Dissertations / Theses: 'Adverse childhood experiences (ACEs)'

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Otero, Carolina. "Adverse Childhood Experiences (ACEs) and Timely Bachelor's Degree Attainment." BYU ScholarsArchive, 2018. https://scholarsarchive.byu.edu/etd/6993.

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It is well established that adverse childhood experiences (ACEs) are linked to health and emotional outcomes. But less is known about the relationship between ACEs and educational attainment—a potentially important feature of educational stratification in America. Using the National Longitudinal Study of Adolescent to Adult Health (Add Health), a nationally representative youth study of 7-12th grade students in the 1994-95 school year, I investigate whether ACEs is linked to post-secondary attainment and examine the role of health and socio-emotional factors as mediators. Results confirm that there is a graded relationship between ACEs and timely bachelor's degree attainment. I find that an additional ACE decreases the odds of timely bachelor's degree attainment by about 17%, even after accounting for other related factors.

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Mentzel, Tammy K. "Effects of Adverse Childhood Experiences (ACEs) on Control of Diabetes." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1447690892.

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Loudermilk, Elaine, Kevin Loudermilk, Julie Obenauer, and Megan Quinn. "Impact of Adverse Childhood Experiences (ACEs) on Adult Alcohol Consumption Behaviors." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6777.

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Background: Long term negative physical and mental health problems occur from the lack of appropriate interventions targeting the adult population who experienced adverse childhood experiences (ACEs) and partake in risky alcohol consumption behaviors. Objective: This study aimed to identify the risk for alcohol consumption behaviors, specifically binge drinking (BD) and any drinking (AD), among adults with a history of adverse childhood experiences (ACEs). Methods: Behavioral Risk Factor Surveillance System (BRFSS) 2011–2012 data were used. Descriptive statistics were completed followed by simple and multiple logistic regression to determine the strength of association between ACEs and alcohol consumption, controlling for sociodemographic factors. Results: The final adjusted sample size was 69,793. Adults who experienced household abuse were 30% more likely to BD (Odds Ratio (OR): 1.30, 95% Confidence Interval (CI): 1.20–1.41) and 21% more likely for AD (OR: 1.21, 95% CI: 1.14–1.28) in the past month. Males were over two times more likely to BD (OR: 2.12, 95% CI: 1.96–2.29) and 60% more likely for AD (OR: 1.60, 95% CI: 1.51–1.69) in the past month compared to females. Individuals who completed some college were at higher risk of BD (OR: 1.51, 95% CI: 1.26–1.82), whereas those who graduated college were nearly two and a half times more likely to report AD in the past month (OR: 2.27, 95% CI: 1.99–2.59) compared to individuals with less than high school education. Conclusion: Adults who experienced household abuse, are male, or possess at least some college education are at increased risk for BD and AD.

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Ickes, Alison. "Can Spiritual Experiences Promote Empathy in the Context of Past Adverse Childhood Experiences?" Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/honors/527.

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Previous research suggests that adverse childhood experiences (ACEs) can greatly impact a child’s physical, mental, and emotional wellbeing later in life. ACE exposure has been associated with lower levels of empathy in the literature. Spirituality is often associated with a number of positive outcomes, including those associated with empathy, like prosocial behaviors. The present study examines spirituality as a buffer against reduced empathy in those with exposure to adverse events in childhood. Participants for this study were recruited through the SONA research platform at East Tennessee State University as part of a larger research project, the REACH (Religions, Emotions, and Current Health) study. Results of this study did not support the working hypotheses that we would find a negative correlation between ACEs and empathy, as well as a moderation relationship via spirituality between ACEs and empathy. However, we did find that empathy was positively associated with spirituality, and ACEs were negatively associated with spirituality. Future research should dig deeper into the relationship between ACEs and empathy, as well as search for other possible protective factors for the effects of ACEs.

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Unzueta, Celina V. Ms, and Andrea Dr Clements. "The Relationship between Adverse Childhood Experiences (ACEs) and Intrinsic Religiosity in Southern Appalachia." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/honors/430.

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The present exploratory study examined adverse childhood experiences and religiosity in a sample of individuals from Southern Appalachia. Self-reports of childhood adversity and intrinsic religion were obtained from 167 individuals. Results showed that fifty-five percent had not experienced a childhood adversity while forty-three percent had experienced one to five episodes. Although a little under half the sample had one or more adverse experiences, there was no significant relationship between ACEs and intrinsic religion (r= -.037, p= .631). Sex and intrinsic religion were significantly related in that men endorsed the use of intrinsic religiosity more than women (t(165)= -2.28, p= .005).

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Sexton, Elysabeth. "Adverse Childhood Experiences (ACEs) and Temperament in Children Aged 14 to 36-months." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/honors/580.

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Researchers have explored the effects of early adverse life experiences (ACEs) on children’s developmental outcomes for decades. In this study, I explored whether ACEs in toddlerhood were associated with temperament. I tested the hypotheses that: 1) children who were determined to have a difficult temperamental profile would have higher parent-reported ACE scores than children with an easy temperamental profile, and 2) children’s temperament types would have stronger associations with abuse and neglect ACE scores than with household dysfunction ACE scores. Parents of 94 toddlers, who were between 14 and 36 months of age, completed online surveys on behalf of their toddlers, including a modified version of the original ACEs survey and the Early Childhood Behavior Questionnaire (ECBQ; Putnam, Gartstein, & Rothbart, 2006). Results supported the first hypothesis that children with a difficult temperament profile would have higher ACE scores than children with an easy temperament profile. However, the second hypothesis was not supported. Exploratory analyses were conducted to investigate correlations between individual ACE items and two temperament superdimensions: negative affectivity and effortful control. This is one of the first investigations to explore the prevalence of ACEs in toddlers via parental report and one of the first to document an association between adverse childhood experiences and temperament in very early childhood. Future attempts at replicating these ACEs-temperament associations in very early childhood, in additional and more diverse samples, can help shed light on their validity.

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Jones, Marissa R. "The Relationship Between Adverse Childhood Experiences, Acute Stress, and Working Memory." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etd/3775.

