ACEs and counter-ACEs: How positive and negative childhood experiences influence adult health.

Abstract:

BACKGROUND:Numerous studies over the past two decades have found a link between adverse childhood experiences (ACEs) and worse adult health outcomes. Less well understood is how advantageous childhood experiences (counter-ACEs) may lead to better adult health, especially in the presence of adversity. OBJECTIVE:To examine how counter-ACEs and ACEs affect adult physical and mental health using Resiliency Theory as the theoretical framework. PARTICIPANTS AND SETTING:Participants were Amazon mTurk users ages 19-57 years (N = 246; 42% female) who completed an online survey. METHODS:We conducted a series of regression analyses to examine how counter-ACEs and ACEs predicted adult health. RESULTS:Corresponding to the Compensatory Model of Resiliency Theory, higher counter-ACEs scores were associated with improved adult health and that counter-ACEs neutralized the negative impact of ACEs on adult health. Contrary to the Protective Factors Model, there was a stronger relationship between ACEs and worse adult health among those with above average counter-ACEs scores compared to those with below average counter-ACEs scores. Consistent with the Challenge Model, counter-ACEs had a reduced positive effect on adult health among those with four or more ACEs compared to those with fewer than four ACEs. CONCLUSIONS:Overall, the findings suggest that counter-ACEs protect against poor adult health and lead to better adult wellness. When ACEs scores are moderate, counter-ACEs largely neutralize the negative effects of ACEs on adult health. Ultimately, the results demonstrate that a public health approach to promoting positive childhood experiences may promote better lifelong health.

journal_name

Child Abuse Negl

journal_title

Child abuse & neglect

authors

Crandall A,Miller JR,Cheung A,Novilla LK,Glade R,Novilla MLB,Magnusson BM,Leavitt BL,Barnes MD,Hanson CL

doi

10.1016/j.chiabu.2019.104089

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

104089

eissn

0145-2134

issn

1873-7757

pii

S0145-2134(19)30266-2

journal_volume

96

pub_type

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