Adverse and Protective Childhood Experiences and Parenting Attitudes: the Role of Cumulative Protection in Understanding Resilience.

Theory and research indicate that adverse childhood experiences (ACEs) are linked to negative parenting attitudes and behaviors. We posit that protective and compensatory experiences (PACEs) in childhood buffer the negative effects of ACEs on later parenting. To test this premise, the present study examined associations between ACEs, PACEs, and attitudes towards nurturing and harsh parenting in an ethnically diverse sample of parents with children of various ages (N = 109; 65% mothers, 35% fathers; M age = 38). Parents completed a widely used parenting attitudes questionnaire and the ACEs and PACEs surveys. PACEs were negatively correlated with ACEs and positively correlated with nurturing parenting attitudes and parent income and education levels. Linear regression models indicate that higher PACEs, ACEs, and family income and less harsh parenting attitudes predict nurturing parenting attitudes. In contrast, higher ACEs and less nurturing attitudes were correlated with harsh parenting attitudes. As expected, moderation analyses indicated that the association between ACEs and harsh parenting attitudes was conditional upon the level of PACEs. When PACE scores were low (M - 1 SD), but not when PACE scores were average or high (M + 1 SD), ACEs were associated with harsh parenting attitudes, suggesting a buffering effect of PACEs on negative parenting attitudes. These findings support the importance of including protective as well as adverse childhood experiences when assessing the role of childhood experiences on parenting attitudes and practices. Implications of these findings for researchers and practitioners are discussed, as well as new directions for PACEs research using a cumulative protection approach. © Springer Nature Switzerland AG 2021.

Epidemiological data from thousands of participants in many countries and cultures substantiate the cumulative harmful effects of adverse childhood experiences (ACEs) on health and psychological and social functioning (Anda et al., 2006; Felitti et al., 1998; Hillis et al., 2016; Hughes et al., 2017). ACE scores typically include 10 categories of abuse (physical, sexual, emotional), neglect (physical, emotional), and family dysfunction (divorce/separation, criminality, alcohol/substance abuse, mental illness, domestic violence) that occur between birth and 18 years. Higher ACE scores have also been linked with increased risks of adolescent pregnancy (Hillis et al., 2004), alcohol and substance abuse (Dube et al., 2002, 2003), suicide attempts (Dube et al., 2001), intimate partner violence (Whitfield et al., 2003), and anger regulation difficulties (Campbell et al., 2016; Dong et al., 2005; Hillis et al., 2004). These problems create child-rearing environments that perpetuate the intergenerational cycles of adversity and may jeopardize parents’ capacity to provide sensitive and responsive caregiving (Barrett & Fleming, 2011; Fraiberg et al., 1975). ACEs are associated with high levels of parenting stress (Lange et al., 2019; Steele et al., 2016), which can influence parenting practices, beliefs, and the parent–child relationship. Mothers with a history of ACEs are more likely to spank their infants (Chung et al., 2009), and mothers’ childhood maltreatment is associated with observed parental hostility (Bailey et al., 2012). Exposure to ACEs and other childhood trauma has been found to disrupt both the neurological and socioemotional development necessary to create later positive parent–child relationships and child-rearing attitudes in adulthood (Miller et al., 2011). Nevertheless, there has been criticism regarding the assessment of ACEs (Danese, 2020), and often adversity is assessed in studies without considering the role of protective factors (Hays-Grudo & Morris, 2020).

However, not all parents who experience ACEs perpetuate the cycle. There are a number of moderating and mediating factors in the association between ACEs and parenting practices. For example, the hypothalamic-pituitary-adrenal (HPA) axis stress response and executive functioning have been found to mediate the relationship between maternal early life experiences and parenting (Gonzalez et al., 2012). In an American Indian/Alaskan Native community, parent ACEs were found to be related to their children’s social–emotional problems through parent mental distress, but this association only held in parents exhibiting low emotional availability to their children (Wurster et al., 2019). Memories of benevolent interactions with caregivers have been found to buffer the effects of childhood maltreatment on trauma exposure in the next generation (Narayan et al., 2020), and reduce stress and PTSD symptoms during pregnancy (Narayan et al., 2018). Positive experiences in childhood may also mediate associations between ACEs and parenting behaviors in adulthood. For example, having adaptive childhood experiences was associated with increased maternal sensitivity among mothers with substance abuse disorders who had experienced childhood adversity (Håkansson et al., 2018). In the current study, we focused on associations between ACEs and parenting attitudes specifically, as parenting attitudes and beliefs have been associated with parenting behaviors in a number of studies (e.g., Vittrup et al., 2006). We also examined the role of early life protective factors, specifically as a moderator between ACEs and parenting attitudes, as is discussed in more detail in the next section.