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Working memory (WM) is a crucial component of cognitive function that affects learning, reasoning, and problem solving, all of which are important for daily functioning. Therefore, addressing factors that can impact working memory, such as stress, are incredibly relevant to understanding WM efficiency. WM is an important component of higher order cognitive function and high WM capacity has been shown to be important for academic and occupational performance. Thus, understanding the relationship between stress-related factors and WM could aid in identifying strategies to mitigate the deleterious effects of stress on working memory. Although some previous research has indicated a negative impact of acute stress on WM, other research has indicated no impact or even a positive impact of stress on WM. As the relationship between acute stress and WM is mixed, examining other stress-related factors may provide further insight into the relationship. The current study examines how adverse childhood experiences (ACEs) and acute stress influence WM, and how frontal theta and alpha activity are affected by WM task demands. Participants completed a working memory task while their EEG was recorded. Participants then completed the PANAS to assess their current emotional state. Following the PANAS, participants viewed a stressful or neutral video as an acute stress induction, followed by a second PANAS to ensure effectiveness of stress induction. Participants then completed the WM task a second time. Finally, the participants completed the ACEs questionnaire. Bayesian linear mixed effects models were used to examine the relationships between ACEs, acute stress, WM, and frontal theta and alpha frequencies. Findings suggest there is not enough evidence to support a relationship between acute stress, ACEs, WM, and WM-related theta and alpha. While the current study did not reveal a relationship, future research should explore how acute stress and exposure to specific stressors during childhood could explain individual differences in WM.

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Heineken, Kayla, Diana Morelen, and R. Clingensmith. "Mindfulness and Religiosity/Spirituality as Protecting Factors for Internalizing Symptoms Associated with Adverse Childhood Experiences: A Moderated Moderation Model." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7712.

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Jeter, Bridget. "Resilience Among Survivors of Adverse Childhood Experiences in Appalachia." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3629.

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The empirical investigation of adverse childhood events (ACEs) and their relationship with health and well-being outcomes in later life is increasing. Less is known about factors that may promote resilience for those who have survived such challenges, such as how resilience may be facilitated for those with ACEs residing in a marginalized region such as South Central Appalachia. Multidimensional spirituality, social support, stigma related to ACEs, and Appalachian acculturation may serve as both valid cultural factors and potential indicators of resilience. Cross-sectional, simultaneous multiple regression analysis was performed on data collected from 272 adult patients of a South Central Appalachian based medically assisted treatment (MAT) program utilizing PROCESS macro (Hayes, 2018). Participants were 53.8% male, 94.4% Caucasian, 44.9% aged 35-50 years old, and 63.6% employed. Endorsement of increased spirituality was helpful for those in MAT in South Central Appalachia who self-reported ACEs. However, as one endorsed an increasing number of ACEs, spirituality was no longer salient but instead was associated with worsened health outcomes and lessened hope. The three dimensions of spirituality (Ritualistic, Theistic, and Existential) moderated these relationships in similar but nuanced ways. Social support, on the other hand, improved mental health regardless of ACE score. Stigma and Appalachian acculturation were only related to other variables at the bivariate level but not within the hypothesized moderation model. Our study offers preliminary insight into culturally relevant resilience within South Central Appalachia, however additional investigation is needed to better understand the complex facets of health and well-being outcomes in this marginalized region.

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Kwak, Hakyong G., Olushola Fapo, Gayatri B. MD Jaishankar, Matthew PhD Tolliver, Deborah LCSW Thibeault, and Karen E. MD MPH Schetzina. "Knowledge and perceptions of ACES (Adverse Childhood Experiences) among parents and providers in Northeast Tennessee." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/85.

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Background: Adverse Childhood Experiences (ACEs) are a risk factor for the development of future physical and mental health problems. Programs are needed that prevent and address the impact of ACEs on a population-based level. As a pediatric primary care clinic serving Northeast Tennessee, our goal was to better understand the knowledge and perceptions of the effects of ACEs among parents/caregivers and health professionals in Northeast Tennessee. Methods: During the summer of 2017, 51 parents/caregivers visiting a health education table at a family event in a local public library completed an anonymous survey to help us understand what people think about how ACEs affect children and adults. 20 health care professionals at a local pediatric primary care clinic completed the same anonymous survey. Survey results were entered into Excel and analyzed using Excel and SPSS. Results: Fewer than one-third of parents/caregivers in this sample had heard of the term "ACEs" prior to receiving this survey. However, after being provided with a definition of ACEs, most respondents agreed that ACEs could affect children's behavior and adult mental health. Agreement was less for perceptions of effects on physical health in adults. Most respondents recognized that a parent’s own ACE exposure could make parenting more difficult and that having a strong support system is helpful in counteracting these negative effects. Healthcare providers were more likely than parents/caregivers to have heard of the term ACEs before, however only half were familiar with the term. After being provided with a definition of ACEs, most healthcare providers agreed on their effects on children and adults. Perceptions that having a strong support system could counteract the effects of ACEs were slightly lower among health care providers as compared to parents/caregivers. Conclusion: The low awareness of ACEs found by our survey confirms the need for a new initiative to screen for ACEs and provide trauma-informed care in our clinic. The project, Baby Steps for Success, will involve screening children and parents/caregivers for ACEs, providing brief education on ACEs, and building resilience. Engaging and supporting families around healthy behaviors and interactions will be accomplished using Reach Out and Read and ReadNPlay for a Bright Future beginning in early infancy. Intervention with the Incredible Years program and Ecomap assessments will be provided to high-risk families with 2 or more ACEs. Families with four or more ACEs will be offered the Nurturing Parenting curriculum through a series of home and group visits. Partners for this project will include ETSU Pediatrics, Families Free, and the Northeast TN Regional Health Office.

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Gilley, Rebecca. "Adverse Childhood Experiences in Adolescents Who Have Engaged in Sexually Abusive Behavior: The Impact of Polyvictimization on Relevant Outcomes." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3647.

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Adverse childhood experiences (ACEs) are related to a variety of detrimental outcomes, including psychopathology and criminal activity. Adolescents and other youth who have engaged in sexually abusive behaviors are a high-risk population in which ACEs are exceptionally common and interrelated. However, the experiences of adversity faced by these youth are not homogenous, and exploring further aspects and details of ACEs may assist in better understanding the etiology of problematic outcomes such as psychopathology and criminal activity in these populations. The deleterious impact of polyvictimization may be one facet of adversity worth considering, as the persistence of maltreatment, presence of multiple perpetrators, and relationship to perpetrator(s) have been linked to poorer outcomes. Regression analyses were used to examine the relationship between ACEs and psychopathology and criminal activity in a sample of adolescents who have engaged in problematic sexual behavior. Incorporating facets of polyvictimization better explained several of such outcomes.

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Kram, Kirsten. "Child-Centered Play Therapy and Adverse Childhood Experiences: Effectiveness on Impulsivity and Inattention." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1538663/.

