Associations Between Adverse Childhood Experiences, Adolescent Screen Time and Physical Activity During the COVID-19 Pandemic

Raney, Julia H.; Testa, Alexander; Jackson, Dylan B.; Ganson, Kyle T.; Nagata, Jason M.

doi:10.1016/j.acap.2022.07.007

Cited by 14 publications

(8 citation statements)

References 21 publications

(22 reference statements)

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“…72 Individuals with a history of multiple ACEs can be more prone to NRS due to their lifestyle habits that negatively impact sleep. Such habits, commonly observed in patients with multiple ACEs, include an irregular life rhythm 73,74 and extended screen time 75 . These behaviors have been consistently linked to sleep disturbances [76][77][78][79] .…”

Section: Discussionmentioning

confidence: 99%

Nonrestorative Sleep Mediates the Influence of Adverse Childhood Experiences on Psychological Distress, Physical Health, Mental Health, and Activity Limitation: A Longitudinal Study for the General Population in Japan

Megumi,

Kentaro,

Takahiro

et al. 2024

Preprint

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Background: This study explores the associations between adverse childhood experiences (ACEs), health problems, and increased daytime inactivity, emphasizing nonrestorative sleep (NRS), a subjective perception of unrefreshing sleep, as a significant contributing factor. Methods: A longitudinal online survey utilizing data from the Japan COVID-19 and Society Internet Survey was employed. The Kessler distress scale (K6) served as the primary outcome measure, with a score of K6 ≥ 13 indicating psychological distress. Health-Related Quality of Life-4 was utilized to assess mentally unhealthy days, physically unhealthy days, and days with activity limitation, indicating mental health problems, physical health problems, and daytime inactivity if exceeding 14 days monthly, respectively. NRS frequency within the past 30 days was evaluated on a 5-point scale, with "usually" (16 days or more) indicating NRS presence. ACEs were identified when four or more items from a validated ACEs list were selected. A causal mediation analysis was performed. Results: Among the 17,042 participants, 52.8% were male, averaging 50.35 years of age (SD = 17.73). Approximately 11.1% reported four or more ACEs. Notably, 16.7% met NRS criteria, while 9.6% met psychological distress criteria. The proportions of individuals with physical health problems, mental health problems, and activity limitations were 6.4%, 6.2%, and 4.2%, respectively. Significant mediational pathways via NRS were observed from ACEs to psychological distress (RR = 1.14, 95% CI = 1.08–1.19, p < 0.001), physical health problems (RR = 1.30, 95% CI = 1.21–1.40, p < 0.001), mental health problems (RR = 1.20, 95% CI = 1.13–1.28, p < 0.001), and daytime inactivity (RR = 1.27, 95% CI = 1.17–1.37, p < 0.001). Conclusion: This study suggests that NRS mediates the impact of ACEs on mental or physical health issues and daytime inactivity. Further research is needed to determine whether targeting NRS can alleviate ACE-associated health problems.

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Section: Discussionmentioning

confidence: 99%

Nonrestorative Sleep Mediates the Influence of Adverse Childhood Experiences on Psychological Distress, Physical Health, Mental Health, and Activity Limitation: A Longitudinal Study for the General Population in Japan

Megumi,

Kentaro,

Takahiro

et al. 2024

Preprint

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“…The 9 domains included in this study are physical abuse, sexual abuse, household violence, parental alcohol abuse, parental mental health issues, parent marital status (divorced/separated), emotional neglect, physical neglect, and household criminal justice system involvement ( Appendix B ). ACE scores were calculated and categorized as 0, 1, 2, 3, or 4+ ACEs ( Raney et al, 2022 , Testa et al, 2022 ). The 4+ threshold was chosen because it was found to be a valid threshold for a marker of increased risk across multiple ACE screening tools ( Kerker et al, 2015 , McKelvey et al, 2016 ).…”

Section: Methodsmentioning

confidence: 99%

Adverse childhood experiences and sipping alcohol in U.S. children: Findings from the Adolescent Brain Cognitive Development Study