Protective and Compensatory Experiences

Decades of research on the factors that promote resilience in children exposed to trauma and adversity support the importance of positive experiences and relationships (Rutter, 1987; Sameroff, 1975; Werner & Smith, 1992). Resilience has been defined as “the capacity of a dynamic system to adapt successfully to disturbances that threaten system function viability, or development” (Masten, 2014, p. 6) and requires both the exposure to severe adversity and positive adaptation despite this threat to development (Luthar et al., 2000). Despite the accumulation of evidence demonstrating the importance of nurturing relationships and enriching environments for mediating or moderating the effects of childhood adversity, few studies have explored the potential cumulative effects of positive experiences in promoting resilience. The examination of these factors will improve the understanding of resilience and may point toward parenting and early childhood interventions to lessen the intergenerational effects of ACEs.

Hays-Grudo and Morris (2020, p. 157) propose a dynamic systems model of adversity and resilience in which cumulative protective and compensatory experiences (PACEs) exert complementary actions that mediate and moderate the harmful biobehavioral adaptations to ACEs. The 10-item PACEs survey was created from a review of the developmental literature on resilience and was designed to be administered as a companion to the ACEs survey (for a review, see Hays-Grudo & Morris, 2020). The PACEs survey includes 10 questions focused on two primary dimensions associated with positive development from ages 0–18 years, relationships and resources (Morris et al., 2018). Previous research documents positive associations between nurturing relationships and biobehavioral regulation among children experiencing trauma and adversity (Dozier et al., 2018; Masten et al., 1990; Narayan et al., 2018) and the importance of resources that promote cognitive, social–emotional, and physical development (Duncan & Brooks-Gunn, 2000; Masten & Coatsworth, 1998; McLoyd, 1998; Syvertsen et al., 2019). Each of the PACEs items reflect external or modifiable factors, rather than internal or innate characteristics associated with resilience. Whereas internal qualities are important predictors of resilience, our intention was to focus on those aspects of children’s lives that are more amenable to change and can provide targets for policy initiatives and interventions for children, families, schools, and communities (Hays-Grudo et al., 2021; Morris et al., in press).

Relationship factors included in PACEs are (a) unconditional love from a parent or primary caregiver; (b) having a best friend; (c) being part of a social group; (d) volunteering in the community; and (e) having the support of an adult outside of the immediate family, such as a teacher, coach, or trustworthy mentor (see Appendix, and Morris et al., 2018). The research is clear that unconditional love from a primary caregiver, often studied as responsiveness or warmth, is of utmost importance in promoting resilient outcomes for children with ACEs and other types of trauma (Baumrind, 1971; Morris et al., 2013; Steinberg, 2001). Beginning in the first year of life, children form attachments to their parent or primary caregiver, and this attachment sets the foundation for children’s social, emotional, and cognitive development (Ainsworth, 1989; Bowlby, 2008). Children who experience trauma early in life are at greater risk for insecure attachments (van Ijzendoorn et al., 1999), which increase the likelihood of internalizing disorders (i.e., anxiety, depression) or externalizing behaviors (agression, conduct disorders). In contrast, forming a secure attachment relationship with a caring primary caregiver can help buffer the negative effects of early maltreatment and neglect (Munson & McMillen, 2009; Toth & Manly, 2019). Peer relationships are also important in social and emotional development (Rubin et al., 2015), as having a best friend is inversely associated with experiencing negative life events, such as peer victimization, maternal hostility, harsh discipline, stress, or abuse (Adams et al., 2011; Schwartz et al., 2013). Participation in community service also has positive developmental effects (Yates & Youniss, 1996) and is associated with resilience in children with a history of adverse family experiences (Kwong & Hayes, 2017). For adolescents who have experienced high levels of stressful life events, family volunteerism is related to overall well-being (Roehlkepartain, 2013). Participation in extracurricular activities such as school clubs and activities that promote civic engagement and belongingness can serve as a protective factor by promoting positive developmental outcomes among peers (Fredricks & Eccles, 2006, 2010). Children and adolescents who have caring adults in their lives are less likely to experience psychological distress (Woolley & Bowen, 2007), are less likely to engage in high-risk behavior (Resnick et al., 1993), and have more positive outcomes such as academic success concurrently and over time (Herrera et al., 2011; Hurd & Sellers, 2015; Sanchez et al., 2008).