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Adverse childhood experiences (ACEs) are a certain set of abuse household dysfunction experiences that many children in the United States experience. Children who experience multiple ACEs are more likely to have negative mental and physical health issues as they grow older. These outcomes include ADHD, depression, cancer, heart disease, and early death. In this study, I examined the effectiveness of child centered play therapy (CCPT), a developmentally appropriate treatment modality, with children who have experienced two or more ACEs and who are also demonstrating inattention and impulsivity symptoms. Participants were 34 students from five Title 1 elementary schools in the southwest United States (28 males and 6 females; age range 5-8 years old with a mean age of 6.12). In the sample, participants were comprised of 29.4% African American (n = 10), 38.2% Caucasian (n = 13), 17.6% Hispanic/Latino (n = 6), and 14.7% identified as biracial (n = 5). Participants were randomly assigned to a treatment group that received 16 CCPT 30-minute sessions twice a week (n = 17) or a waitlist control group (n = 17) that received treatment at the conclusion of the study. Using a factorial ANOVA, results indicated statistically significant improvement of CCPT treatment group over waitlist control group on the ADDES-4 School Total and the DOF Attention Deficit/Hyperactivity Problems scale indicating that CCPT was an appropriate treatment model for children who have experienced ACEs and inattention and impulsivity symptoms.

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Quarless, Mona L. "Adverse Childhood Experiences, Neighborhood Disorganization, Co-parenting: The Impact on College Student Mental Health." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6083.

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Though mental health issues are prevalent amongst college students, pre-college environment and experiences are largely overlooked as potential factors in scientific literature. The current study examined the association of neighborhood disorganization, Adverse Childhood Experiences (ACEs) and mental health outcomes in a sample of college students. Utilizing the ecological model of human development and risk-resilience framework, I examined co-parenting quality as a plausible protective factor against the negative effects of adverse childhood experiences and neighborhood disorder. Self-report measures of ACEs, co-parenting quality, neighborhood disorder, anxiety, and depression were completed by a sample of college students (N = 259; mean age = 19.2 years). Simultaneous multiple regressions indicated that more ACEs predicted more depression and anxiety symptoms. However, neighborhood disorder did not predict anxiety or depression, and co-parenting quality did not moderate the association between neighborhood and mental health or ACEs and mental health outcomes. Results highlight future researchers should investigate pre-college environment to better understand college student mental health.

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Puszkiewicz, Kelcey, and Jill D. Stinson. "EARLY CHILDHOOD ADVERSITY, SOCIOECOLOGICAL INFLUENCES, AND DELINQUENT BEHAVIORS IN A TREATMENT SAMPLE OF MALE ADOLESCENTS." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/163.

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Adverse childhood experiences (ACEs) have long been linked to poor physical, mental, and behavioral outcomes in adulthood. Individuals with exposure to more types of ACEs are at greater risk of engaging in delinquent and criminal offending and also are relatedly more likely to be involved in the criminal justice system. The high prevalence of ACEs and other co-morbid risk factors in forensic populations calls for further investigation into how differential exposure to adversities influence the onset and nature of offending behaviors. Additionally, there are few studies investigating structural elements that precede offending behaviors (e.g., social and economic factors) in varied communities. Thus, the present study aims to examine the role of individual adversities and community factors on the development of nonsexual delinquent behaviors and juvenile justice involvement in a treatment sample of male adolescents. Data for the present study were derived from two sources. First, data were collected from archival records at a private nonprofit facility in rural Appalachia that provides treatment to adolescents who have engaged in sexually abusive behavior. Variables of interest include exposure to ACEs, indicators of sexual boundary problems within the home of origin (exposure to pornography by adult in home, witnessing sexual behaviors between others), and lifetime arrest history. Second, county-level secondary data were downloaded and delineated by county from the County Health Rankings & Roadmaps (CHR&R) program website, which provides publicly available data compiled by the University of Wisconsin Population Health Institute in collaboration with the Robert Wood Johnson Foundation. The CHR&R data has been published annually since 2010 and includes county-level markers of overall health and various factors that impact the health of counties. A standardized z-score was calculated to indicate social and economic environment compared to other counties in the state. Participants were assigned a z-score based on documented zip code of origin. To test the hypothesized model, confirmatory factor analysis was used, first examining indicators of individual adverse experiences and exposure to sexual behaviors in the home of origin. A three-factor model emerged: Factor 1 represented emotional abuse, physical abuse, and neglect; Factor 2 included indicators of household dysfunction; and Factor 3 included sexual abuse and more passive indicators of sexual boundary concerns in the home. Next, structural equation modeling revealed the association between individual experiences of adversity, county-level social/economic environment, and nonsexual delinquent behaviors with socioecological influences as a moderator. Results reveal varying relationships between exposures to adversity and arrest-related outcome variables. Additional discussion regarding findings, implications, and areas for future research will be explored.

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Doolittle, Ashley K., and Jennifer Zorotovich. "Among Emerging Adulthood Adverse Childhood Experiences (ACEs) Relate to Anxiety, Depression, Life Satisfaction, and Survivor’s Guilt." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/secfr-conf/2018/schedule/1.

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Adverse childhood experiences (ACEs) are events that take place during one’s youth that may be stressful or traumatic (Adverse Childhood Experiences, 2017) and a strong focus within this body of knowledge has been on the experiences of childhood neglect and abuse. Emerging adulthood is a distinct developmental phase of the life course characterized by extensive self-exploration and consideration about the future (Arnett, 2000). Given that identity exploration continues to be important during emerging adulthood, it is important to study ACEs and the effects they have on the emerging adult who is making decisions regarding their future. Much of the literature on ACEs has been dedicated to establishing the relationship between ACEs and negative health outcomes. For instance, research has shown that ACEs have been linked to increased risks for suicide attempt and ideation throughout one’s lifespan (Sachs-Ericsson et. al, 2016) and has also been associated with feelings of anxiety (Briggs & Price, 2009), guilt (Kaess et. al, 2013), and depression (Briggs & Price, 2009). Therefore, ACEs and negative health outcomes have already been strongly confirmed. The positive psychology movement (Seligman & Csikszentmihalyi, 2014) has brought to scholars’ attention the need to expand on conceptualizations of what it means to be doing well. Specifically, it is no longer sufficient to define optimal well-being only in terms of the absence of negative outcomes. In order to assess holistic well-being, consideration must also be given to positive factors. A recent review of the literature yielded no studies that have explored the presence, or absence, of positive well-being factors in conjunction to negative health outcomes among those having experienced ACEs. In order to obtain a true understanding of holistic well-being at critical developmental junctures, the current study moves beyond a sole focus on pathology by also considering how life satisfaction and subjective happiness manifest during emerging adulthood in relation to ACEs. Data on 284 participants were collected and analysis is forthcoming. Participants were recruited through the use of physical flyer postings, social media advertisements, and through Amazon’s Mechanical Turk (mTurk) system. Regression analysis and bivariate assessments will be used to explore the relationship between ACEs and depression, anxiety, life satisfaction, subjective happiness, and survivor’s guilt. Findings will be discussed in terms of broadening our understanding of the impacts to holistic well being for as related to ACEs during a rather critical and busy developmental juncture, emerging adulthood. Moving beyond pathology-focused models will expand on professional practice by utilizing frameworks embedded within a strengths-based approach. Educators, advocates, practitioners, and clinicians can utilize this this knowledge to enhance their work with clients and the services provided.

