The Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health DOI Open Access
Devika Bhushan, Krista Kotz,

Julianne McCall

et al.

Published: Dec. 9, 2020

In one of my first acts as Governor, I established the role California Surgeon General.Among all myriad challenges facing our administration on day, addressing persistent to health and welfare people state-especially that youngest Californians-was an essential priority.We led with overwhelming scientific consensus upstream factors, including toxic stress social determinants health, are root causes many most harmful challenges, from heart disease homelessness.An issue so critical 40 million Californians deserved nothing less than a world-renowned expert advocate.Appointed in 2019 be firstever General, Dr. Nadine Burke Harris brought groundbreaking research expertise childhood trauma adversity State's efforts.In this new role, set three key priorities -early childhood, equity Adverse Childhood Experiences (ACEs) -and is working across give voice science evidence-based practices foundational success work state.The Office General has already strong programs, first-in-the-nation ACEs Aware initiative, partnership Department Health Care Services (DHCS), taking systematic science-based approach by training healthcare providers screen for children adults.We have also matched resolve funding.Through Initiative Advance Precision Medicine, we invested $9 demonstration projects address impacts using precision medicine approaches.California leading way public crisis because it one.This preventive measure improve societal outcomes state's residents generations come.As collectively face unprecedented confluence challenges-the COVID-19 pandemic, ensuing economic recession, ongoing national reckoning racial injustice, devastating wildfires exacerbated climate change-our state communities grateful Harris' leadership respond waves upon us.It responsibility meet moment.This report provides roadmap systemic equitable forward, based cross-sector partnerships.We must listen advised evidence clearly tells us cumulative adversity, particularly when experienced early life, cause some detrimental, longest lasting costly nation.This highlights how stress, if unaddressed, will cost over trillion dollars next 10 years due costs direct care life lost poor disability or death.It clear me implementing type evidence-based, responses necessary decrease burden not only ethical moral imperative, but vitality.This General's Report offers insights policymakers, scientists, providers, educators, advocates, advances solutions approaches better safety Golden now future.Furthermore, exceptional blueprint can truly stage well-being countless here elsewhere nation world.

Language: Английский

Cultural trauma and epigenetic inheritance DOI
Amy Lehrner, Rachel Yehuda

Development and Psychopathology, Journal Year: 2018, Volume and Issue: 30(5), P. 1763 - 1777

Published: Sept. 28, 2018

The question of whether and how the effects cultural trauma can be transmitted intergenerationally from parents to offspring, or even later generations, has evoked interest controversy in academic popular forums. Recent methodological advances have spurred investigations potential epigenetic mechanisms for this inheritance, representing an exciting area emergent research. Epigenetics been described as means through which environmental influences "get under skin," directing transcriptional activity influencing expression suppression genes. Over past decade, complex environment-biology interface shown increasing promise a pathway intergenerational transmission trauma. This article reviews challenges facing research on trauma, biological findings posttraumatic stress disorder, putative effects, including social, intrauterine, gametic pathways. Implications are discussed, focused relevance narratives possibilities resilience adaptivity.

Language: Английский

Citations

99

Mothers, Fathers, and Others: Neural Substrates of Parental Care DOI Creative Commons
Forrest D. Rogers, Karen L. Bales

Trends in Neurosciences, Journal Year: 2019, Volume and Issue: 42(8), P. 552 - 562

Published: June 26, 2019

Language: Английский

Citations

82

Traumatic stress and the autonomic brain‐gut connection in development: Polyvagal Theory as an integrative framework for psychosocial and gastrointestinal pathology DOI
Jacek Kołacz,

Katja Kovacic,

Stephen W. Porges

et al.

Developmental Psychobiology, Journal Year: 2019, Volume and Issue: 61(5), P. 796 - 809

Published: April 5, 2019

Abstract A range of psychiatric disorders such as anxiety, depression, and post‐traumatic stress disorder frequently co‐occur with functional gastrointestinal (GI) disorders. Risk these pathologies is particularly high in those a history trauma, abuse, chronic stress. These scientific findings rising awareness within the healthcare profession give rise to need for an integrative framework understand developmental mechanisms that observations. In this paper, we introduce plausible explanatory framework, based on Polyvagal Theory (Porges, Psychophysiology , 32 301–318, 1995; Porges, International Journal 42 123–146, 2001; Biological Psychology 74 116–143, 2007), which describes how evolution impacted structure function autonomic nervous system (ANS). The provides organizing principles understanding development adaptive diversity homeostatic, threat‐response, psychosocial functions contribute pathology. Using principles, outline possible promote maintain socioemotional GI dysfunction review their implications therapeutic targets.

Language: Английский

Citations

79

War Psychiatry: Identifying and Managing the Neuropsychiatric Consequences of Armed Conflicts DOI Creative Commons
Nityanand Jain, Sakshi Prasad, Zsófia Csenge Czárth

et al.

Journal of Primary Care & Community Health, Journal Year: 2022, Volume and Issue: 13

Published: Jan. 1, 2022

War refugees and veterans have been known to frequently develop neuropsychiatric conditions including depression, post-traumatic stress disorder (PTSD), anxiety disorders that tend leave a long-lasting scar impact their emotional response system. The shear stress, trauma, mental breakdown from overnight displacement, family separation, killing of friends families cannot be described enough. Victims often require years health support as they struggle with sleep difficulties, recurring memories, anxiety, grief, anger. Everyone develops coping mechanism which can involve dependence long-term addiction alcohol, drugs, violence, or gambling. high prevalence during after the war indicates an undeniable necessity for screening those in need treatment. For medical professionals, it is crucial identify such vulnerable groups who are prone developing morbidities associated risk factors. It pivotal deploy effective affordable multi-sectoral collaborative care models therapy, primarily depends upon primary physicians conflict zones. Herein, we provide brief overview regarding identification management populations, alongside discussing challenges possible solutions same.

