Improving the Way that We Conceptualise Adverse Childhood Experiences – A Commentary on Sisitsky et al. (2023)
Tóm tắt
Research on adverse childhood experiences (ACEs) has traditionally relied on cumulative ACE scores, which prevents understanding about the effects of distinct adversities and their mechanistic pathways. Dimensional and person-centred approaches have been proposed as alternative methods to conceptualise ACEs, which address limitations of the cumulative ACE score. In this issue, Sisitsky et al. (Research on Child and Adolescent Psychopathology, 2023) apply these approaches to identify dimensions of ACEs and profiles of children with distinct patterns of early exposure, in a large, racially diverse cohort from the US. The authors also examine the longitudinal associations between profiles of early adversity in early childhood with later mental health and telomere length. In this commentary, we discuss key findings from the study and recommend future avenues for improving the conceptualisation of ACEs.
Tài liệu tham khảo
Baldwin, J. R., Sallis, H. M., Schoeler, T., Taylor, M. J., Kwong, A. S. F., Tielbeek, J. J., & Pingault, J. B. (2023a). A genetically informed Registered Report on adverse childhood experiences and mental health. Nature Human Behaviour. https://doi.org/10.1038/s41562-022-01482-9
Baldwin, J. R., Wang, B., Karwatowska, L., Schoeler, T., Tsaligopoulou, A., Munafò, M. R., & Pingault, J. B. (2023b). Childhood maltreatment and mental health problems: A systematic review and meta-analysis of quasi-experimental studies. American Journal of Psychiatry.
Bevilacqua, L., Kelly, Y., Heilmann, A., Priest, N., & Lacey, R. E. (2021). Adverse childhood experiences and trajectories of internalizing, externalizing, and prosocial behaviors from childhood to adolescence. Child Abuse & Neglect, 112, 104890.
Colich, N. L., Rosen, M. L., Williams, E. S., & McLaughlin, K. A. (2020). Biological aging in childhood and adolescence following experiences of threat and deprivation: A systematic review and meta-analysis. Psychological Bulletin, 146(9), 721.
Estrada, S., Gee, D. G., Bozic, I., Cinguina, M., Joormann, J., & Baskin-Sommers, A. (2023). Individual and environmental correlates of childhood maltreatment and exposure to community violence: Utilizing a latent profile and a multilevel meta-analytic approach. Psychological Medicine, 53(1), 189–205.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, 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(4), 245–258.
Lacey, R. E., & Minnis, H. (2019). Practitioner Review: Twenty years of research with adverse childhood experience scores – Advantages, disadvantages and applications to practice. Journal of Child Psychology and Psychiatry. https://doi.org/10.1111/jcpp.13135
McLaughlin, K. A., Sheridan, M. A., & Lambert, H. K. (2014). Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience. Neuroscience & Biobehavioral Reviews, 47, 578–591.
Ridout, K. K., Levandowski, M., Ridout, S. J., Gantz, L., Goonan, K., Palermo, D., & Tyrka, A. R. (2018). Early life adversity and telomere length: A meta-analysis. Molecular Psychiatry, 23(4), 858–871.
Sisitsky, M., Hare, M., DiMarzio, K., Gallat, A., Magariño, L., & Parent, J. (2023). Associations Between Early Life Adversity and Youth Psychobiological Outcomes: Dimensional and Person-Centered Approaches. Research on Child and Adolescent Psychopathology.