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Jones, Victoria. "How Resilience-Building Interventions Impact Parenting Stress and Cortisol Reactivity in Mothers with Adverse Childhood Experiences." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/honors/550.

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Research has found that adverse childhood experiences (ACEs) are associated with changes in both parenting stress and cortisol. Resilience-building interventions may be able to help diminish the effects of ACEs, thus impacting parenting stress and cortisol reactivity. This study aims to examine how two resilience-building interventions (emotion-based and behavior-based) will impact parenting stress and cortisol reactivity in mothers with ACEs. This project is in the preliminary stages of data collection; as such, this honors thesis will review the relevant literature, describe current methodology and proposed analyses, and discuss possible implications and future directions. Participants (goal N=100) undergo a pre-assessment where parenting stress and cortisol reactivity are measured. Participants are then randomly assigned to receive an emotion-based curriculum (goal n= 50) or behavior-based curriculum (goal n=50) for 8 weeks. After completing their curriculum, participants’ parenting stress and cortisol reactivity will be reassessed. Participants from both resilience-building interventions are hypothesized to have a reduction in parenting stress and cortisol reactivity, but participants who received the emotion-based curriculum are predicted to have greater reductions. Additionally, it is hypothesized that changes in parenting stress will be correlated with changes in cortisol reactivity, so participants with greater reductions in parenting stress are anticipated to have greater reductions in cortisol reactivity.

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Barham, Connor C. "Childhood Trauma and Attachment Theory: Estimating a Growth Curve Relationship Between Adverse Childhood Experiences and the Therapeutic Alliance." BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/8595.

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The therapeutic alliance is a core element of successful treatment in therapy. Recent literature has explored variables that predict the alliance at various time points during therapy, but few studies have explored how the alliance develops over time and the factors that influence its rate of change. The current study addresses these questions by estimating latent growth-curve models to analyze how male and female partners' alliance scores develop over time and how adverse childhood experiences (ACEs) impact the development of the alliance during the first six sessions of therapy. Results from these analyses show that neither men nor women's ACEs had a significant effect on the rate of change in the alliance. A discussion of the attachment implications of these findings, as well as the limitations of this study and potential directions for future research are then presented.

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Nunez, Miguel. "Identifying Protective Factors in the Relation between Adverse Childhood Experiences (ACEs) and Subjective Well-being among Latino Adolescents." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1562842606306103.

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Quinn, Megan, Renice Obure, Emery Shekiro, and Jill Stinson. "Adverse Childhood Experiences (ACEs): Predictors of Intimate Partner Violence and Sexual Victimization in a College Aged Sample." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6810.

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Background: This study examines the role of Adverse Childhood Experiences (ACEs) as predictors of intimate partner violence (IPV) and sexual victimization (SV) in a college aged sample in southern Appalachia. Methods: Data were obtained from a health behavior questionnaire administered online at a university in southern Appalachia from July-December 2014. The sample included 992 participants who self-reported on ACEs and adult experiences of IPV and SV. Descriptive statistics were completed for age, race, sex, ACEs (emotional, physical, or sexual abuse experiences as a child or witnessing IPV), IPV, and SV. Multiple logistic regression models were used to predict IPV and SV in separate models. Results: The sample was mostly female (69.3%), Caucasian (84.2%), and had an average age of 20 years old (M=20.1, SD= 4.05). IPV was reported by 10.5% of participants and SV by 14.1%. Predictors of IPV were: female (OR: 2.85, CI: 1.44- 5.65), emotional abuse (OR: 2.06, CI: 1.14- 3.70), sexual abuse (OR: 2.52, CI: 1.40-4.53) and age (OR: 1.10, CI: 1.06-1.15). Predictors of SV were female (OR: 3.22 CI: 1.70- 6.08), emotional abuse (OR: 2.53, CI: 1.48-4.33), sexual abuse (OR: 7.45, CI: 4.40-12.60) and age (OR: 1.06, CI: 1.02-1.12). Conclusions: Emotional and sexual abuse experiences during childhood were the greatest predictors of IPV and SV in adulthood in this college aged sample. This illustrates that children who were victims of emotional or sexual abuse have an increased risk of further abuse and/or re- victimization as adults. Females had a greater odds of experiencing IPV and SV compared to their male counterparts. Although this pilot study is limited in that looked at college students at one university, this provides a foundation for future research on predictors of IPV and SV in young adults. Further, a better understanding of ACEs and their role in adult health outcomes will allow more targeted interventions in high risk groups.

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Redd, Michael John. "Adverse Childhood Experiences and Couple Relationships: Impacts on Relationship Quality and Partner Selection." University of Akron / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=akron1510336296933526.

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Tucciarone, Joseph T. Jr. "Adverse Childhood Experiences, Homeless Chronicity, and Age at Onset of Homelessness." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3534.

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Childhood adversity is associated with numerous negative outcomes across multiple domains, including mental and physical health, interrelationships, and social functioning. Notably, research suggests that childhood adversity has a dose-response relationship with these outcomes; that is, greater numbers of adverse experiences in childhood are associated with worse outcomes. These outcomes overlap with many risk factors of homelessness. This study sought to address two questions: 1) Does a dose-response relationship exist between childhood adversity and chronic homelessness? 2) Does childhood adversity negatively predict the age at which homelessness first occurs? Adults experiencing homeless who are accessing homeless services in the Tri-Cities area of Northeast Tennessee responded to a brief instrument that includes measures of homeless chronicity, Adverse Childhood Experiences (ACEs), and age of onset of homelessness. Although relationships between ACEs and homeless chronicity was not observed, a relationship did emerge between number of ACEs and number of episodes and number of ACEs and age at initial onset of homelessness.

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Zhen-Duan, Jenny. "Adverse Childhood Experiences (ACEs) and health-risk behaviors among Latinoadolescents: A pilot study of potential hormonal mediators and social support moderators." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1571833536451152.

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Cooper, Erin, Francesca Adler-Baeder, and Julianne McGill. "Dyadic Links among Adverse Childhood Experiences (ACEs), Mindfulness, and Relationship Quality in Couple Relationship Education (CRE) Study Participants at Program Entry." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/secfr-conf/2020/schedule/43.

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Adverse and traumatic childhood experiences (e.g., ACEs) are inversely linked to negative outcomes in adulthood, including lower couple relationship functioning. Clinical research and practice have incorporated implications of ACEs, however much less consideration of ACEs has been given in community-based couple relationship education (CRE). This study explores dyadic effects of ACEs and mindfulness, a potential resilience factor and modifiable skill, on couple relationship quality in a diverse sample of CRE study participants before program start. Results indicate actor and partner effects for ACEs and mindfulness on relationship quality. Implications for research and practice are discussed.

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Okwori, Glory. "Adverse Childhood Experiences (ACES): Assessing Their Impact on Mental Health Outcomes Among US Children and the Mitigating Role of Resilience." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/etd/3941.

