Abstract:Background
Adversity experienced during childhood manifests deleteriously across the lifespan. This study provides updated frequency estimates of ACEs using the most comprehensive and geographically diverse sample to date.
Methods
ACEs data were collected via BRFSS (Behavioral Risk Factor Surveillance System). Data from a total of 211,376 adults across 34 states were analyzed. The ACEs survey is comprised of 8 domains: physical/emotional/sexual abuse, household mental illness, household substance use, househ… Show more
“…Notably, children from racial and ethnic minority backgrounds disproportionately experience more ACEs ( 39 , 40 , 41 ). In the U.S., 45% of children (61% of Black and 50% of Latinx children) report at least one ACE, and Black children have nearly twice the odds of having 2+ ACEs compared to non-Hispanic White children ( 39 ).…”
Background
During the COVID-19 pandemic in the United States, mental health among youth has been negatively impacted. Youth with a history of adverse childhood experiences (ACEs), as well as youth from minoritized racial-ethnic backgrounds, may be especially vulnerable to experiencing COVID-19-related distress. The current aims are to examine whether exposure to pre-pandemic ACEs predicts mental health during the COVID-19 pandemic in youth and whether racial-ethnic background moderated these effects.
Methods
From May to August 2020, 7,983 youth (M
age
= 12.5, range= 10.6-14.6 years old) in the Adolescent Brain Cognitive Development Study
SM
(ABCD Study®) completed at least one of three online surveys measuring the impact of the pandemic on their mental health. Data was evaluated in relation to youth’s pre-pandemic mental health and ACEs.
Results
Pre-pandemic ACE history significantly predicted poorer mental health (across all outcomes) and greater COVID-19-related stress and impact of fears on well-being. Youth reported improved mental health during the pandemic (from May to August 2020). While reporting similar levels of mental health, youth from minoritized racial-ethnic backgrounds had elevated COVID-19-related worry, stress, and impact on well-being. Race and ethnicity generally did not moderate ACE effects. Older youth, girls, and those with greater pre-pandemic internalizing symptoms also reported greater mental health symptoms.
Conclusions
Youth who experienced greater childhood adversity reported greater negative affect and COVID-19-related distress during the pandemic. Although they reported generally better mood, Black, Asian American, and multiracial youth reported greater COVID-19-related worry and experienced COVID-19 related discrimination compared to non-Hispanic White youth, highlighting potential health disparities.
“…Notably, children from racial and ethnic minority backgrounds disproportionately experience more ACEs ( 39 , 40 , 41 ). In the U.S., 45% of children (61% of Black and 50% of Latinx children) report at least one ACE, and Black children have nearly twice the odds of having 2+ ACEs compared to non-Hispanic White children ( 39 ).…”
Background
During the COVID-19 pandemic in the United States, mental health among youth has been negatively impacted. Youth with a history of adverse childhood experiences (ACEs), as well as youth from minoritized racial-ethnic backgrounds, may be especially vulnerable to experiencing COVID-19-related distress. The current aims are to examine whether exposure to pre-pandemic ACEs predicts mental health during the COVID-19 pandemic in youth and whether racial-ethnic background moderated these effects.
Methods
From May to August 2020, 7,983 youth (M
age
= 12.5, range= 10.6-14.6 years old) in the Adolescent Brain Cognitive Development Study
SM
(ABCD Study®) completed at least one of three online surveys measuring the impact of the pandemic on their mental health. Data was evaluated in relation to youth’s pre-pandemic mental health and ACEs.
Results
Pre-pandemic ACE history significantly predicted poorer mental health (across all outcomes) and greater COVID-19-related stress and impact of fears on well-being. Youth reported improved mental health during the pandemic (from May to August 2020). While reporting similar levels of mental health, youth from minoritized racial-ethnic backgrounds had elevated COVID-19-related worry, stress, and impact on well-being. Race and ethnicity generally did not moderate ACE effects. Older youth, girls, and those with greater pre-pandemic internalizing symptoms also reported greater mental health symptoms.
Conclusions
Youth who experienced greater childhood adversity reported greater negative affect and COVID-19-related distress during the pandemic. Although they reported generally better mood, Black, Asian American, and multiracial youth reported greater COVID-19-related worry and experienced COVID-19 related discrimination compared to non-Hispanic White youth, highlighting potential health disparities.
“…There is great potential to stigmatise, offend or disenfranchise young people participating in ABHR, as a result of esoteric or inaccessible language or overmedicalization. Experience of ACEs and trauma are prevalent amongst minority groups, including neurodivergent young people, lesbian, gay, bisexual and queer (LGBTQ) youth and ethnic minorities, 23 , 47 and there may exist additional language issues to discuss with project participants, including for example, the use of preferred pronouns and identity first language. 48 , 49 …”
Section: Ethical Considerations In Arts‐health Research With Adolescents With Acesmentioning
Context
Participatory arts‐based methods such as photovoice, drama and music have increasingly been used to engage young people who are exposed to psychosocial risks. These methods have the potential to empower youth and provide them with an accessible and welcoming environment to express and manage difficult feelings and experiences. These effects are, however, dependent on the way these methods are implemented and how potential ethical concerns are handled.
Objective
Using the current literature on arts‐based health research as a foundation, this paper examines ethical issues emerging from participatory arts methods with young people with traumatic experiences.
Results
We present a typology covering relevant issues such as power, accessibility, communication, trust and ownership, across the domains of partnership working, project entry, participation and dissemination. Drawing on our extensive clinical and research experiences, existing research and novel in‐practice examples, we offer guidance for ethical dilemmas that might arise at different phases of research.
Conclusion
Adequate anticipation and consideration of ethical issues, together with the involvement of young people, will help ensure that arts methods are implemented in research and practice with young people in a fair, meaningful and empowering way.
Patient or Public Contribution
The issues reviewed are largely based on the authors' experience conducting participatory research. Each of the projects referenced has its own systems for PPI including, variously, consultations with advisory groups, coproduction, youth ambassadors and mentor schemes. One of the coauthors, Josita Kavitha Thirumalai, is a young person trained in peer support and has provided extensive input across all stages.
“…Headache is associated with greater perceived stress, and stress is the most frequently reported trigger of both migraine and tension-type headache (9). Adverse childhood experiences (such as abuse) strongly predict the development of adult functional pain syndromes including migraine, and this correlation is much more prevalent in women (10,11).…”
Section: Sexual Dimorphism In Functional Painmentioning
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