Resources identified as PACEs include (a) living in a home that is clean and safe with enough food to eat, (b) attending a school or having other educational opportunities that provide resources and opportunities to learn, (c) having an engaging hobby, artistic or intellectual pursuit, (d) participating in organized sports or other physical activities; and (e) being part of a family with predictable routines and rules that are administered fairly (Hays-Grudo & Morris, 2020; Morris et al., 2018). Children who are raised in homes that are clean and safe, have consistent routines and rules, and have enough food to eat experience less anxiety and fewer stressful situations than those children growing up in more chaotic home environments (Evans et al., 2005; Masten, 2001; Morris et al., 2013). Children who experience food insecurity are more likely to experience academic difficulties and mental health problems (Slopen et al., 2010). Attending a school or having a learning environment equipped with the materials and resources to provide learning experience is an important resource for children and youth (Zigler, 1989). Participation in high-quality early childhood programs has been found to improve lifelong health and education outcomes, reduce use of welfare and social intervention programs, and lower arrest rates and increase earnings in adulthood (Morris et al., in press; Reynolds et al., 2007, 2011; Zigler & Bishop-Josef, 2006). Both the home and school environments serve as proximal experiences that can reduce acute or chronic stressors and lead to improvements in academic success, positive socioemotional development, self-esteem, and prosocial behavior, which have been shown to serve as protective factors for children at risk (Blair & Raver, 2012; Morris et al., 2017; Sameroff, 2010). Participation in activities such as hobbies and sports can have positive effects on self-confidence, psychological adjustment, and social relationships (Fraser-Thomas et al., 2005; Fredricks & Eccles, 2006; Shaw et al., 1995; Zarobe & Bungay, 2017). Physical activity is associated with psychological well-being and healthy brain development (Fox, 1999; Penedo & Dahn, 2005; Perez et al., 2019), and may be of particular importance as a protective factor for children experiencing adversity.

PACEs and Parenting Attitudes

Positive childhood experiences may be transmitted intergenerationally through their later effects on parenting practices, attitudes, and behaviors. Adolescents who report having strong, positive relationships with their parents in turn engage in more constructive parenting practices themselves (Chen et al., 2008; Friesen et al., 2013). As noted, memories of being loved and supported by caregivers may play a protective role in the intergenerational transmission of childhood trauma (Narayan et al., 2017, 2019). Indeed, many programs for parents at risk for harsh or neglecting parenting focus on helping them understand how their own early adversity affects their current attitudes toward caring for their children (Hoffman et al., 2006; Lieberman, 2004). Finally, positive childhood experiences are associated with adaptive functioning in early adulthood (Kosterman et al., 2011), which is likely to affect future parenting and parenting beliefs. Thus, we posit that a cumulative measure of PACEs is likely to be positively associated with attitudes that reflect appropriate parenting styles and strategies.

The Present Study

The purpose of the present investigation was twofold. The first objective was to examine whether adverse and protective childhood experiences, as measured by the ACEs and PACEs surveys, were associated with nurturing parenting and harsh parenting attitudes. We hypothesized that positive childhood experiences (PACEs) would be positively associated with nurturing parenting attitudes and negatively associated with harsh parenting, whereas negative childhood experiences (ACEs) would show the opposite pattern. The second objective was to test the hypothesis that PACEs moderated the potential associations between ACEs and harsh parenting attitudes, such that higher levels of PACEs would attenuate or eliminate the positive association between ACEs and harsh parenting attitudes.

