ACES
Adverse Childhood Experiences
ACES
Adverse Childhood Experiences Study (ACE Study) is a research study conducted by the American health
... [Show More] maintenance organization --Kaiser Permanente and the CDC and Prevention.[1995-1997
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ACES 2 1995-1997
The study has demonstrated an association of adverse childhood experiences (ACEs) (aka childhood trauma) with health and social problems across the lifespan
VINCENT FELITTI
1980s, the dropout rate of participants at Kaiser Permanente's obesity clinic in San Diego, California, was about 50%; despite all of the dropouts successfully losing weight under the program. discovered that a majority of 286 people he interviewed had experienced childhood sexual abuse.
Adverse childhood experiences are common
28% of study participants reported physical abuse and 21% reported sexual abuse. Many also reported experiencing a divorce or parental separation, or having a parent with a mental and/or substance use disorder.
ACES often occur together.
40% of the original sample reported two or more ACEs and 12.5% experienced four or more. Because ACEs occur in clusters, many subsequent studies have examined the cumulative effects of ACEs rather than the individual effects of each.[8]
ACES dose-response relationship with many health problems.
that a person's cumulative ACEs score has a strong, graded relationship to numerous health, social, and behavioral problems Furthermore, many problems related to ACEs tend to be comorbid, or co-occurring.
two-thirds of individuals reported at least one adverse childhood experience
87% of individuals who reported one ACE reported at least one additional ACE.[5] The number of ACEs was strongly associated with adulthood high-risk health behaviors such as smoking, alcohol and drug abuse, promiscuity, and severe obesity, and correlated with ill-health including depression, heart disease, cancer, chronic lung disease and shortened lifespan.
four adverse childhood experiences was associated
seven-fold (700%) increase in alcoholism, a doubling of risk of being diagnosed with cancer, and a four-fold increase in emphysema; an ACE score above six was associated with a 30-fold (3000%) increase in attempted suicide.[2]
School Psychology Quarterly.(2018).33
68% of children 0-17 years old had experienced one or more ACEs.[
ACES AFFECTS LEARNING EDUCATION
The impact of ACEs on children can manifest in difficulties focusing, self regulating, trusting others, and can lead to negative cognitive effects.
School Social Work Jounral. 40 2016
One study found that a child with 4 or more ACEs was 32 times more likely to be labeled with a behavioral or cognitive problem than a child with no ACEs.
3 OR MORE ACE SCORE
ACEs Too High, 28 February 2012
students with at least three ACEs are three times as likely to experience academic failure, six times as likely to have behavioral problems, and five times as likely to have attendance problem
CDC AND KAIESER STUDY
7,337 participants were volunteers from approximately 26,000 consecutive Kaiser Permanente members.
About half were female;
74.8% were white;
average age was 57;
75.2% had attended college;
all had jobs
acute stress
Acute traumatic events
School violence
Natural disasters
Sudden or violent loss of a loved one
overwhelms their capacity to cope
chronic trauma
Repeated injury or a condition that develops over a long period of time
Chronic traumatic situations
Complex trauma
Intimate Partner Violence
Wars and other political violence
Community violence
If our brain has come to expect that we will live in a harsh, unpredictable environment in which there might not be food on the table tomorrow or a roof over your head
The child will develop a tendency to take what he can get whenever it is available because it could be the last chance for a while
Delaying gratification would not be a valuable skill in such an environment
If our brain has come to expect that we will live in a noisy, chaotic environment in which safety cannot be guaranteed
The child will develop a tendency to be always on the alert, attending to every sight, sound, and smell in order to detect danger early
Letting your guard down and relaxing, truly immersing yourself in a pleasurable or interesting activity would not be a valuable skill in such an environment [Show Less]