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ACEs are traumatic life events occurring during childhood that can have negative effects. Common mental disorders that are diagnosed in childhood are attention-deficit/hyperactivity disorder (ADHD), behavior disorders, anxiety and depression. The associations between ACEs and such problems in children have not been significantly examined. There are protective factors that can help reduce the effects of exposure to ACEs that have not been fully explored. The purpose of this research study was to examine: 1) the prevalence of mental health outcomes in children; 2) the associations between ACEs, resilience and mental health outcomes; and 3) the role of resiliency as a moderating variable between ACEs and mental health outcomes. A secondary data analysis utilizing data from the 2018 National Survey of Children’s Health (NSCH) was used to examine the proposed aims. The study population consisted of children between the ages of 3 and 17. Chi-square analyses were utilized, and logistic regression models were constructed. Weighted prevalence estimates were calculated. 8.6%, 6.9%, 8.0% and 3.7% currently had ADHD, behavioral disorders, anxiety and depression. The prevalence of each disorder was higher for older age, Whites, public insurance, single parent homes or homes without parents, caregivers with mental health problems and non-users of medical home. Children exposed to 4 or more ACEs had greater odds of ADHD (adjusted odds ratio [aOR]= 2.03; 95% confidence interval [CI], 1.52-2.72), behavioral disorders (aOR: 2.47; CI: 1.81-3.37), anxiety (aOR: 2.66; CI: 2.00-3.53) and the strongest relationship was seen with depression (aOR: 4.53; CI: 3.13-6.54). Individual resilience, family resilience and community resilience were associated with decreased odds of mental health outcomes and the strongest relationship was seen with individual resilience. There were significant interactions between exposure to ACEs and child resilience for ADHD (aOR: 0.14; CI: 0.08-0.23), current behavioral disorders (aOR: 0.10; CI: 0.06-0.16), anxiety and (aOR: 0.21; CI: 0.13-0.35) depression (aOR: 0.24; CI: 0.13-0.43) as well as significant interactions between ACE exposure and community resilience for depression (aOR: 0.25; CI: 0.10-0.61). The findings of this research have implications for the improvement of mental health diagnosis, promotion of resilient measures and future research.

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Tatro, Kathleen, Rachel Clingensmith, and Diana Morelen. "Quality of Life as a Protective Factor Against Substance Misuse Among Adults with a History of Adverse Childhood Experiences (ACEs)." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/231.

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Adverse Childhood Experiences, also known as ACEs, are a major public health concern. ACEs are defined as stressful or traumatic events in early life that range from parental separation to all forms of abuse and neglect, as well as household dysfunction (e.g., living in a home with substance misuse). The current body of scholarly literature shows that ACEs have long lasting effects on both physical and mental health through a person’s life. Research also illustrates a dose-response relationship between the number of ACEs and the number of risk behaviors, such as substance misuse, that a person may exhibit. Quality of life refers to a person’s self-perceived well-being and includes mental, emotional, physical, and sexual health. Quality of life, synonymous with well-being is associated with numerous health benefits including reduced risk of disease, better immune function, and increased life expectancy. This study seeks to determine if quality of life is a protective factor against substance misuse in adults who report ACEs. In line with the current body of knowledge, we hypothesize that adults within the study sample with a higher number of ACEs will exhibit higher rates of tobacco use, alcohol use, and drug use. We also hypothesize that participants with ACEs who rate a higher quality of life score will be less likely to use alcohol, tobacco, or drugs; as compared to those who rate a lower quality of life. Participants (N=766, age 18-55) were recruited through the REACH (Religion, Emotions, and Current Health) survey study. Data on ACEs will be collected from the Adverse Childhood Experiences (ACEs) Questionnaire which measures the number of traumatic experiences during the first eighteen years of life. Data on substance use will be collected via the Tobacco Questionnaire dichotomously (yes or no), the AUDIT scale on alcohol use which measures the frequency and quantity of consumption, and the Drug Abuse Screening Test (DAST) which measures drug use in the last twelve months. Quality of Life will be measured using the World Health Organization Quality of Life WHOQOL-BREF. Quality of life will also be examined using two subscales, overall quality of life and perceived social support. All data was collected via self-reporting. Bivariate and multivariate analyses will be conducted using SPSS. To examine the potential moderating effect of quality of life, a hierarchical multiple regression will be conducted, specifically the simple moderation from the PROCESS macro for SPSS. We predict that those who perceive a higher quality of life, despite early life adversity, will report less frequency in alcohol, tobacco, and drug consumption. Conversely, we predict that those who perceive a lower quality of life will exhibit higher rates of health-related risk behaviors, specifically substance misuse.

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Shurtliff, Tacey Micole Matheson. "ACEs and Substance use: Understanding the Influence of Childhood Experiences on Substance Use in Adolescence across Race and Ethnicity." BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/9034.

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Adverse Childhood Experiences (ACEs) affect numerous outcomes in adulthood, but relatively few studies examine their implications for adolescents. Understanding the effects of ACEs is important since adolescent behaviors affect subsequent life course milestones and transitions. One area of the ACEs research that is deficient involves adolescent substance use. In addition, there is a paucity of studies addressing whether the association between ACEs and substance use differs by race/ethnicity. Using data from the Fragile Families and Child Wellbeing Study, this study aims to fill these gaps by (a) examining whether adolescents who experience more ACEs tend to be at higher risk of alcohol and marijuana use; and (b) whether the association between ACEs and these forms of substance use differs among White, Black, and other racial/ethnic youth. The results show that, among Black youth, ACEs tend to affect alcohol and marijuana use at high levels (four or more). Among White youth, this association is limited to marijuana use. Nonetheless, age and peer substance use appear to have more consequential effects on the odds of alcohol and marijuana. The findings suggest that additional research is warranted, but that ACEs should be a focus of research on adolescent substance use.

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Michaels, Patricia C. "The Impact of Adverse Childhood Experiences on Adult Monetary Behaviors." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1531941674153599.

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Reynolds, Leslie S. "Mental Health Among U.S. Adolescents: the Role of State Policy, Economic Context, and Adverse Childhood Experiences." Bowling Green State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1600185650884874.

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Chamberlain, Kristin R. "Adverse Childhood Experiences in Relation to Psychological Capital, Mental Health, and Well-being in College Students." Ohio University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1583920904840024.

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Dolson, Robyn. "Pocket ACE: Neglect of Child Sexual Abuse Survivors in the ACEs Study Questionnaire." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3573.

