Journal of Child & Adolescent Trauma

, Volume 6, Issue 3, pp 217–229 | Cite as

The Interrelation of Adverse Childhood Experiences within an At-Risk Pediatric Sample

  • Brandon G. Scott
  • Nadine J. Burke
  • Carl F. Weems
  • Julia L. Hellman
  • Victor G. Carrión
Article

Abstract

Past research has linked adverse childhood experiences (ACEs) to physical and mental health problems. Theoretical models imply that ACE exposure is not entirely random but that one type of ACE exposure (e.g., parental incarceration) may be related to increased risk for another type of ACE exposure (e.g., physical abuse); however, the empirical nature of ACE co-occurrence remains unclear. The aim of this study was to examine ACE co-occurrence in a pediatric sample (n = 672). Results indicated that certain types of ACEs do co-occur more often than other types and that a 3-factor solution best fit the data (Abuse, Household Dysfunction, and Mixed). The findings add to the understanding of ACEs and highlight the need to identify underlying common risk factors among specific adverse experiences.

Keywords

trauma child abuse child neglect household dysfunction 

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References

  1. Anda, R. F., Brown, D. W., Dube, S. R., Bremner, J. D., Felitti, V. J., & Giles, W. H. (2008). Adverse childhood experiences and chronic obstructive pulmonary disease in adults. American Journal of Preventive Medicine, 34, 396–403. doi: 10.1016/j.amepre.2008.02.002PubMedCrossRefGoogle Scholar
  2. Belsky, J. (1993). Etiology of child maltreatment: A developmental-ecological analysis. Psychological Bulletin, 114, 413–434. doi: 10.1037/0033-2909.114.3.413PubMedCrossRefGoogle Scholar
  3. Burke, N. J., Hellman, J. L., Scott, B. G., Weems, C. F., & Carrión, V. G. (2011). The impact of adverse childhood experiences on an urban pediatric population. Child Abuse & Neglect, 35, 408–413. doi: 10.1016/j.chiabu.2011.02.006CrossRefGoogle Scholar
  4. Carrión, V. G., Weems, C. F., Eliez, S., Patwardhan, A., Brown, W., Ray R., & Reiss, A. L. (2001). Attenuation of frontal lobe asymmetry in pediatric PTSD. Biological Psychiatry, 50, 943–951. Retrieved from http://homepage.psy.utexas.edu/homepage/faculty/salinas/PTSD.BioPsychia/02FntlAsymKids.pdf PubMedCrossRefGoogle Scholar
  5. Carrión, V. G., Weems, C. F., Ray, R., Glasser, B., Hessl, D., & Reiss, A. (2002). Diurnal salivary cortisol in pediatric posttraumatic stress disorder. Biological Psychiatry, 51, 575–582. doi: 10.1016/S0006-3223(01)01310-5PubMedCrossRefGoogle Scholar
  6. Centers for Disease Control and Prevention. (2011). Child maltreatment: Prevention strategies. Retrieved from http://www.cdc.gov/ViolencePrevention/childmaltreatment/prevention.html
  7. Costello, E. J., Erkanli, A., Fairbank, J. A., & Angold, A. (2002). The prevalence of potentially traumatic events in childhood and adolescence. Journal of Traumatic Stress, 15, 99–112. doi: 10.1023/A:1014851823163PubMedCrossRefGoogle Scholar
  8. Dong, M., Anda, R. F., Dube, S. R., Giles, W. H., & Felitti, V. J. (2003). The relationship of exposure to childhood sexual abuse to other forms of abuse, neglect, and household dysfunction during childhood. Child Abuse & Neglect, 27, 625–639. doi: 10.1016/S0145-2134(03)00105-4CrossRefGoogle Scholar
  9. Dong, M., Anda, R. F., Felitti, V. J., Dube, S. R., Williamson, D. F., Thompson, T. J., & Giles, W. H. (2004). The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse & Neglect, 28, 771–784. doi: 10.1016/j.chiabu.2004.01.008CrossRefGoogle Scholar
  10. Dube, S. F., Fairweather, D., Pearson, W. S., Felitti, V. J., Anda, R. F., & Croft, J. B. (2009). Cumulative childhood stress and autoimmune diseases in adults. Psychosomatic Medicine, 71, 243–250. doi: 10.1097/PSY.0b013e3181907888PubMedCentralPubMedCrossRefGoogle Scholar
  11. Felitti, V. J. (2002). The relation between adverse childhood experiences and adult health: Turning gold into lead. Permanente Journal, 6(1), 44–47. Retrieved from http://www.thepermanentejournal.org/files/Winter2002/goldtolead.pdf Google Scholar
  12. Felitti, V. J., & Anda, R. F. (2010). The relationship of adverse childhood experiences to adult health, wellbeing, social function and healthcare. In R. Lanius, E. Vermetten, & C. Pain (Eds.), The impact of early life trauma on health and disease: The hidden epidemic. New York, NY: Cambridge University Press.Google Scholar
  13. Felitti, V. J., Anda, R. F., Nordenberg, D., Wiliamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258. doi: 10.1016/S0749-3797(98)00017-8PubMedCrossRefGoogle Scholar
