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The practical, insightful value of individual ACE screening in the clinic to preventive and clinical medicine is profound.
By Jeoffry Gordon, PACEs Connection member
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About 3.3 million of Pakistani children are trapped in child labor, depriving them of their childhood, their health and education, and condemning them to a life of poverty and want.
By Sajjad Ahmed, PACEs Connection member
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In 2007, at the start of my son’s fourth grade year, the teacher who I will call Ms. L, gave the class an assignment.
By Suzy DeYoung, PACEs Connection member
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One of the most meaningful steps to take in building a resilient and trauma-informed community for children with ACEs is to improve their day-to-day environments.
By Charlie Fletcher, PACEs Connection member
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The Guardian
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EdNC
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Greater Good Magazine
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Forbes
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MedPage Today
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Ed. note: Dr. Harise Stein at Stanford University edits a website — abuseresearch.info — that focuses on the health effects of abuse, and includes research articles on PACEs science. Every month, she posts summaries of the abstracts and links to research articles that address only PACEs. Here are 6 of the 32 that she found for this week. You can read them all here.
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Brumbaugh JE, Vohr BR, Bell EF, et al.
Early Life Outcomes in Relation to Social Determinants of Health for Children Born Extremely Preterm. J Pediatr. 2023:113443. PMID: 37105408
Of 7438 children born extremely prematurely (14-18 weeks early), 73% had a least 1 risk-associated social determinant of health (SDOH – defined by 3 things in this study - maternal education, insurance, and race). Children born to mothers with public/no insurance were more likely to be readmitted than those born to privately insured mothers. Neurodevelopmental impairment was twice as likely (aOR 2.36) and death 5 times as likely (aOR 5.22) for infants with 3 risk-associated SDOH compared with those with none.
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Selwyn CN, Lathan EC, Platt T, Minchew L.
How Healthcare Providers Reconcile Bad Things Happening to Good Patients: The Role of Just World Beliefs in Attitudes toward Trauma-Informed Care. J Trauma Dissociation. 2023:1-15. PMID: 36987779
“The uptake of trauma-informed practices such as trauma screening and referral among health-care providers remains relatively low. The current study sought to assess the roles of health-care providers’ personal histories of ACEs and personal beliefs in the just world hypothesis in understanding their attitudes toward trauma-informed care.” Of 180 advanced nursing students, those with higher ACE scores were less likely to believe in a just world, and as such were more likely to endorse trauma-informed care.
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Bhui K, Butch I.
The trouble with trauma and triggering. Lancet Psychiatry. 2023 Apr 17:S2215-0366(23)00112-8. PMID: 37080220
Authors believe that “Asking and learning about adverse experiences and life events is crucial.” They comment on the possibility that asking doesn’t happen because the asker is either too uncomfortable or is concerned about “triggering” the patient, and that askers need to “develop the skills to manage their responses and potential vicarious trauma.” They also note that “Trigger warnings are useful, if carefully placed and worded, but they should be designed not to overstate fears of re-traumatisation.”
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Bunting L, McCartan C, Davidson G, et al.
The influence of adverse and positive childhood experiences on young people's mental health and experiences of self-harm and suicidal ideation. Child Abuse Negl. 2023;140:106159. PMID: 37028255
From a survey of 1299 Irish adolescents, the prevalence rate of common mood and anxiety disorders was 16%, self-harm 10%, and suicidal ideation 12%. ACEs and PCEs (positive childhood experiences) both independently predicted common mood and anxiety disorders, self-harm and suicidal ideation. Every additional ACE increased the likelihood of all of these disorders, and every additional PCE reduced them.
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Pond R, Gillmore C, Blanchard N.
Lived experiences of resilience for women who have experienced childhood sexual abuse: A systematic review of qualitative studies. Child Abuse Negl. 2023;140:106152. PMID: 37028256
This research review about lived experiences of resilience processes used by women who had been subjected to childhood sexual abuse included distancing oneself from sexual abuse; building healthy interpersonal, community, and cultural connections; drawing on spiritual belief systems; reframing the sexual abuse; placing blame with the perpetrator; reclaiming self-worth; taking control of one's life; and pursuing meaningful goals. For some, it involved forgiveness of self and others, reclaiming one's sexuality, and/or fighting against diverse forms of oppression.”
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Timmer-Murillo SC, Schroeder ME, Trevino C, et al.
Comprehensive Firearm Violence Survivor Care: A Review. JAMA Surg. 2023 May 1;158(5):541-547. PMID: 36947025
Firearm violence is a public health crisis placing significant burden on individuals, communities, and health care systems. After firearm injury, there is increased risk of poor health, disability, and psychopathology. The newest 2022 guidelines from the American College of Surgeons require that all trauma centers screen for risk of psychopathology and provide referral to intervention.
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PACEs Connection News & Events
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July is a time to celebrate all summer has to offer by building bridges and innovating with community to get to the heart of trauma-informed awareness and resilience building. This month, we’ve added new July dates to the summer 2023 *CRC* curriculum—but that’s only half of the good news.
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Isabella Pagnozzi
Michael Skinner
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Your gift helps ensure you receive information and stories to prevent childhood adversity, heal trauma and build healthier, more compassionate communities.
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Make check payable to: TSNE (Third Sector New England, our fiscal sponsor) and write PACEs Connection Donation on the memo line.
Mail check to: PACEs Connection, c/o TSNE, 89 South Street, Suite 700, Boston, MA 02111
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