Language: Английский

Citations

70

Ukraine – Russia crisis and its impacts on the mental health of Ukrainian young people during the COVID-19 pandemic DOI Open Access
Céline Chaaya, Vimala Devi Thambi, Özge Sabuncu

et al.

Annals of Medicine and Surgery, Journal Year: 2022, Volume and Issue: 79

Published: June 23, 2022

The Russia-Ukraine crisis has been at the center of international talks since early 2022. This conflict, bursting after sanitary covid 19 pandemic, creates an atmosphere uncertainty and instability, which negatively impacts many aspects, including mental health. Young Ukrainians have suffering from socio-political instability for decades, current war, together with Covid shatters hopes brighter days. commentary covers challenges facing younger generation in Ukraine impact this situation on their

Language: Английский

Citations

67

Adverse childhood events and cognitive function among young adults: Prospective results from the national longitudinal study of adolescent to adult health DOI
Misty A.W. Hawkins, Harley M. Layman, Kyle T. Ganson

et al.

Child Abuse & Neglect, Journal Year: 2021, Volume and Issue: 115, P. 105008 - 105008

Published: March 8, 2021

Language: Английский

Citations

64

Adverse childhood experiences and global mental health: avenues to reduce the burden of child and adolescent mental disorders DOI Creative Commons
Caterina Ceccarelli, Eleonora Prina,

Orso Muneghina

et al.

Epidemiology and Psychiatric Sciences, Journal Year: 2022, Volume and Issue: 31

Published: Jan. 1, 2022

Abstract Mental disorders are one of the largest contributors to burden disease globally, this holds also for children and adolescents, especially in low- middle-income countries. The prevalence severity these influenced by social determinants, including exposure adversity. When occurring early life, latter events referred as adverse childhood experiences (ACEs). In editorial, we provide an overview literature on role ACEs determinants mental health through lenses global health. While relation between has been extensively explored, most research was centred higher income contexts. We argue that findings from realm should be integrated into ACEs, e.g. preventative responsive psychosocial interventions children, adolescents their caregivers. field undertake active efforts better address its initiatives, all with goal reducing among globally.

Language: Английский

Citations

44

War, Bioethics, and Public Health DOI Creative Commons
Nancy S. Jecker, Caesar Atuire, Vardit Ravitsky

et al.

The American Journal of Bioethics, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 15

Published: July 22, 2024

This paper argues that bioethics as a field should broaden its scope to include the ethics of war, focusing on war's public health effects. The "Introduction" section describes literature which emphasizes clinical and research topics while omitting health. section, "War crisis" demonstrates need for approach by framing war crisis. "Bioethics principles health" proposes six address dimensions: justice, accountability, dignified lives, sustainability, nonmaleficence, maximization. "Justifying applying bioethical principles" shows how these inform ethical analysis, including just theory military ethics. "From practice" envisions ways in bioethicists can promote practice through research, teaching, service. "Conclusion" urges engage with crisis, calling attention impact civilians, especially women, children, other vulnerable groups.

Language: Английский

Citations

14

Realities of comfort and discomfort in the heritage language classroom: Looking to transformative positive psychology for juggling a double‐edged sword DOI Creative Commons
Meagan Driver

Modern Language Journal, Journal Year: 2024, Volume and Issue: 108(S1), P. 147 - 167

Published: Jan. 1, 2024

Abstract As emotions research in the field of second language acquisition continues to evolve, it is equally important explore impact social–emotional variables that are specifically relevant heritage (HL) contexts. Anchoring on foundations critical education (HLE), this study examines discomforts HL classroom from a diverse speaker (HS) perspective. Additionally, comforts support as safe space for emotional security and well‐being HSs across HLs explored. Examining perspective practices knowledge systems, ultimately aims to: (a) outline complexity pedagogical spaces, (b) provide concrete meaningful recommendations supporting HS development transformative positive psychology lens. Data current qualitative were provided through two separate methodologies. First, 64 Spanish responded questionnaire probing reactions memories instigated by authentic reading material sensitive topics racism, bilingualism, immigration. The themes identified written narrative data an inductive thematic approach then used foundation semistructured interviews with learners ( n = 6) educators 8) eight different backgrounds. Findings revealed feelings comfort discomfort, even trauma healing, HLE spaces rooted learning experiences, social (dis)comfort, (c) intergenerational histories. Together, suggest how can act both trigger injustice, linguistic insecurity, family conflict and, at same time, instigating affective associated rebellion, confidence, refuge. Specific made equip toolkit classroom.

Language: Английский

Citations

12

Early Life Stress and Major Depressive Disorder—An Update on Molecular Mechanisms and Synaptic Impairments DOI
Amanda Gollo Bertollo, Agatha Carina Leite Galvan, Claudia Dallagnol

et al.

Molecular Neurobiology, Journal Year: 2024, Volume and Issue: 61(9), P. 6469 - 6483

Published: Feb. 3, 2024

Language: Английский

Citations

11