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

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Title: Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems.
Authors: Schickedanz, Adam, Halfon, Neal, Sastry, Narayan, Chung, Paul J.
Source: Pediatrics. Aug2018, Vol. 142 Issue 2, p1-9. 9p.
Subjects: Affective disorders, Behavior disorders in children, Violence & psychology, Child abuse & psychology, Attention-deficit hyperactivity disorder, Confidence intervals, Interviewing, Multivariate analysis, Parent-child relationships, Self-evaluation, Psychological stress, Multiple regression analysis, Parent attitudes, Retrospective studies, Diagnosis, Disease risk factors
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. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems.
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  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Aug2018, Vol. 142 Issue 2, p1-9. 9p.
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– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=131124379
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      – Type: doi
        Value: 10.1542/peds.2018-0023
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1
    Subjects:
      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Behavior disorders in children
        Type: general
      – SubjectFull: Violence & psychology
        Type: general
      – SubjectFull: Child abuse & psychology
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      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Parent-child relationships
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      – SubjectFull: Self-evaluation
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      – SubjectFull: Psychological stress
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      – SubjectFull: Multiple regression analysis
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      – SubjectFull: Parent attitudes
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      – SubjectFull: Retrospective studies
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      – SubjectFull: Diagnosis
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      – SubjectFull: Disease risk factors
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      – TitleFull: Parents' Adverse Childhood Experiences and Their Children's Behavioral Health Problems.
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              Text: Aug2018
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