Adverse childhood experiences and all-cause mortality risk in adulthood

D’Arcy-Bewick, Sinéad; Turiano, Nicholas A.; Sutin, Angelina R.; Terracciano, Antonio; Ó’Súilleabháin, Páraic S

doi:10.1016/j.chiabu.2023.106386

Cited by 3 publications

(7 citation statements)

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“…Underlying components of lifetime trauma could potentially contribute differentially to mortality (Butler et al, 2023; D’Arcy-Bewick et al, 2022), particularly given the accumulative impact of effects on health process over long periods (e.g., Sesker et al, 2022). It would also be useful for a future review to focus specifically on characteristics underlying the trauma being examined and by exploring if certain types of trauma (e.g., D’Arcy-Bewick et al, 2023) are more likely to occur in certain populations than others, and what implications that may have for mortality risk. Lastly, the research presented has been completed on samples from Western countries which may limit generalizability.…”

Section: Discussionmentioning

confidence: 99%

“…As such, we conducted a systematic review to determine the state of the literature examining lifetime trauma and mortality risk during adulthood. Given research emphasizing the importance of examining the accumulative effects of multiple types of adverse childhood experiences (D’Arcy-Bewick et al, 2023; Felitti et al, 1998), we sought to build on this research and examine studies that utilized a measure of lifetime trauma which include traumatic events from across the lifespan. This enabled us to expand on previous research and explore the impact of events occurring across an individual’s life as childhood traumatic events rarely happen in isolation due to revictimization cycles (Widom et al, 2008).…”

mentioning

confidence: 99%

“…There is a well-established link between exposure to traumatic events and adverse health outcomes (D' Arcy-Bewick et al, 2022;Do et al, 2019;Hendrickson et al, 2013;López-Martínez et al, 2018). Most of the previous research exploring lifetime trauma focuses on childhood traumatic events (Austin, 2018;D'Arcy-Bewick et al, 2023;De Bellis & Zisk, 2014), posttraumatic stress disorder (Kessler et al, 2017), or a specific type of event, such as natural disasters (Neria et al, 2008).…”

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confidence: 99%

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Lifetime trauma and mortality risk: A systematic review.

Buckley,

Turiano,

Sesker

et al. 2024

Health Psychology

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Objective: Various literature are suggestive of a relation between lifetime trauma and mortality risk in adulthood, however, findings seem unclear and inconsistent. In our preregistered review, we conducted a systematic review to examine the association between lifetime trauma and mortality risk in adulthood. Method: Six databases (Scopus, Web of Science, CINAHL [EBSCO], PsycInfo [EBSCO], Embase, and Medline [PubMed]); were searched up to April 2023 for studies reporting adult mortality outcomes associated with traumatic events accumulated across the lifespan. Five studies were found, and a narrative review of the literature was conducted. Results: Five studies met the inclusion criteria, including 5,506 individuals. Two studies with men/male-only samples reported no relation between lifetime trauma and mortality risk; however, three studies with a mixed-sex sample found a positive relation between lifetime trauma and mortality risk, indicating that the more traumatic events a person has across their lifespan, the greater their mortality risk. Conclusion: Lifetime trauma appears to be associated with mortality risk during adulthood. The strongest evidence stems from larger samples. However, research is sparse and inconclusive. A plethora of additional research is needed to address several limitations within the current literature, which includes utilizing standardized measures of lifetime trauma, replication of effects, and the examination of vulnerable and underrepresented populations. Public Significance StatementThis review found that lifetime trauma-cumulative trauma and stressful life events-appears to be related to premature death across adulthood. In highlighting the importance of examining the effects of lifetime trauma on risk of death, this review also identifies several important avenues for future research to advance the area.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Lifetime trauma and mortality risk: A systematic review.

Buckley,

Turiano,

Sesker

et al. 2024

Health Psychology

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“…is missing. Despite the data not being collated in this archival dataset, as highlighted by D'Arcy-Bewick and colleagues (2,3), it would be important for future research to thoroughly examine the characteristics underlying specific ACEs. Consistent with existing research examining mortality related pathways (22,23), we would expect a broad range of mechanisms beyond those we examined to underpin the ACE-mortality relation.…”

Section: Source Of Funding Andmentioning

confidence: 99%

“…A dverse childhood experiences (ACEs) have wide-ranging consequences across the life span (1), including mortality risk (for a review, see Ref. (2)) that is accumulative (risk not plateauing) in nature (3). Given the complex nature of such experiences and their health-relevant consequences, it is likely that mechanisms permeate a variety of interconnected and complex systems.…”

Section: Introductionmentioning

confidence: 99%

Self-Acceptance and Purpose in Life Are Mechanisms Linking Adverse Childhood Experiences to Mortality Risk

O’Súilleabháin,

D’Arcy-Bewick,

Fredrix

et al. 2023

Psychosom Med

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Objective Adverse childhood experiences (ACEs) are associated with increased risk of premature mortality, but it is not clear why. Individuals with ACEs tend to have lower self-acceptance and purpose in life, which may be pathways between ACEs and risk of premature mortality. As such, we tested whether purpose and self-acceptance are mechanisms that link ACEs to mortality risk. Methods We used the Midlife in the United States Survey (N = 6218; M ± SD = 46.89 ± 12.94 years) to test whether these factors were indirect pathways (mediated) the association between ACEs and mortality hazards over 24 years of follow-up. We employed a comprehensive ACEs measure that included 20 possible childhood adversities including emotional and physical abuse, household instability, socioeconomic climate, and ill health. Results ACEs significantly increased mortality risk, HR = 1.028, 95% CI (1.008, 1.047), p = 0.006. Self-acceptance and purpose accounted for an estimated 15% and 4% of the ACEs-mortality relation respectively. These effects withstood a range of adjustments and sensitivity analyses. Conclusions ACEs may impact mortality risk partially through lower self-acceptance and purpose during adulthood. Given that self-acceptance and purpose may change through intervention, these factors may be useful targets for individuals with ACEs that could lead to a longer life.

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Optimization of Nutrition Science Learning through Educational Technology at PGRI Adi Buana University Surabaya

Diana Evawati,

Susilowati

2023

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The field of nutrition science education at Universitas PGRI Adi Buana Surabaya is transforming, leveraging educational technology to enhance learning outcomes. This study delves into the innovative utilization of educational technology in optimizing nutrition science education. By employing an approach that melds technology and pedagogy, this research aims to elevate the professional development of students. By exploring cutting-edge educational technologies, the study underscores the potential of innovative approaches to reshaping the landscape of nutrition science education. This research contributes to the ongoing discourse on effective pedagogical practices and technology integration in academic settings, explicitly focusing on nutrition science education. The findings offer insights into fostering a dynamic learning environment that nurtures professional growth among students in the field of nutrition science. Keywords: Educational Technology, Professional Development, Innovative Approaches

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Adverse childhood experiences and all-cause mortality risk in adulthood

Cited by 3 publications

References 47 publications

Lifetime trauma and mortality risk: A systematic review.

Lifetime trauma and mortality risk: A systematic review.

Self-Acceptance and Purpose in Life Are Mechanisms Linking Adverse Childhood Experiences to Mortality Risk

Optimization of Nutrition Science Learning through Educational Technology at PGRI Adi Buana University Surabaya

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