ArticleChild abuse & neglect2018
Modeling life course pathways from adverse childhood experiences to adult mental health.
Article in Child abuse & neglect, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.
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Who cites it
64 citing papers in PubMed.
- The association between elder abuse and childhood adversity: A study of older adults in Malaysia.PloS one · 2021Trial
- The accumulation of adverse life events across the life course and their association with mental health and well-being: exploring gender heterogeneity.BMC public health · 2026Article
- Comparing childhood, chronic, and recent adversity on internalizing symptoms and hypothalamic-pituitary-adrenal axis functioning.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- Gender Differences in the Association Between Adverse Childhood Experiences and Health Risk Behaviors in the Mountain West.AJPM focus · 2026Article
- The Moderating Role of Social and Emotional Support in the Association Between Adverse Childhood Experiences and Adult Mental Health Across Racial Groups: the Need for Investing in Social Capital.Journal of racial and ethnic health disparities · 2026Article
- Shielding against adversity: The impact of social support on heavy-drinking Hispanic young adult depression and anxiety.The American journal of orthopsychiatry · 2026Article
- Psychosocial stressors, accelerated biological aging, and multiple morbidities: Evidence from an age-diverse sample.PloS one · 2026Article
- The Impact of Childhood Household Violence on HIV-Related Outcomes in People With HIV in the United States: The Role of Psychological Distress and Social Stressors.Journal of acquired immune deficiency syndromes (1999) · 2026Article
- Adverse Childhood Experiences and Antenatal Depression: The Mediating Role of Social Support.Maternal and child health journal · 2025Article
- The role of stress proliferation in linking childhood stressors to accelerated biological aging.Social science & medicine (1982) · 2025Article
- Violences, suicidal behaviour, and non-suicidal self-injury in child development: findings from a Brazilian cohort.Child and adolescent psychiatry and mental health · 2025Article
- Direct and indirect associations of childhood adversities with functional impairment and life stress among military personnel.Psychological medicine · 2025Article
- Neighborhood socioeconomic contexts mediate the association between adverse childhood experiences and social risk and health outcomes in adulthood.SSM - population health · 2025Article
- The interaction effect between childhood trauma and negative events during adulthood on development and severity of irritable bowel syndrome.BMC gastroenterology · 2025Article
- Pathways from Adverse Childhood Family Environment to Lower Urinary Tract Symptoms and Impact Among Women.Journal of women's health (2002) · 2025Article
- Marginalized Identities, Healthcare Discrimination, and Parental Stress about COVID-19.Journal of marriage and the family · 2025Article
- Optimizing Engagement: Factors Influencing Family Participation in a Positive Parenting Program among Vulnerable Households with Young Children.Psychosocial intervention · 2025Article
- Trauma as a mediator of childhood adversity and mental illness in South Africa: A path analysis.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Pathways to suicide prevention: a population-based cohort study of the mediating role of Bolsa Família in psychosocial stressors in the 100 million Brazilian cohort.BMJ public health · 2025Article
- Adverse Childhood Experiences and Social Participation on Frailty State Transitions among middle-aged and older adults: evidence from a 10-year prospective study in China.The journal of nutrition, health & aging · 2024Article
4 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
Although the association between adverse childhood experiences (ACEs) and adult mental health is becoming well established, less is known about the complex and multiple pathways through which ACEs exert their influence. Growing evidence suggests that adversity early in life conveys not only early impacts, but also augments risk of stress-related life course cascades that continue to undermine health. The present study aims to test pathways of stress proliferation and stress embodiment processes linking ACEs to mental health impairment in adulthood. Data are from the 2011 Behavioral Risk Factor Surveillance Survey, a representative sample of Washington State adults ages 18 and over (N = 14,001). Structural equation modeling allowed for testing of direct and indirect effects from ACEs though low income status, experiences of adversity in adulthood, and social support. The model demonstrated that adult low income, social support and adult adversity are in fact conduits through which ACEs exert their influence on mental health impairment in adulthood. Significant indirect pathways through these variables supported hypotheses that the effect of ACEs is carried through these variables. This is among the first models that demonstrates multiple stress-related life course pathways through which early life adversity compromises adult mental health. Discussion elaborates multiple service system opportunities for intervention in early and later life to interrupt direct and indirect pathways of ACE effects.
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