017-09-21 Impact factor: 4.794