Method

Participants

Survey data were collected from 109 parents from different families (38 fathers, 71 mothers) living in an urban city in the south, central region of the USA. The sample was diverse with regard to ethnicity (13% Black/African American, 4% Latino, 25% Native American, 58% White), marital status (34% single parents), education (30% high school graduate or less), and income (median income = $25,000–$40,000, with 25% of the sample earning less than $25,000 a year). Parents’ number of children ranged from 1 to 7 (M = 2.33), and parents’ ages ranged from 25 to 50 years (M = 38.06). Child age was not collected as part of the study, but all parents reported on general parenting attitudes, and all parents had at least one child.

Procedure

Surveys were administered to parents by students participating in an undergraduate research methods class. Survey packets included basic demographic information, questions about early adverse and protective experiences (prior to age 19), and current parenting attitudes. Students administered the surveys to individuals who were at least 18 years of age, spoke English, and were parents. Participants received an informed consent document and were given written and spoken instructions on study participation and on how to complete the surveys. Participants were instructed to place completed surveys in an envelope provided so the surveys would be kept private. All the surveys were anonymous, and completed surveys were given to the instructor and redistributed to the class for data entry. University IRB was obtained prior to data collection, and all students completed CITI human subjects training.

Measures

AAPI

Parents completed selected items from the Adult–Adolescent Parent Inventory (AAPI-2), a widely used survey designed to measure parenting attitudes and beliefs of parents of children at various ages (Bavolek & Keene, 1984). The AAPI-2 is an inventory that assesses parenting and child-rearing attitudes of parents and pre-parent populations. It can be used to assess parenting attitudes among adolescents and adults. The items are presented in a Likert-type scale of “Strongly Agree, Agree, Disagree, Strongly Disagree and Uncertain.” The AAPI-2 has shown acceptable reliability and validity in a number of studies (Conners et al., 2006), and is often used to predict child maltreatment. The AAPI has been normed in both Spanish and English populations (for more information see https://assessingparenting.com/assessment/aapi).

All 10 items from the parental empathy for children’s needs (i.e., nurturing parenting sub-scale) were used (Cronbach’s alpha = .73). Sample items in this scale include, “Children should keep their feelings to themselves,” and “Children who feel secure often grow up expecting too much.” All items in the sub-scale were reverse coded, such that higher scores would reflect more favorable attitudes towards nurturing parenting, and a mean for all items was calculated. Three items were combined to create a harsh parenting sub-scale (Cronbach’s alpha = .63). The items were, “Children learn respect through strict discipline,” “A certain amount of fear is necessary for children to respect their parents,” and “It’s OK to spank as a last resort.” Answers to these three items were averaged to create a total score whereby higher numbers indicate more favorable attitudes towards harsh parenting.

ACEs and PACEs

Parents completed the 10-item ACEs survey (Felitti et al., 1998) and the 10-item PACEs survey (Morris et al., 2018) which assesses experiences through age 18. The ACEs is comprised of 10 items assessing childhood abuse, neglect, and household dysfunction. Endorsed items for the ACEs and PACEs surveys were summed separately. The PACEs survey includes five items assessing relationships and five items assessing resources. In the current study, the PACEs survey demonstrated adequate reliability for the whole sample (Cronbach’s alpha = .76). Reliability scores were also examined by subgroup and were acceptable for different ethnic/racial groups (Cronbach’s alphas ranged from .70 to .81) and levels of education (Cronbach’s alphas ranged from .62 to .78). Additional validity of the PACEs survey has been reported among a sample of 900 adults indicating PACEs are associated positively with adult secure attachment, better mental health, and higher education and income (see Hays-Grudo & Morris, 2020). Parents also reported their age, gender, race/ethnicity, marital status, level of education, annual household income, and number of children.

Results

Associations Among Childhood Experiences and Parenting Attitudes

ACE scores ranged from 0 to 8 (M = 2.7, SD = 2.42), and PACE scores ranged from 0 to 10 (M = 7.5, SD = 2.25). Correlational analyses in Table 1 show an inverse association among PACE and ACE scores. Higher PACE scores were associated with more favorable attitudes towards nurturing parenting, whereas higher ACE scores were associated with more favorable attitudes towards harsh parenting. As expected, attitudes towards nurturing parenting were inversely correlated with harsh parenting. Independent samples t tests showed no significant differences between fathers and mothers in PACE scores (fathers M = 7.53, SD = 2.07; mothers M = 7.50, SD = 2.35; t = .04, p = .966); ACE scores (fathers M = 2.32, SD = 2.24; mothers M = 2.94, SD = 2.50; t = − 1.30, p = .198); nurturing parenting attitudes (fathers M = 3.98, SD = 0.61; mothers M = 4.01, SD = 0.59; t = .− 0.30, p = .764) or harsh parenting attitudes (fathers M = 2.97, SD = 0.99; mothers M = 3.26, SD = 0.88; t = − 1.58, p = .117). Thus, due to no statistically significant differences and the small number of fathers, analyses were conducted with the entire sample.

