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Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems

Show simple item record Schickedanz, Adam Halfon, Neal Sastry, Narayan Chung, Paul 2018-09-21T14:28:25Z 2018-09-21T14:28:25Z 2018
dc.identifier.citation Schickedanz, Adam; Halfon, Neal; Sastry, Narayan; Chung, Paul. (2018). Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems. Pediatrics: 142 (2), 11 pgs. en_US
dc.description.abstract BACKGROUND AND OBJECTIVES: Adverse childhood experiences (ACEs) include stressful and potentially traumatic events associated with higher risk of long-term behavioral problems and chronic illnesses. Whether parents’ ACE counts (an index of standard ACEs) confer intergenerational risk to their children’s behavioral health is unknown. In this study, we estimate the risk of child behavioral problems as a function of parent ACE counts. METHODS: We obtained retrospective information on 9 ACEs self-reported by parents and parent reports of their children’s (1) behavioral problems (using the Behavior Problems Index [BPI]), (2) attention-deficit/hyperactivity disorder diagnosis, and (3) emotional disturbance diagnosis from the 2013 Panel Study of Income Dynamics (PSID) core interview and the linked PSID Childhood Retrospective Circumstances Study and 2014 PSID Child Development Supplement. Multivariate linear and logistic regression models were used to estimate child behavioral health outcomes by parent retrospective ACE count. RESULTS: Children of parents with a history of 4 or more ACEs had on average a 2.3-point (95% confidence interval [CI]: 1.3–3.2) higher score on the BPI, 2.1 times (95% CI: 1.1–3.8) higher odds of hyperactivity, and 4.2 times (95% CI: 1.7–10.8) higher odds of an emotional disturbance diagnosis than children of parents with no ACEs. Maternal ACEs revealed a stronger association with child behavior problems than paternal ACEs. Relationships between parents’ 9 component ACEs individually and children’s BPI scores revealed consistently positive associations. Mediation by parent emotional distress and aggravation were observed. CONCLUSIONS: Parents with greater exposure to ACEs are more likely to have children with behavioral health problems. (Author Abstract) en_US
dc.description.sponsorship Pediatrics en_US
dc.language.iso en_US en_US
dc.publisher Pediatrics en_US
dc.subject Data Analysis en_US
dc.subject Adverse Childhood Experiences en_US
dc.subject Child Abuse en_US
dc.subject Children Exposed to Violence en_US
dc.subject Child Neglect en_US
dc.subject Child Maltreatment en_US
dc.subject Long Term Effects en_US
dc.subject Intergenerational Trauma en_US
dc.subject Behavior en_US
dc.subject Family en_US
dc.subject Biological Reactions en_US
dc.subject Behavioral Problems en_US
dc.subject Emotional Distress en_US
dc.subject Mothers en_US
dc.subject Fathers en_US
dc.subject ADHD en_US
dc.subject Chronic Illness en_US
dc.subject Risk Assessment en_US
dc.subject Psychological Consequences en_US
dc.subject Mental Health en_US
dc.title Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems en_US
dc.type Article en_US

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