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In 1998, a seminal study on adverse childhood experiences (ACEs) and subsequent health risks catapulted ACEs and the study questionnaire into the zeitgeist. However, its childhood sexual abuse (CSA) item is problematic as it requires the perpetrator have been 5-years or older than the victim. To assess whether some survivors’ CSA is not identified by the current item, whether their exclusion prevents access to services requiring a four-threshold ACE score, and how their health outcomes compared to other CSA groups and controls, an international sample of 974 women completed an online survey assessing their current health and CSA history using the original item and an experimental item without the 5-year modifier. Results indicated many CSA survivors are not identified by a 5-year modifier, exclusion has service implications for some, and on most variables, they had increased adverse health outcomes compared to controls. Means of assessing CSA must be thoughtfully revised.

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Cook, Courtney L. "Early Childhood Adversity and Chronic Illness: An Examination of a High Risk- Forensic Inpatient Population." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3294.

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Individuals exposed adverse childhood experiences (ACEs) are at increased risk of developing chronic illnesses in adulthood including heart disease, cancer, diabetes, and chronic pain. A relationship between ACEs and health risk factors contributing to chronic disease such as smoking, obesity, and sedentary lifestyle has also been established in prior literature. There is evidence that higher that individuals in forensic inpatient mental health samples are disproportionally exposed to ACEs, which may increase odds of chronic disease development. Despite this evidence, little research has examined the prevalence of ACEs and relationships between ACEs and chronic health conditions and risky health behaviors in this population. This study evaluated these variables using archival data collected as part of a large interdisciplinary study from a forensic psychiatric facility. A list of clients (N=182) meeting inclusion criteria was randomly generated and a comprehensive record review was used to ascertain ACE scores and rates of health-risk behaviors and chronic conditions. Findings offered support for increased rates of childhood adversity and a significant relationship between ACE scores and health-risk behaviors within a forensic inpatient mental health population. However, relationships between ACEs and chronic illnesses and health-risk behaviors and chronic illnesses failed to reach significance. The lack of significance in these relationships suggests that ACEs are less singularly predictive of chronic illness within this population and instead different factors may drive the development of chronic illness.

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ROTIMI, Oluyemi R., Hima Bindu Dubasi, Ruby Yadav, and Mildred Maisonet. "Factors that affect Early Sexual Initiation in a Sample of College Students in North-East Tennessee: The Role of Adverse Childhood Experiences, Economic Hardship, Family Structure and Religiosity." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/59.

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Background Normal adolescent development often involves sexual activity. Early sexual initiation poses a challenge to health and well-being. In 2015, Tennessee had the 9th highest teen birth rate in the country. The structural, social and economic environments of growth define sexual risk taking, with poverty, Adverse Childhood Experiences (ACEs) religiosity and family structure known to affect adolescent and adult health. This study seeks to explore the effect of these factors on early sexual initiation. Methods A sample of college students taking the introductory psychology course participated in the study through the ETSU SONA system. They completed a self-reported web-based survey inquiring about their family structure growing up (between the ages of 5 and 15), exposure to adverse childhood experiences (ACEs), economic hardship, religious attendance at age 14 and sexual risk behaviors such as age of sexual debut and total lifetime number of sexual partners. Early sexual initiation was defined as having sexual intercourse with the opposite sex before 15 years of age. Of 385 students who completed the survey, final analysis included 352 (91.4%) students who were between ages 18-24. We used descriptive statistics to analyze survey responses. Chi square tests were done to determine the association of these exposures with age at sexual initiation. Bivariate logistic regression was used to explore the impact of the structural, social and economic environments while growing up on age at sexual initiation. All analyses were done on SAS 9.4. Results Of 352 included in the analysis, 239 (67.9%) were females, 264 (72.73%) are Non-Hispanic whites and 314 (89.2%) have never been married. About 60% had at least one ACE and 111 (31.53%) had high economic hardship. Mean age at sexual debut was 16.55 (16.56 for females and 16.53 for males). Only 7.1% had sexual initiation before 15. Based on chi square tests, early sexual initiation was associated with higher ACE scores, no / infrequent religious attendance and ‘not always living with biological or adoptive parents from birth to age 18’. Economic hardship was not associated with early sexual initiation. Bivariate logistic regression showed significantly higher chances of early sexual initiation (before 15 years) with one to three ACEs (P-value= 0.03) and ≥ 4 ACEs (P-value= 0.004). Conclusion The social, structural and economic environment of a child’s growth is a major determinant of sexual risk behaviors. Interventions should be aimed at modifying the environment in which children grow to reduce rates of teen pregnancy and sexually transmitted infections and improve health.

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Waller, LaNeisha. "An examination of the help seeking behaviors of African American women with adverse childhood experiences." Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6519.

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Within the United States, African Americans account for 13% of the entire population, making them the second largest minority group. A notable concern is the rate at which African Americans fail to utilize both medical and mental health services. Researchers have long examined possible factors, such as stigmas, barriers, and accessibility, as reasons why African Americans underutilize psychological help. Overlooked is the potential influence of adverse childhood experiences (ACE). The term ACE encompasses ten major domains, ranging from emotional abuse to parental divorce/separation, all of which have been found to negatively influence individuals’ well-being. As such, this study examined the association between African American women’s adverse childhood experiences and help seeking attitudes. Data for this study were gathered from 64 African American female college students. Adverse childhood experiences were measured with the Traumatic Experiences Checklist (TEC) and help seeking attitudes were assessed with the Attitudes Toward Seeking Professional Psychological Help-Short Form (ATSPPH-SF). Results demonstrated scores reflecting childhood traumatic events for violence, death, and legal involvement were negatively related to attitudes toward help seeking. The results of this study highlight the need for continued research regarding ACE for African American women in college settings. Specific implications for this study include outreach development in university counseling centers focused on the association between childhood trauma, violence/legal involvement, and intersectionality. Programming of this nature may provide a critical link to increase this population’s utilization of mental health services. Keywords: African American women, ACE, help seeking

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Puszkiewicz, Kelcey. "Pathways to Delinquent and Sex Offending Behavior: The Role of Childhood Adversity and Environmental Context in a Treatment Sample of Male Adolescents." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3443.

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Exposure to more types of Adverse Childhood Experiences (ACEs) has been associated with a greater likelihood of general and sexual offending behaviors. However, few studies exist that consider both the impact of varied ACE exposures and community correlates on pathways to offending behaviors in adolescents who have engaged in sexually abusive behaviors. The current study examined these pathways using data collected from archival records of male adolescents (N= 285) who had received treatment for sexually abusive behavior at a youth facility. Structural equation modeling revealed a three-factor model for ACEs, which included: nonsexual abuse and neglect; household dysfunction; and sexual abuse and more passive indicators of sexual boundary problems in the home of origin. Direction and significance of paths between ACEs and the onset, persistence, and nature of maladaptive behaviors differed. Household dysfunction was related to an earlier onset and more persistent nonsexual delinquent offending and contact sexual offending. Conversely, sexual abuse and exposure to sexual boundary problems were associated with an earlier onset of sexually abusive behavior as well as indicators of adolescent-onset, less persistent, and nonviolent delinquency. Nonsexual abuse and neglect were uniquely associated with contact sexual offending. Thus, these findings suggest variations in ACE exposures differentially influence the development, severity, and continuance of nonsexual delinquent and sexually abusive behaviors among these youths. Socioecological variables associated with participants’ counties of origin, including social and economic environment and percentage of rurality, were not retained as covariates due to producing a poor model fit for the data. Additional study with regard to the role of community characteristics on delinquent and sexual offending behaviors is warranted.