Table 1

Bivariate correlations among PACEs, ACEs, parenting attitudes, education, and income (N = 109)

Variable	1	2	3	4	5	M	SD	Range
1. PACEs	-					7.51	2.25	0.00–10.00
2. ACEs	-.40**	-				2.72	2.41	0.00–08.00
3. Nurturing parenting	.29**	-.06	-			4.00	0.59	2.22–05.00
4. Harsh parenting	−.07	.20*	−.37**	-		3.16	0.93	1.00–5.00
5. Education level	.33**	−.19	.18	−.11	-	9.02	1.18	4.00–11.00
6. Family income	.32**	−.18	.29**	−.13	.26**	4.71	1.27	2.00–6.00

*p < .05; **p < .01

ACEs, adverse childhood experiences; PACEs, protective and compensatory childhood experiences

We conducted two linear regression models to examine the distinct contribution of ACEs and PACEs to nurturing and harsh parenting attitudes while controlling for parent education level, family income, and the opposite parenting attitude in each model (Table 2). The regression model for nurturing parenting attitudes indicates that higher ACEs (unexpectedly) and PACEs were predictive of favorable attitudes towards nurturing parenting controlling for the opposite parenting attitude. Consistent with the correlational data, positive attitudes towards harsh parenting were predictive of unfavorable attitudes towards nurturing parenting. A higher family income, but not education level, was linked to more positive attitudes towards nurturing parenting. The regression model for harsh parenting attitudes indicated that higher ACE scores were predictive of favorable attitudes towards harsh parenting.

Table 2

Summary of regression analyses showing associations between childhood experiences and parenting attitudes

Variable	Nurturing parenting attitudes			Harsh parenting attitudes
	B	SE B	β	B	SE B	β
PACEs	.08**	.03	.33**	.07	.05	.18
ACEs	.06*	.02	.24*	.10*	.04	.25*
Nurturing parenting				−.67***	.16	−.41***
Harsh parenting	−.22***	.05	−.36***
Education level	.00	.05	.00	-.05	.08	−.06
Family income	.08*	.04	.18*	−.00	.07	−.00
R2	.29			.19
F	8.04***			4.67**

*p < .05; **p < .01; ***p < .001

ACEs, adverse childhood experiences; PACEs, protective and compensatory childhood experiences

PACEs as a Moderator of the Relationship Between ACEs and Harsh Parenting Attitudes

We used the PROCESS macro (Hayes, 2013) for SPSS to examine whether PACEs moderated the relationship between ACEs and harsh parenting attitudes while controlling for the effects of education level and family income on both ACEs and harsh parenting attitudes. PROCESS computes all regression equations simultaneously, instead of step-by-step, and tests moderation effects using ordinary least squares linear multiple regression.

Two types of moderation effects were analyzed using PROCESS. First, we examined the effects of the interaction between ACEs and PACEs on harsh parenting attitudes (i.e., a linear and bidirectional effect of PACEs on ACEs). Second, we tested conditional effects of PACEs on the relationship between ACEs and harsh parenting attitudes. Results showed no significant interaction between PACEs and ACEs on harsh parenting attitudes (PACEs × ACEs b = 0.02, SE = .02, p = .195). However, a conditional effect of PACEs on the relationship between ACEs and harsh parenting attitudes was found, such that at low levels of PACEs (the mean minus one standard deviation) higher ACE scores were associated with favorable attitudes towards harsh parenting. At average (mean) and high levels of PACEs (the mean plus one standard deviation), the relationship between ACEs and harsh parenting attitudes was not significant (Table 3; Fig. 1). Because the regression analyses revealed a positive association between PACEs and nurturing parenting attitudes while controlling for the other variables in the model, we further examined whether ACEs moderated this relationship. Analyses using PROCESS, however, showed no interaction or conditional effects of ACEs on the relationship between PACEs and nurturing parenting attitudes, further confirming the lack of an interaction between PACEs and ACEs in predicting nurturing parenting attitudes.

