The impact of adverse childhood experiences on multimorbidity: a systematic review and meta-analysis
BMC Medicine,
Journal Year:
2024,
Volume and Issue:
22(1)
Published: Aug. 15, 2024
Abstract
Background
Adverse
childhood
experiences
(ACEs)
have
been
implicated
in
the
aetiology
of
a
range
health
outcomes,
including
multimorbidity.
In
this
systematic
review
and
meta-analysis,
we
aimed
to
identify,
synthesise,
quantify
current
evidence
linking
ACEs
Methods
We
searched
seven
databases
from
inception
20
July
2023:
APA
PsycNET,
CINAHL
Plus,
Cochrane
CENTRAL,
Embase,
MEDLINE,
Scopus,
Web
Science.
selected
studies
investigating
adverse
events
occurring
during
(<
18
years)
an
assessment
multimorbidity
adulthood
(≥
years).
Studies
that
only
assessed
or
outcomes
children
were
excluded.
Risk
bias
was
using
ROBINS-E
tool.
Meta-analysis
prevalence
dose–response
meta-analysis
methods
used
for
quantitative
data
synthesis.
This
pre-registered
with
PROSPERO
(CRD42023389528).
Results
From
15,586
records,
25
eligible
inclusion
(total
participants
=
372,162).
The
exposure
≥
1
48.1%
(95%
CI
33.4
63.1%).
34.5%
23.4
47.5%).
Eight
provided
sufficient
197,981).
There
significant
dose-dependent
relationship
between
ACE
(
p
<
0.001),
every
additional
contributing
12.9%
7.9
17.9%)
increase
odds
However,
there
heterogeneity
among
included
I
2
76.9%,
Cochran
Q
102,
0.001).
Conclusions
is
first
synthesise
literature
on
multimorbidity,
showing
across
large
number
participants.
It
consolidates
enhances
extensive
body
shows
association
individual
long-term
conditions,
risky
behaviours,
other
poor
outcomes.
Language: Английский
Recent life events and adverse childhood experiences in predicting antenatal depression and anxiety: cross-sectional study
Benedicte M Zilmer,
No information about this author
Gritt Overbeck,
No information about this author
Volkert Siersma
No information about this author
et al.
Family Practice,
Journal Year:
2025,
Volume and Issue:
42(1)
Published: Jan. 17, 2025
Abstract
Background
Antenatal
depression
and
anxiety
are
associated
with
preterm
labour,
low
birth
weight,
postpartum
depression,
can
impact
the
emotional
mental
development
of
child.
Both
adverse
childhood
experiences
recent
stressful
events
linked
to
negative
health
outcomes.
However,
certain
may
be
more
impactful
than
others.
Objective
This
study
aims
investigate
most
important
types
stressors
that
help
in
identifying
pregnant
women
need
psychological
support.
Methods
observational
examines
data
from
FamilieTrivsel
trial,
which
between
6
10
weeks
gestation
were
recruited
by
general
practitioners.
All
participants
asked
complete
questionnaires.
Mental
was
assessed
Hospital
Anxiety
Depression
Score
(HADS).
Potential
contributory
risk
factors
identified
using
Recent
Life
Events
Questionnaire
Adverse
Childhood
Experiences
questionnaire.
The
relative
importance
various
analysed
a
dominance
analysis,
direction
their
association
determined
multivariable
linear
regression
analysis.
Results
Of
specific
life
events,
serious
problems
friend,
divorce,
racial
harassment,
unemployment,
financial
difficulties,
moving
house
had
strongest
associations
poor
health,
along
experience
illness
household.
Growing
up
an
physical
neglect
parental
divorce
were,
paradoxically,
lower
HADS
scores.
Conclusions
have
stronger
postnatal
implying
it
might
useful
for
clinicians
providing
routine
antenatal
care
gather
information
on
stressors.
Language: Английский
Examining the role of social determinants of health in maternal mental health screening and treatment engagement during the perinatal period
Leah Holcomb,
No information about this author
Lizmarie Maldonado,
No information about this author
Paul J. Nietert
No information about this author
et al.
Biology of Sex Differences,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 12, 2025
Abstract
Background
Maternal
mental
health
conditions
are
associated
with
unmet
Social
Determinants
of
Health
(SDOH)
needs
and
can
impede
access
to
substance
use
disorder
(SUD)
treatment,
leading
poor
maternal
newborn
outcomes.
