Roundup
October 25, 2023
This article focuses on a remarkable solution to family violence: Programs that expand the focus on healing to the abuser, who’s traditionally shunted to the side as worthy only of blame, shame and punishment, and how these programs are evolving to offer hope to communities where little existed.
By Jane Stevens, PACEs Connection founder
In 2020 I conducted interviews with high school English teachers from across the Upper Cumberland with the intention of creating a portrait, so to speak, of what it was like to teach during the pandemic.
By Jonathan Enix, PACEs Connection member
A song addressing the loss of those we love to suicide...lyrics & resources shared.
By Michael Skinner, PACEs Connection member
Students learn best when they are actively involved in the learning process early on.
By Dr. Michelle Ned, PACEs Connection member

Wednesday Digest

The Marshall Project
The European Sting
Capital B
Inside Climate News
The Washington Post

Research Corner

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.
Baab SM, Lawsing JF, Macalino CS, Springer JH, Cline DM.
Nonaccidental Pediatric Trauma: Which Traditional Clues Predict Abuse? Pediatr Emerg Care. 2023 Sep 1;39(9):641-645. PMID: 37463155
Of 109 suspected child nonaccidental trauma (NAT) patients, the only independent variable found for likely abuse (8.65 times more likely) was a history incongruent with injuries. However, after review of prior records for these patients, in only 2 of 109 cases (1.8%) was there a prior visit where NAT could have been suspected using this criterion.
Lewis KN, McKelvey LM, Zhang D, et al.
Risks of adverse childhood experiences on healthcare utilization and outcomes in early childhood. Child Abuse Negl. 2023;145:106396. PMID: 37573799
Of 1647 children aged 3-5 years from low income families, Family Map Inventory (FMI) screening scores (which include ACEs) were 32.4% - 0, 31.7% - 1, 19.7% - 2, and 16.3% - 3+. Higher scores were associated with greater use of non-preventive outpatient visits, filled prescriptions, and overall use of healthcare. Incidences of adjustment disorders were 4 times and attention-deficit conducts were 2 times higher among children with the highest FMI-ACE scores than those with zero FMI-ACEs.
Kalin NH.
Early-life Adversity and Genetics Associated With the Risk to Develop Psychiatric Illnesses. Am J Psychiatry. 2023;180(8):525-7. PMID: 37525597
“The factors that determine the risk for most psychiatric disorders are present early in life even though the symptoms of these disorders may not emerge until later childhood, adolescence, or adulthood. This issue of the Journal pursues this neurodevelopmental theme by focusing on early-life factors that confer the risk for the later development of psychopathology.” Table of Contents
de Bles NJ, Pütz LEH, Rius Ottenheim N, et al.
Childhood trauma and anger in adults with and without depressive and anxiety disorders. Acta Psychiatr Scand. 2023;148(3):288-301. PMID: 37430486
Of 2271 Dutch adults, average age 42.1 years, and 66.2% female, “Childhood trauma showed a dose-response association with all anger constructs…all types of childhood trauma except for sexual abuse were associated with higher levels of trait anger, and a higher prevalence of anger attacks and antisocial personality traits in adulthood…Focus on childhood traumatic experiences and adulthood anger may help to enhance the effectiveness of treatment for patients with depressive and anxiety disorders.”
D'Arcy-Bewick S, Turiano N, Sutin AR, et al.
Adverse childhood experiences and all-cause mortality risk in adulthood. Child Abuse Negl. 2023;144:106386. PMID: 37542995
For 6319 midlife adults, and regardless of sex, “ACEs may be cumulatively associated with increased mortality risk, such that each individual ACE increases risk. Physical abuse may be an important ACE type within a mortality risk context.”
Nicolson KP, Mills SEE, Senaratne DNS, Colvin LA, Smith BH.
What is the association between childhood adversity and subsequent chronic pain in adulthood? A systematic review. BJA Open. 2023;6:100139. PMID: 37588177
From a research review including 196,130 patients, “There were consistent associations between adverse childhood experiences and chronic pain in adulthood, with a 'dose'-dependent relationship. Poor mental health was found to mediate the detrimental connection between adverse childhood experiences and chronic pain…Adverse childhood experiences should be considered in patient assessment, and early intervention to prevent adverse childhood experiences may help reduce the genesis of chronic pain.”

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Thursday, October 26, 2023

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