Table 3

Summary of the moderating effect of PACEs on the association between ACEs and harsh parenting attitudes

PACEs	Effect	SE	t	p
Low (5.26)	0.12	0.05	2.33	.02*
Average (7.51)	0.07	0.04	1.75	.08
High (9.76)	0.02	0.06	0.28	.78

Values for PACEs are the mean plus/minus one standard deviation from the mean. PACEs, protective and compensatory childhood experiences

Fig. 1

Conditional effect of PACEs on the association between ACEs and harsh parenting attitudes. Low levels of PACEs (mean minus one standard deviation; orange line) and higher ACE scores were associated with more favorable attitudes towards harsh parenting. At average (mean; gray line) and high levels of PACEs (the mean plus one standard deviation; purple line), the relationship between ACEs and harsh parenting attitudes was not significant. PACEs, protective and compensatory childhood experiences; ACEs, adverse childhood experiences

Discussion

Developmental research has established the negative effects of child maltreatment and adverse conditions on cognitive, social, emotional development, and mental health (Cicchetti, 1984; Masten et al., 1990; Rutter, 1987; Sameroff et al., 1987). More recently, epidemiologic research provides evidence that adverse childhood experiences (ACEs) are prevalent (Felitti et al., 1998), with profoundly negative effects on individual physical and mental health (Anda et al., 2006), and massive public health and social problems costing Europe $581 billion and North America $748 billion annually (Bellis et al., 2019).

However, the relationship between ACEs and parenting attitudes has received much less attention. An emerging body of literature suggests that ACEs may affect parenting attitudes and behaviors through multiple processes including intergenerational transmission of parenting practices and values, parents’ own mental health, and stress responses from parent–child interactions that trigger unresolved childhood trauma (Fraiberg et al., 1975; Hays-Grudo & Morris, 2020; Lieberman et al., 2005). We hypothesized that an accumulation of PACEs would buffer the effects of ACEs on parenting attitudes. Specifically, we hypothesized that PACEs would be independently and additively associated with unfavorable attitudes towards harsh parenting and more favorable attitudes towards nurturing parenting, whereas ACEs would show the opposite pattern. Moreover, we hypothesized that PACEs would buffer the associations between ACEs and harsh parenting attitudes.

In general, our study hypotheses were supported, although when examining the standardized regression coefficients, the effect sizes were small. Results showed that ACEs and PACEs had independent effects on parenting. Correlational analyses indicated that PACEs were negatively associated with ACEs and positively associated with nurturing parenting attitudes and greater parent income and education levels, whereas ACEs were positively associated with greater harsh parenting attitudes. Linear regression models indicated that higher PACEs and family income were related to nurturing parenting attitudes. In contrast, higher ACEs and less nurturing attitudes were related to harsh parenting attitudes. As expected, moderation analyses indicated that the effect of ACEs on harsh parenting attitudes was conditional upon the level of PACEs. When PACE scores were low, but not when PACE scores were average or high, ACEs were associated with harsh parenting attitudes, suggesting a buffering effect of PACEs on negative parenting. These findings support the importance of assessing both protective and adverse childhood experiences in parenting research and clinical practice.

Research on early life stress and ACEs has focused on the negative effects of adversity on health, mental health, behaviors, and conditions that affect parenting (Anda et al., 2006; Bailey et al., 2012; Felitti et al., 1998; Hillis et al., 2004; Liu et al., 2013). We argue that as adults, parents and caregivers can and do overcome unresolved trauma (Lieberman et al., 2005); a number of intervention studies support this notion, e.g., Attachment Biobehavioral Catch-up (Dozier et al., 2018), Circle of Security (Hoffman et al., 2006), and Child-Parent Psychotherapy (Ghosh Ippen et al., 2011). Child–Parent Psychotherapy, specifically, actively works with parents to recall positive attachment experiences during childhood in order to help with healing and to channel such experiences to current caregiving. In line with this premise, we found that PACEs were associated with greater nurturing parenting attitudes. This is consistent with previous research finding that positive parenting experienced during childhood is related to greater parental responsiveness/warmth and more secure attachment in adulthood (e.g., Atzl et al., 2019; Egeland et al., 1988).

