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Adverse Childhood Experiences and Lifelong Health

Adverse Childhood Experiences and Lifelong Health EDITORIAL N MORE THAN 60 ARTICLES SINCE 1998, INTER- illness and is a likely predictor of long-term negative life nist Vincent Felitti, MD, pediatrician Robert events. Anda, MD, MS, and others have studied the re- The authors then posit that there are problems meth- lationship of childhood adversity and a variety odologically with the retrospective nature of the cur- 1,2 I of lifelong physical and emotional outcomes. rent ACEs, which also miss things we know are prob- Using a retrospective study design, they surveyed 17 337 lems associated with adult adversity, such as poor peer adult health maintenance organization members (aver- relationships, poor school performance, poverty, and un- age age, 57 years) about crucial events during child- employment. They then add additional variables to the hood and linked those events in a dose-response man- original ACEs to see what contributes more to psycho- ner with cardiovascular disease; cancer; AIDS, and other logical distress, choosing new items that have been sug- sexually transmitted diseases; unwanted, often-high- gested by relationships of child maltreatment with child- risk pregnancies; chronic obstructive pulmonary dis- hood stress in current research. These additional adverse ease; and a legacy of self-perpetuating child abuse. While experiences include having http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Pediatrics American Medical Association

Adverse Childhood Experiences and Lifelong Health

JAMA Pediatrics , Volume 167 (1) – Jan 1, 2013

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6203
eISSN
2168-6211
DOI
10.1001/jamapediatrics.2013.427
pmid
23403743
Publisher site
See Article on Publisher Site

Abstract

EDITORIAL N MORE THAN 60 ARTICLES SINCE 1998, INTER- illness and is a likely predictor of long-term negative life nist Vincent Felitti, MD, pediatrician Robert events. Anda, MD, MS, and others have studied the re- The authors then posit that there are problems meth- lationship of childhood adversity and a variety odologically with the retrospective nature of the cur- 1,2 I of lifelong physical and emotional outcomes. rent ACEs, which also miss things we know are prob- Using a retrospective study design, they surveyed 17 337 lems associated with adult adversity, such as poor peer adult health maintenance organization members (aver- relationships, poor school performance, poverty, and un- age age, 57 years) about crucial events during child- employment. They then add additional variables to the hood and linked those events in a dose-response man- original ACEs to see what contributes more to psycho- ner with cardiovascular disease; cancer; AIDS, and other logical distress, choosing new items that have been sug- sexually transmitted diseases; unwanted, often-high- gested by relationships of child maltreatment with child- risk pregnancies; chronic obstructive pulmonary dis- hood stress in current research. These additional adverse ease; and a legacy of self-perpetuating child abuse. While experiences include having

Journal

JAMA PediatricsAmerican Medical Association

Published: Jan 1, 2013

References