Adverse Childhood Experiences (ACEs), Service Use, and Service Helpfulness among People Experiencing Homelessness

Larkin, Heather; Park, Jihyun

doi:10.1606/1044-3894.4192

Cited by 46 publications

(24 citation statements)

References 26 publications

(34 reference statements)

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“…In turn, this undermined achievement creates contexts biased toward exposure to additional social stressors, a paucity of social and personal resources, and adult mental disorders (Turner, 2013; Wickrama, Conger, Surjadi, & Lorenz, 2010). Increased exposure to later adverse life events may take a range of forms such as relationship problems, residential instability, disability, and involvement with the criminal justice system (Larkin & Park, 2012; Lu, Mueser, Rosenberg, & Jankowski, 2008; Nurius, Logan-Greene, & Green, 2012; Schussler-Fiorenza, Rose, Xie, & Stineman, 2014). …”

Section: Life Course Pathways Of Adverse Childhood Experiences Towardmentioning

confidence: 99%

Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis

Nurius

Green

Logan-Greene

et al. 2015

Child Abuse & Neglect

326

241

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Growing evidence suggests that toxic stressors early in life not only convey developmental impacts but also augment risk of proliferating chains of additional stressors that can overwhelm individual coping and undermine recovery and health. Examining trauma within a life course stress process perspective, we posit that early childhood adversity carries a unique capacity to impair adult psychological well-being both independent of and cumulative with other contributors, including social disadvantage and stressful adult experiences. This study uses data from a representative population-based health survey (N = 13,593) to provide one of the first multivariate assessments of unique, cumulative, and moderated effects of adverse childhood experiences (ACEs) toward explaining 3 related yet distinct measures of adult mental health: perceived well-being, psychological distress, and impaired daily activities. Results demonstrate support for each set of hypothesized associations, including exacerbation and amelioration of ACEs effects by adult stress and resilience resources, respectively. Implications for services and future research are discussed.

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Section: Life Course Pathways Of Adverse Childhood Experiences Towardmentioning

confidence: 99%

Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis

Nurius

Green

Logan-Greene

et al. 2015

Child Abuse & Neglect

326

241

View full text Add to dashboard Cite

show abstract

“…ACEs are associated with increased anxiety or worry related to physical health, poorer selfrated health and life satisfaction, and higher self-reported disability in adulthood [21,[23][24][25]. ACEs can also interfere with employability, housing stability, and social support later in life, which may impact well-being and life satisfaction overall [26][27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995–2014

et al. 2018

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Background: More than half of the U.S. population has experienced Adverse Childhood Experiences (ACE), which are linked to physical and mental health issues. This study examines the relationship between ACEs and life satisfaction, psychological well-being, and social wellbeing. Methods: Data of 6323 participants from three waves of the Midlife Development in the United States (MIDUS) (1995-1996, 2004-2006, and 2011-2014) were used. Repeated measures models were used to test the associations between ACEs and all three psychosocial scales. Generalized estimating equations (GEE) were used to account for multiple survey measures. Adjusting for demographics and survey wave, GEE models were run for each ACE construct. Results: After controlling for demographic covariables, those reporting an ACE had significantly lower levels of life satisfaction (β=−0.20, 95% CI −0.26-−0.15) compared to those without an ACE. Those reporting higher ACE counts were associated with lower life satisfaction compared to those with no ACE (β=−0.38, 95% CI −0.56-−0.20; β=−0.36, 95% CI −0.46-−0.27; and β= −0.13, 95% CI −0.19-−0.08 for ACE counts of 3, 2, and 1, respectively). Abuse (β=−0.41, 95% CI −0.48-−0.33) and household dysfunction (β=−0.18, 95% CI −0.25-−0.10) were associated with significantly lower life satisfaction. Overall, those exposed to ACEs had significantly lower sense of social well-being.

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“…These models respond to calls by researchers for ACE-informed studies with low-income populations and complement previous research exploring these topics (Cambron et al, 2014;Herrenkohl et al, 2013;Larkin & Park, 2012). The increasing risk of depression and mental health FIGURE 2 Standardized regression coefficients for Model 4 testing paths among ACEs, depression, anxiety disorder, and PTSD and mental health as a barrier to work controlling for age, ethnicity, and education (N ¼ 1073).…”

Section: Discussionmentioning

confidence: 65%

Adverse Childhood Experiences, Depression and Mental Health Barriers to Work among Low-Income Women

Cambron

Gringeri

Vogel-Ferguson

2015

Social Work in Public Health

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Recent research has connected childhood abuse to decreased physical and mental health for low-income women in Utah. Further, mental health has established a link to employment problems. This study conducted a secondary analysis of data collected from individuals accessing public assistance to investigate the relationships among retrospective self-reports of childhood emotional, physical and sexual abuse and prospective indicators of mental health and mental health barriers to work. Logistic regression models found strong relationships between childhood abuse and increased odds of depression and mental health barriers to work. Path models highlight the relative importance of depression for those reporting mental health as the biggest barrier to work. Recommendations for social workers, public health professionals, and program administrators are provided.

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Adverse Childhood Experiences (ACEs), Service Use, and Service Helpfulness among People Experiencing Homelessness

Cited by 46 publications

References 26 publications

Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis

Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis

Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995–2014

Adverse Childhood Experiences, Depression and Mental Health Barriers to Work among Low-Income Women

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