We also found that PACEs were negatively correlated with ACEs, supporting past study findings indicating children who experience ACEs and early life adversity tend to have low levels of resources and more negative relationship experiences (Lacey et al., 2020). Interestingly, we found PACEs were positively correlated with education and income in adulthood. This suggests children growing up in homes with more PACEs are more likely to pursue and reach higher levels of education and earn more money in adulthood, possibly due to having more resources and opportunities during childhood.

Results of both correlational and regression analyses indicated an association between ACEs and harsh parenting attitudes. This is consistent with studies that find parents who experienced early life stress and adversity were more likely to be harsh and punitive as parents (e.g., Chung et al., 2009) and were at an increased risk for child maltreatment (Bartlett et al., 2017). Unexpectedly, we also found in regression analyses (when controlling for PACEs, harsh parenting, and parents’ education level and income) that ACEs were related to more nurturing attitudes. It may be that parents try to compensate for their own experience and that they want to be more nurturing than their parents were. This has been found in studies of trauma indicating that caregivers want to break the cycle of ACEs when parenting their own children (Dozier et al., 2018). In correlational analyses, ACEs were unrelated to nurturing parenting attitudes, supporting our moderation findings that suggest parents with average and high PACEs may be less likely to endorse harsh parenting attitudes.

As expected, we found that the association between ACEs and harsh parenting attitudes was not significant among adults with high or average PACEs. It was only significant among parents with low PACEs. This suggests that PACEs may buffer the effects of ACEs on negative parenting attitudes, and possibly parenting behavior. Results from other studies examining attitudes and values find that attitudes are often associated with behavior, although this cannot be assumed (see Chaiklin, 2011).

There are several limitations of the current study that must be noted. First, all the measures were self-report, and the assessment of harsh parenting had only three items. Moreover, ACEs and PACEs were retrospectively reported. Retrospective and prospective reports of abuse and neglect have been found to be only modestly correlated (Baldwin et al., 2019; Baldwin & Danese, 2019). However, it has been argued that this does not negate the value of retrospective reports, only that retrospective and prospective reports of childhood trauma should not be used interchangeably (Danese, 2020). Indeed, retrospectively reported trauma, i.e., memories of actual traumatic experiences, may be the “key triggers” for maladaptive functioning and psychopathology (Danese, 2020, p. 239). When reporting on factors like ACEs, PACEs, and parenting attitudes, we agree that self-report is appropriate due to the subjective nature of attitudes and the importance of the subjective experience of early life experiences (Carmel & Widom, 2020; Lavrakas, 2008). However, we do not know the accuracy of participants’ recall of ACEs and PACEs. Rather our assessment revealed adults’ current perceptions of their childhood and adolescence. Another limitation is that our study was cross-sectional, a limitation in much of the research on childhood adversity (Danese, 2020), and we did not ask parents about their parenting behaviors, only their attitudes. Thus, we cannot make causal claims regarding childhood adversity and parenting attitudes and behavior, and it may be that negative attitudes during adulthood and negative experiences in parenting affected past perceptions of childhood. More longitudinal research is needed to examine intergenerational effects of both adverse and protective experiences on both parenting behaviors and attitudes to answer such questions. We also did not assess the age of the child, only parents’ current age, and it may be that findings differed based on the age of the children parented.

Despite these limitations, the current study has multiple strengths and adds to the literature on parenting. The sample was diverse, with 42% reporting that they were Black, Indigenous, or People of Color, and 34% reported being single parents. Moreover, the sample was primarily low income (yearly median income was $25,000–$40,000—only ranges and not specific income was asked), and 30% of the sample had a high school or lower level of education. We also had data from both mothers and fathers. Importantly, no differences were found in the reports of mothers and fathers on any of the study variables. Unfortunately, due to the relatively low number of fathers (n = 38), we were not able to examine differences in patterns of findings. Nevertheless, this is an important direction for future research, as early life experiences may affect parenting differentially among mothers versus fathers and dyad types (mother–daughter, mother son, father–daughter, father–son).