  14. Gilbert, E. H., Lowenstein, S. R., Koziol-McLain, J., Barta, D. C., & Steiner, J. (1996). Chart reviews in emergency medicine research: Where are the methods? Annuals of Emergency Medicine, 27, 305–308. doi: 10.1016/S0196-0644(96)70264-0CrossRefGoogle Scholar
  15. Greenspan, S. I., & Wieder, S. (1997). Developmental patterns and outcomes in infants and children with disorders in relating and communicating: A chart review of 200 cases of children with autistic spectrum diagnoses. Journal of Developmental and Learning Disorders, 1(1), 87–141. Retrieved from http://www.icdl.com/bookstore/journal/index.shtml Google Scholar
  16. Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. American Journal of Psychiatry, 158, 848–856. doi: 10.1176/appi.ajp.158.987.848PubMedGoogle Scholar
  17. Larkin, H., & Records, J. (2007). Adverse childhood experiences: Overview, response strategies, and integral theory. Journal of Integral Theory and Practice, 2(3), 1–25. Retrieved from https://foundation.metaintegral.org/products Google Scholar
  18. Levendosky, A. A., & Graham-Bermann, S. A. (2001). Parenting in battered women: The effects of domestic violence on women and their children. Journal of Family Violence, 16, 171–192. doi: 10.1023/A:1011111003373CrossRefGoogle Scholar
  19. Luck, J., Peabody J. W., Dresselhaus, T. R., Lee, M., & Glassman, P. (2000). How well does chart abstraction measure quality? A prospective comparison of standardized patients with the medical record. American Journal of Medicine, 108, 642–649. doi: 10.1016/S0002-9343(00)00363-6PubMedCrossRefGoogle Scholar
  20. McCutcheon, V. V., Heath, A. C., Nelson, E. C., Bucholtz, K. K., Madden, P. A., & Martin, N. G. (2010). Clustering of trauma and associations with single and co-occurring depression and panic attack over twenty years. Twin Research and Human Genetics, 13, 57–65. doi: 10.1375/twin.13.1.57PubMedCentralPubMedCrossRefGoogle Scholar
  21. Nagy, J., & Szatmari, P. (1986). A chart review of schizotypal personality disorders in children. Journal of Autism and Developmental Disorders, 16, 351–367. doi: 10.1007/BF01531664PubMedCrossRefGoogle Scholar
  22. O’Connor, B. P. (2000). Using parallel analysis and Velicer’s MAP Test. Behavior Research Methods, Instruments, & Computers, 32, 396–402. doi: 10.3758/BF03200807CrossRefGoogle Scholar
  23. Sartwell, P. E. (1974). Retrospective studies: A review for the clinician. Annals of Internal Medicine, 81, 381–386. doi: 10.7326/0003-4819-81-3-381PubMedCrossRefGoogle Scholar
  24. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston, MA: Allyn and Bacon.Google Scholar
  25. U.S. Department of Health and Human Services. (2000). Child maltreatment 2000: Reports from the states to the national child abuse and neglect data system. Washington, DC: U.S. Government Printing Office.Google Scholar
  26. U.S. Department of Health and Human Services. (2008). Child maltreatment 2008: Reports from the states to the national child abuse and neglect data system. Washington, DC: U.S. Government Printing Office.Google Scholar
  27. Velicer, W. F. (1976). Determining the number of components from the matrix of partial correlations. Psychometrika, 4, 321–327. doi: 10.1007/BF02293557CrossRefGoogle Scholar
  28. Weems, C. F., & Carrión, V. G. (2007). The association between PTSD symptoms and salivary cortisol in youth: The role of the time since the trauma. Journal of Traumatic Stress, 20, 903–907. doi: 10.1002/jts.20251PubMedCrossRefGoogle Scholar
  29. Weems, C. F., & Carrión, V. G. (2009). Brief report: Diurnal salivary cortisol in youth—Clarifying the nature of posttraumatic stress dysregulation. Journal of Pediatric Psychology, 34, 389–395. doi: 10.1093/jpepsy/jsn087PubMedCrossRefGoogle Scholar
  30. Zwick, W. R., & Velicer, W. F. (1986). Comparison of five rules for determining the number of components to retain. Psychological Bulletin, 99, 432–442. doi: 10.1037/0033-2909.99.3.432CrossRefGoogle Scholar

Copyright information

© Taylor & Francis Group, LLC 2013

Authors and Affiliations

  • Brandon G. Scott
    • 1
  • Nadine J. Burke
    • 2
  • Carl F. Weems
    • 1
  • Julia L. Hellman
    • 2
  • Victor G. Carrión
    • 3
  1. 1.University of New OrleansNew OrleansUSA
  2. 2.California Pacific Medical CenterSan FranciscoUSA
  3. 3.Stanford Early Life Stress Research ProgramStanford UniversityStanfordUSA

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