A
text/phone-based
screening
referral
treatment
intervention,
Listening
Women
Pregnant
Postpartum
People
(LTWP),
has
demonstrated
improved
rates
screening,
positive
for
concerns,
attendance
SUD
compared
usual
care
(i.e.,
in-person
referral).
It
is
unknown,
however,
if
LTWP
improves
identification
individuals
SDOH
needs.
This
study
examines
positive,
among
those
not
experiencing
Methods
secondary
analysis
includes
participants
randomized
endorsing
one
or
more
need
(n
=
78)
no
103)
measured
by
the
Accountable
Communities
Health-Related
Needs
Screening
Tool
via
an
online
survey.
Differences
in
groups'
completing
a
being
referred
attending
were
between
groups
using
chi-square
tests
relative
risk
as
measure
association.
Adjustments
missing
data
multiple
imputations
performed
full
cohort
at
least
106)
118).
Results
Among
participants,
43.0%
(78/181)
reported
financial
strain
(55.1%
(43/78)),
disabilities
(34.6%
(27/78)),
food
insecurity
(33.3%
(26/78))
most
frequently
SDOH.
On
average,
significantly
younger
(29.0
vs.
32.0
years),
likely
self-identify
non-Hispanic
Black
(42.3%
vs
13.6%),
report
lower
household
annual
income
1.9%
under
$25,000),
without
Those
screen
concerns
(RR:
1.59;
95%
CI:
1.21–2.09),
be
2.97;
1.36–6.48),
attend
2.64;
CI
1.04–2.73)
Conclusions
The
simple
text-
phone-based
approach
needed,
shows
promise
increasing
social
determinants
demonstrates
potential
enhance
identification,
perinatal
disorders
traditional
systems.
Language: Английский
Adverse Childhood Experiences (ACEs) Screening in Primary Care Settings for Adults: A Systematic Review
Journal of Child & Adolescent Trauma,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 12, 2025
Language: Английский
Stress during puberty and adulthood pregnancy impact histone acetylation regulators in the hypothalamus
Laiklyn A M Luther,
No information about this author
Samantha L. Higley,
No information about this author
Kathleen E. Morrison
No information about this author
et al.
Neuroscience,
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 1, 2025
Language: Английский
The Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study
Akanksha Misra,
No information about this author
Olivia Wolfe,
No information about this author
Ricardo Azziz
No information about this author
et al.
Women s Health Reports,
Journal Year:
2025,
Volume and Issue:
6(1), P. 412 - 420
Published: Jan. 1, 2025
To
determine
associations
of
childhood
emotional
and
physical
abuse
neglect
with
the
incidence
menstrual
irregularity,
male
pattern
hair
growth,
possible
PCOS.
Cross-sectional
Study
at
University.
410
individuals,
18-45
years
old.
Survey.
A
questionnaire
was
administered
to
students,
faculty,
staff
a
regional
State
University
New
York
(SUNY)
campus.
Data
on
sociodemographic
factors,
dysfunction
(irregularity,
PCOS),
experiences
were
collected.
Participants
sub-grouped
into
those
irregularity
(MI:
defined
as
>35
days
between
one
period's
beginning
next,
or
≤8
cycles/year,
absent
periods
altogether),
growth
(MHG:
excess
upper
lip,
chin,
chest,
abdomen,
buttocks,
back),
both
(MI+MHG),
who
did
have
neither
(Unaffected).
Family
income
status
yielded
some
association
presence
MI,
MHG,
MI+MHG.
There
significant
correlations
individuals
reporting
MI+MHG
reported
feeling
loved
by
their
caregiver
(p
value
=
0.0029988),
experiencing
verbal
0.0000004293),
0.030228),
emotionally
disconnected
from
0.0006138),
not
having
peaceful
home
0.00005760630462),
vis-à-vis
Unaffected
individuals.
Almost
all
respondents
prior
diagnosis
PCOS
(97.6%)
MI
and/or
MHG.
All
neglect,
except
loss
parent,
significantly
associated
features
suggestive
Larger,
unbiased
population
studies
across
different
demographics,
are
needed.
Language: Английский