Implications and Next Steps

This is one of the first studies to examine whether PACEs before age 19 buffer associations between ACEs and parenting attitudes. Our findings suggest that PACEs may buffer the negative associations between ACEs and harsh parenting attitudes. Like other studies examining adverse and protective childhood experiences (Afifi & MacMillan, 2011; Bethell et al., 2019; Yamaoka & Bard, 2019), our findings also support the premise that positive experiences in childhood should be considered along with adverse experiences when examining risk and resilience-related factors. Indeed, positive experiences matter, and examining experiences that predict resilience is an important piece of the story that is often missed in understanding adversity. Developmental science has a long history of studying resilience (Masten, 2001; Rutter, 1979; Sameroff et al., 1987). Unfortunately, the science of resilience has not been fully integrated with ACEs science until recently (see Hays-Grudo & Morris, 2020).

Moreover, developmental science has a long history of examining cumulative risk (Rutter, 1979; Sameroff et al., 1987), but not necessarily cumulative protection. It is important to note that our examination of PACEs was based on a cumulative factor, adding up the PACEs reported on, rather than examining the factors individually. Several recent studies indicate that cumulative positive experiences in childhood should be considered when examining resilience (Armans et al., 2020; Bethell et al., 2019; Narayan et al., 2020; Yamaoka & Bard, 2019). For example, Bethell and colleagues found a dose-response between positive childhood experiences and adult mental and relational health, “analogous to the cumulative effects of multiple ACEs” in a large, retrospective study of adults (Bethell et al., 2019, p. 8). Narayan and colleagues have found that a number of benevolent childhood experiences are positively associated with “angel memories” during and after pregnancy, memories associated with positive infant mental health (Narayan et al., 2020). Research using the Search Institute’s Developmental Assets also supports the cumulative effects of supportive relationships and resources for improving educational and social outcomes for at-risk youth (Syvertsen et al., 2019).

Findings of this study also point to additional evidence for the reliability and validity of the PACEs instrument. Internal consistencies ranged from .70 to .81 across different racial/ethnic groups, and PACEs were associated with other study variables (ACEs, income, education) in expected directions. Nevertheless, there are a number of next steps that should be addressed in PACEs research. First, as with examining cumulative risk, item analysis and potential weighting of items should be considered in future studies. Moreover, more fine-grained assessments should be considered, such as assessing the ages during which PACEs occurred (see Hays-Grudo & Morris, 2020), and the degree to which PACEs were present using a Likert-type scale. Second, like the ACEs research, it is important to examine the co-occurrence of PACEs, the cumulative effects of PACEs (dosage), and their prevalence. Large, diverse, longitudinal studies are needed to disentangle the potential effects of PACEs on development. In addition, there is need for measures of adversity to include an assessment of racial discrimination and for measures of protective experiences to include assessments of racial identity and racial socialization. The inclusion of such assessments is an important next step for research on adversity and resilience.

We argue that when examining ACEs in research and practice, protective and resilience-promoting factors should also be examined. Doing so helps researchers more fully understand developmental trajectories and outcomes, and helps practitioners gain a more robust understanding of early experiences. Importantly, having research participants or therapy clients complete surveys like the PACEs along with ACEs also gives participants/clients a fuller, more nuanced perspective on their childhoods and potential opportunities for continued growth. Most individuals have at least one PACE (in fact, the mean PACE score in our study was 7.5 out of 10). Even if a PACE score is zero, practitioners can invite clients to identify PACEs to create for themselves and/or for their children. We have developed PACEs plans for adults and children of different ages, and clinicians can use these plans with clients to support healing and positive development (see Hays-Grudo & Morris, 2020). The list of PACEs for children (0–18), which we have found can be an informative parenting tool as well, is included in the Appendix.

It would be remiss not to discuss how this study fits into the broader context of our world today in the midst of the COVID-19 pandemic. PACEs can be applied to the COVID-19 context (see http://www.acesandpaces.com/resourcesin-press.html), as many of the protective factors are particularly important during times of adversity and stress. Based on the results of the current study, researchers working with families during the pandemic and other times of disaster will benefit from examining strengths-based and resilience-promoting experiences in addition to experiences of stress and adversity. Indeed, focusing on the positive despite the hardships we are all experiencing can be healing during such challenging times.