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Isele, Dorothea Regina [Verfasser]. "The role of Adverse Childhood Experiences (ACEs) in clinical disorders : A new assessment tool and evaluation of links with borderline personality symptoms / Dorothea Regina Isele." Konstanz : Bibliothek der Universität Konstanz, 2016. http://d-nb.info/1112605045/34.

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Castelblanco, Samantha A. "The Effects of Virtual Nature Exposure on State Social Motivation." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/etd/3860.

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Social health is an important predictor of overall health. Yet, it is an often neglected area of research. Strikingly, social connectedness is associated with a 50% reduction in risk of early death. While a plethora of research evidence supports the beneficial impact of nature exposure on physical and mental health, literature regarding the beneficial impact of nature exposure on social health is scant. In fact, no research to date has investigated the causal influence of nature exposure on social motivation, a construct comprised here of three measures (State Motivation to Foster Social Connections, State Positive Affect, and State Anxiety). The purpose of this study was twofold: 1) to examine the effects of virtual nature exposure on state social motivation, and 2) to investigate adverse childhood experiences as a moderator of those effects. In this online study, adult participants (N = 444) aged 18 to 58 were randomly assigned to one of the three experimental video conditions (wilderness nature exposure, urban non-nature exposure, indoor non-nature exposure). After watching a 15-minute video, participants completed measures related to state social motivation. Results revealed a significant main effect of nature exposure on state social motivation. However, the effects of nature exposure on state social motivation were not significantly moderated by adverse childhood experiences. Results suggest that nature exposure may have a positive impact on the development and maintenance of social connections and should be explored further as a social health intervention aimed at improving overall health.

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Raza, Mattie V. "Trauma Informed Care Training Initiative: Implementation Study in Appalachia." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/honors/632.

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This study aims to evaluate the implementation of Trauma-Informed Care (TIC) trainings in Johnson City, Tennessee, and the surrounding Appalachian area. Previous TIC trainees were sent an email survey asking them if they had followed through with their plan to implement the training at their place of work or in other areas of their lives. The response rate for this study was 2%, possibly due to extraneous variables such as the Coronavirus Pandemic and the lag time between the initial training and survey follow-up. The responses that were analyzed indicated promise for the practical implementation of TIC concepts at the companies involved in the training initiative. Additional research is needed in order to further analyze TIC implementation.

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Berry, Melnee. "Academically Resistant Athletes: Victims of ACEs or Commodities of the System." Diss., NSUWorks, 2018. https://nsuworks.nova.edu/shss_dcar_etd/115.

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Fans of college sports embrace the idea of athletes playing sport and, in turn, receiving tuition scholarships that provide them an opportunity to trade athletic talent for a free education. A contradictory body of research using internal colonization theory posits that the trade of education for playing sports is not a fair exchange but is fraught with exploitation that continues to perpetuate subjugation. An accepted narrative in athletic competition is that the recruiting pipeline draws athletes from impoverished inner-city areas engaging young athletes who experience difficulties keeping up scholastically becoming academically resistant as they focus on their sport at the expense of their academics. Biopsychosocial and developmental neuroscience research recognizes outside social factors as variables that affect the development of the brain, thus influencing basic mechanical operations of specific brain structures. This dissertation breaks new ground by utilization of the 10-question Adverse Childhood Experiences (ACE) Inventory to explore a possible relationship between ACE scores and Academic Resistance (AR), ACE scores and Locus of Control, and ACE scores and Identity Foreclosure. Using the T-test to determine a relationship between 194 participants’ ACE scores and AR, the findings showed the probability of Type I error of 5%, to be that the AR of student athletes with an ACE score >=2, n=94, to be significantly higher than the AR of student athletes with an ACE

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Millican, Deborah. "Perceptions of Restorative Practices by Male Students of Color in Middle School." Thesis, University of North Texas, 2020. https://digital.library.unt.edu/ark:/67531/metadc1703366/.

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Zero-tolerance discipline policies have been in use in U.S. schools for almost 25 years. Since their enactment in the 1990s, researchers have found that zero tolerance disciplinary policies and practices can cause students to enter the school-to-prison pipeline. The purpose of this qualitative case study was to understand the perceptions of middle-school male students of color regarding the discipline process on a campus that supplemented zero-tolerance discipline with restorative practices (RPs). Additional intents of this study were to discover the challenges students encountered when they returned from a disciplinary alternative education program (DAEP) and determine whether RPs helped or hindered their transition to the home campus. Six middle-school male students of color who were placed at the district's DAEP and returned to their home campus participated in the study. The conceptual framework was based on Braithwaite's concept of stigmatized shame following an exclusion and Nathanson's human reactions to shame. The study yielded seven major themes: (a) student perceptions of exclusion, (b) behaviors related to exclusion from school, (c) human reactions to shame—attacking others, (d) human reactions to shame—avoidance, (e) the need for reintegration and acceptance, (f) traumatic events, and (g) dissonance in the discipline process.

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Jeffries, Treva Elise. "A Comparative Study of Multi-Tiered Interventions on Attendance and Graduation Rates of Urban High School Students: A Whole Child-Equity in Education Approach." Bowling Green State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1577977538494316.

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Baldridge, Amy Jean. "When Their Stories Aren't Your Stories - Males from Poverty in Alternative Schools." Miami University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=miami1574389252362262.

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Simpson-Adkins, Graham. "Parents, adverse childhood experiences and psychological distress." Thesis, Lancaster University, 2016. http://eprints.lancs.ac.uk/82613/.

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International prevalence rates of both Adverse Childhood Experiences (ACEs) and Mental Health Difficulties (MHD) are consistently high. Research has also repeatedly identified strong positive correlations between these two widespread public health issues, both of which demonstrate intergenerational continuity and broad negative health and social outcomes. Due to these intergenerational risks, this thesis attempts to contribute to the knowledge base regarding aspects of both ACEs and MHD, from a familial perspective. Chapter one synthesises qualitative literature regarding the way in which children of parents who experience MHD make sense of their parent’s MHD. The review analysed findings across 14 studies, which produced three overarching themes. Children’s understanding of their parent’s MHD seemingly operated within a biopsychosocial model. This conceptualisation had numerous effects on their life and impacted on their perception of mental health more generally. Clinical implications for services working with children, parents and families, alongside limitations and recommendations for future research are discussed. Chapter two presents a research paper that aimed to understand how parents experienced routine enquiry about their own ACEs. Thematic analysis produced three themes across eleven semi-structured interviews, from seven participants. The findings proposed a five-stage chronological model of ACE enquiry, which seemed to incorporate a process of post-disclosure behaviour change. However, results also raise important clinical issues associated with power dynamics. Theoretical contributions and clinical recommendations are presented in relation to trauma enquiry and disclosure literature. Finally, chapter three offers a summary of the research findings and reflections, presented as chapters that articulate key decision and learning points.

