Adverse Childhood Experience and Social Risk: Pediatric Practice and Potential
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UMass Chan Affiliations
Department of PediatricsFoster Children Evaluation Services
Child Protection Program
Document Type
Response or CommentPublication Date
2020-07-01Keywords
Pediatrics
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In a landmark study, Felitti et al found 10 Adverse Childhood Experiences (ACEs) to be associated, in a dose-dependent manner, with the leading causes of illness and death in adults decades later. Over the subsequent 20 years, research has confirmed that trauma in early childhood, in the absence of sufficient protective caregiving, causes a frequent or prolonged stress response that is the physiological link between childhood trauma and poor adult outcomes. Schonkoff and Garner termed this “toxic stress.”ACEs harm a child's still-developing immunological system and brain explaining the findings of poor physical, emotional, and developmental health down the road. For pediatric researchers and practitioners, these data have created a 2-fold challenge: How to mitigate exposure to adversity and, critically, how to ameliorate the impacts of adversity on those exposed. In practice, this requires identification of those at risk and responses and tools to impact the trajectory.Source
Conn AM, Szilagyi M, Forkey H. Adverse Childhood Experience and Social Risk: Pediatric Practice and Potential. Acad Pediatr. 2020 Jul;20(5):573-574. doi: 10.1016/j.acap.2020.03.013. Epub 2020 Apr 6. PMID: 32272231. Link to article on publisher's site
DOI
10.1016/j.acap.2020.03.013Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43713PubMed ID
32272231Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.acap.2020.03.013