Ace

Barry, Courtney; Gundacker, Constance

doi:10.1016/j.pop.2022.10.003

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…An ACE score may provide a chiropractor with information to improve care for ACE-affected individuals where psychosocial factors are a major contributor to their condition or perpetuation of chronic pain. This too, is presumed based on discussion and application of ACE screening in other healthcare fields [ 116 , 136 , 142 – 145 ]. Patients with chronic pain disorders, including fibromyalgia, are often seen in chiropractic offices, and the condition has been associated with psychosocial causes, improving with psychological therapies.…”

Section: Discussionmentioning

confidence: 99%

“…The study had a 68% (18,175/26,824) participation rate in a population of primarily middle class white adults from the Kaiser Permanente’s San Diego Health Appraisal Clinic [ 4 , 141 ]. Evidence of the effectiveness of ACE screening in chiropractic populations is not known at this time, though some emerging evidence supports the universal use of ACE screening to improve patient care quality and outcomes in other primary care and related healthcare fields [ 5 , 136 , 142 – 145 ]. Chiropractors assess and identify other psychosocial indicators of abuse [ 146 ] making them capable of detecting ACEs with the appropriate training [ 52 ].…”

Section: The 4r’s Modelmentioning

confidence: 99%

“…Trauma-informed implementation of screening tools in a clinical setting is a key component of ACE screening. Currently no consensus exists on whether ACE screening should be conducted universally in adults, but is implemented thus in psychological healthcare and pediatric medical populations where identification of childhood trauma can be addressed in real time [ 5 , 38 , 39 , 136 , 143 , 143 – 145 ]. For further information on when and how to screen patients for ACEs, refer to the reference guide in "Appendix B", and training resources at AcesAware.org [ 9 ].…”

Section: The 4r’s Modelmentioning

confidence: 99%

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Adverse childhood experiences and trauma informed care for chiropractors: a call to awareness and action

Baca,

Salsbury

2023

Chiropr Man Therap

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Background Trauma is an emotional response to distressing events where coping and subsequent recovery are absent. Adverse Childhood Experiences (ACEs) are traumas, occurring before the age of 18 years, such as child abuse or neglect, caregiver instability, and household dysfunction. Sixty-four percent of the U.S. population report experiencing at least one ACE, with over 1 billion children experiencing abuse and neglect annually worldwide. Chronic exposure to stressful circumstances or multiple traumatic events has negative physiologic impacts. Persons who experience 3 or more ACEs in childhood are at greater risk of poor mental health outcomes and may be more likely to engage in high-risk behaviors, predisposing them to long-term health impacts, such as metabolic diseases, anxiety, depression, substance use, and chronic pain. Trauma informed care (TIC) is a recommended approach to healthcare delivery across professions, especially when a trauma history is suspected. This commentary aims to increase awareness of the impact of ACEs on health outcomes and introduce TIC concepts as they may apply to chiropractic care for adults with a history of ACEs. Discussion This commentary reviews an introductory model (4R's: realize, recognize, respond, resist re-traumatization) as one TIC framework used by healthcare practitioners. Prior trauma can lessen trust, alter perceptions of physical touch, and hands-on examinations and chiropractic treatments may trigger stress responses. Using TIC after appropriate training, includes referrals to multidisciplinary providers to address trauma-related concerns outside the scope of chiropractic, and screening for ACEs if deemed appropriate. Creating safe spaces, communicating clearly, avoiding victimizing language, explaining procedures, asking for consent before physical contact, and giving patients choice and control in their own care may avoid triggering prior traumas. Conclusion Given the high worldwide prevalence of persons experiencing 3 or more ACEs, TIC principles are practical adaptations to chiropractic care for use with many patient populations. As TIC and ACEs are emerging concepts within chiropractic, students and practitioners are encouraged to undertake additional training to better understand these complex and sensitive topics. Exploratory research on the incidence, presentation, and impacts of various trauma types, including ACEs, to support adoption of TIC in chiropractic settings is essential.

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Section: Discussionmentioning

confidence: 99%

Section: The 4r’s Modelmentioning

confidence: 99%

Section: The 4r’s Modelmentioning

confidence: 99%

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Adverse childhood experiences and trauma informed care for chiropractors: a call to awareness and action

Baca,

Salsbury

2023

Chiropr Man Therap

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Adverse childhood events and mental health problems in cancer survivors: a systematic review

Hinnen,

von Haeseler,

Tijssens

et al. 2024

Support Care Cancer

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Purpose The purpose of this study was to systematically review the literature on the association between adverse childhood events (ACEs) and mental health problems in cancer survivors. Methods This review was conducted in line with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Four databases (PubMed, PsychINFO, Web of Science, and Cochrane) were searched on 27–08-2023. Results Of the 1413 references yielded by the literature search, 25 papers met inclusion criteria and were reviewed. Most studies were performed in the USA, most included breast cancer survivors, and the number of included participants ranged between 20 and 1343. ACEs were relatively prevalent, with self-report rates ranging between 40 and 95%. Having been exposed to ACEs was a risk factor for heightened levels of emotional distress, anxiety, depressive symptoms, and fatigue during cancer treatment. Results varied depending on the variables included, and per subscale, but were consistent across different cultures and heterogenous patient groups. Conclusion The association between ACE and mental health outcomes was significant in most studies. In order to improve treatment for this vulnerable population, it may be necessary to screen for ACEs before cancer treatment and adjust treatment, for example, by means of trauma-informed care (TIC), which recognizes and responds to the impact of trauma on individuals seeking healthcare.

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Caregiver report of adverse childhood events: comparison of self-administered and telephone questionnaires

Lemons,

Saravanan,

Tumin

et al. 2024

Children and Youth Services Review

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Ace

Cited by 6 publications

References 28 publications

Adverse childhood experiences and trauma informed care for chiropractors: a call to awareness and action

Adverse childhood experiences and trauma informed care for chiropractors: a call to awareness and action

Adverse childhood events and mental health problems in cancer survivors: a systematic review

Caregiver report of adverse childhood events: comparison of self-administered and telephone questionnaires

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