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Brinkerhoff, Kristina L. "Adverse Childhood Experiences| The Neutralizing Impact of Resilience." Thesis, Northwest Nazarene University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10622444.

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Research surrounding the prevalence and impact of adversity during childhood has surfaced as a possible key to addressing the impact of chronic stress on children during their early years and well into adulthood. The research has suggested that when resilience is present, due to protective factors being in place, there may be neutralization of the negative impact and outcomes due to the physiological effects of chronic stressors. Identifying which protective factors have the greatest neutralizing impact may provide educators, physicians, and parents better aid in the prevention and healing of children who have been exposed to chronic adversity. This research provides insight into the negative impact of adversity and the neutralizing impact of resilience on physical, psychological, and emotional well-being

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Fudge, Hazel. "Links between adverse childhood parenting experiences, childhood behaviour and adult social dysfunction." Thesis, King's College London (University of London), 2001. https://kclpure.kcl.ac.uk/portal/en/theses/links-between-adverse-childhood-parenting-experiences-childhood-behaviour-and-adult-social-dysfunction(73d6a786-2c2d-4b17-80d1-5013fee8b4ad).html.

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Mallett, Christian A. "Adverse Childhood Experiences, Racial Identity, and Cardiac Autonomic Dysregulation." Thesis, Howard University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=10933038.

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Background: Previous studies have related adverse childhood experiences (ACE) to heart disease. However, more research needs to explore neural mechanisms and psychological factors that contribute to the pathway of adverse childhood experiences leading to heart disease. Purpose: The present study examines racial identity as a moderator of adverse childhood experiences and cardiac autonomic dysregulation as indexed by respiratory sinus arrhythmia. Method: Forty-six undergraduate students of African descent attending a Historically Black University in the Mid-Atlantic region of the United States participated in this study. During the first phase, participants completed consent forms and questionnaires including the ACE Scale and the Cross Racial Identity Scale. Participants returned to the laboratory on a second occasion during which researchers employed an impedance cardiograph to record resting levels of interbeat intervals (IBI) and respiratory sinus arrhythmia (RSA). Results: Ordinary least squares regression analyses were conducted to test the moderating role of racial identity attitudes on the relationship between ACE prevalence and RSA. The overall regression model which included ACE prevalence, Multiculturalist attitudes, gender, and all interaction terms significantly predicted resting IBI. The overall model that included ACE prevalence, Afrocentric attitudes, gender, and all interaction terms also significantly predicted resting IBI. Participants with ACE and Afrocentric attitudes were more likely to have decreased resting RSA. Furthermore, in addition to ACE prevalence and Afrocentric attitudes, considering gender added 10% more explanatory variance in predicting resting RSA. Male participants with ACE and low Afrocentricity ratings were more likely to have decreased resting RSA. Additionally, considering gender with ACE prevalence and Miseducation attitudes added 10% more explanatory variance in predicting resting RSA. Discussion: Results and limitations are further discussed in the context of existing literature.

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Pykare, Justin D. "Screening for Adverse Childhood Experiences in Medication-Assisted Treatment." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1617798934883737.

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Hall, Ashleigh J. "Adverse Childhood Experiences and Resilience: Health Outcomes in Adolescents." Master's thesis, Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/595952.

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Urban Bioethics
M.A.
Adverse childhood experiences, known as ACEs, have been shown to negatively impact an individual’s health as an adult. While efforts to decrease children’s exposure to these traumatic experiences are beneficial, they are not able to fully eliminate these experiences and do not address how to help children who have already been exposed. Resilience, which has been defined as managing and adapting to significant sources of trauma, has been thought to be a protective factor against the toxic stress of ACEs. While the relationship between ACEs and poor health outcomes has been established, the relationship between resilience and health outcomes is largely unknown. This study seeks to determine the association between resilience scores on a validated resilience questionnaire and health outcomes in adolescents. Looking specifically at body mass index, blood pressure, and depression scores on a validated depression screen we hypothesize that higher resilience scores will be associated with better health outcomes. In addition, we examine the relationship between ACE scores and resilience scores. If this validated resilience instrument is able to help predict health outcomes, this can direct development of intervention programs to build resilience in those living in ACE-heavy environments.
Temple University--Theses

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Gilley, Rebecca H., Rachel K. Carpenter, Jill D. Stinson, and Lydia L. Eisenbrandt. "Adverse Childhood Experiences and Aggression in High-Risk Youth." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7927.

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Creviston, Megan. "Adverse Childhood Experiences among Individuals with Opioid Use Disorder." Wright State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=wright1610112137970568.

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Thompson, Morgan. "Adverse Childhood Experiences and Health Risk Behaviors among College Students." W&M ScholarWorks, 2017. https://scholarworks.wm.edu/etd/1499450058.

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Adverse childhood experiences (ACEs) are associated with social, emotional, and cognitive impairments resulting from disrupted neurodevelopment. These impairments manifest as health risk behaviors (HRBs) including tobacco, alcohol, marijuana, illicit drug use, and sexual risk behaviors. The current study assessed the relation between ACEs and HRBs by examining the cognitive abilities of 144 college students (M = 18.92 years; 56.3% female; 63.9% White; M = .078 ACEs). Participants completed an interview (parental incarceration, Criminogenic Cognitions Scale), surveys (Youth Risk Behavior Survey, ACE Questionnaire), delay discounting task, the Tower of Hanoi, and the Peabody Picture Vocabulary Test. Results revealed a graded relationship between ACE scores and illicit drug use risk behaviors, ACE scores and sexual risk behaviors, and household criminality and sexual risk behaviors. Students who reported more ACEs had an increase in the likelihood of reporting illicit drug use and sexual risk behaviors. Although no significant mediation effects of cognitive impairment were observed, a path analysis model revealed that a subscale of the Criminogenic Cognitions Scale (Negative Attitudes toward Authority) mediated the relation between ACE scores and sexual risk behaviors. These findings demonstrate the cognitive impairments may not serve as the best explanation for the relation between ACEs and HRBs in college students. However, these findings do indicate that a universal approach to preventing and reducing HRBs among at-risk college students may be inappropriate. Rather, it may be best to target specific HRBs.

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Dissertations / Theses on the topic 'Adverse childhood experiences (ACEs)'

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