Smith¹,

Sajjad²,

Zamora³

et al. 2023

Preventive Medicine Reports

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“…Adverse childhood experience score was determined from Y0 and Y1, consistent with the published literature. 54 Nine of 10 ACEs reflecting the items in the original CDC-Kaiser ACE study 17 were available; emotional abuse was not included. Endorsement of any of the following 9 ACEs was counted as 1 point: physical abuse, sexual abuse, household violence, household mental illness (depression and/or suicidality in father or mother), problematic alcohol use in the household (by father or mother), divorce or separation, member of the household is incarcerated (father or mother), emotional neglect, and physical neglect.…”

Section: Methodsmentioning

confidence: 99%

“…Endorsement of any of the following 9 ACEs was counted as 1 point: physical abuse, sexual abuse, household violence, household mental illness (depression and/or suicidality in father or mother), problematic alcohol use in the household (by father or mother), divorce or separation, member of the household is incarcerated (father or mother), emotional neglect, and physical neglect. 54 Because household violence was measured in the Family Conflict subscale (described above), ACE score calculation was based on the remaining 8 ACEs.…”

Section: Covariatesmentioning

confidence: 99%

Pubertal development and pain incidence and characteristics in children: a 1-year prospective cohort study of a national sample

Lopez

Gupta

et al. 2023

Pain

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Sex differences in pain become apparent during puberty. However, the influence of key pubertal characteristics and pubertal hormones on pain is largely unknown. We examined the prospective associations between self-reported and hormone-indicated pubertal characteristics and pain incidence and severity in 10- to 11-year-old pain-free youth in the Adolescent Brain Cognitive Development (ABCD) Study over 1 year. Puberty was measured at baseline and follow-up with self-report (Pubertal Development Scale [PDS]) and hormonal assessment (salivary dehydroepiandrosterone [DHEA], testosterone, and estradiol). Pain status (yes/no), intensity, and interference (0-10 numerical rating scale) in the past month were self-reported at follow-up. Pubertal maturity, progression, and asynchrony were examined in relation to pain onset and severity through confounder-adjusted generalized estimating equations modified Poisson and linear mixed regression models. Among 6631 pain-free youth at baseline, 1-year incident pain was 30.7%. In both sexes, higher PDS scores were associated with greater risk of pain onset (relative risk [RR] = 1.10 to 1.27, Ps < 0.01). In boys, higher PDS item variance was associated with greater pain incidence (RR = 1.11, 95% CI, 1.03-1.20) and interference (beta = 0.40, 95% CI, 0.03-0.76); higher PDS overall and gonadal scores were associated with higher pain intensity (Ps < 0.05). Associations with hormones were seen in boys only, with each 10-fold higher testosterone levels associated with a 40% lower risk of pain incidence (95% CI, −55% to −22%) and 1.30-point lower (95% CI, −2.12 to −0.48) pain intensity, and higher DHEA levels were associated with lower pain intensity (P = 0.020). Relationships between pubertal development and pain in peripubertal adolescents are sex specific and puberty measurement specific and warrant further investigation.

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Associations Between Adverse Childhood Experiences, Adolescent Screen Time and Physical Activity During the COVID-19 Pandemic

Cited by 14 publications

References 21 publications

Nonrestorative Sleep Mediates the Influence of Adverse Childhood Experiences on Psychological Distress, Physical Health, Mental Health, and Activity Limitation: A Longitudinal Study for the General Population in Japan

Nonrestorative Sleep Mediates the Influence of Adverse Childhood Experiences on Psychological Distress, Physical Health, Mental Health, and Activity Limitation: A Longitudinal Study for the General Population in Japan

Adverse childhood experiences and sipping alcohol in U.S. children: Findings from the Adolescent Brain Cognitive Development Study

Pubertal development and pain incidence and characteristics in children: a 1-year prospective cohort study of a national sample

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