ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2019
Adverse Childhood Experiences in Medical Students: Implications for Wellness.
Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Trauma-Informed Care Across Medical Training: Knowledge, Attitudes, Practices, and Lived Experiences Among Medical Students and Clinical Instructors.Journal of general internal medicine · 2026Article
- Adverse childhood experiences and depressive symptoms among Thai medical students: a cross-sectional study.BMC psychology · 2026Article
- Positive childhood experiences and loneliness in medical students: the role of adaptive emotion regulation.Frontiers in psychology · 2026Article
- Adverse childhood experiences, basic psychological needs, and adolescent affective distress: Revisiting the buffering role of resilience factors.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025Article
- The Link Between Childhood Experiences and Coping Mechanisms in Medical Students.Family medicine · 2025Article
- Adverse Childhood Experiences, Psychological Distress, and Resilience in Health Professions Students.Academic medicine : journal of the Association of American Medical Colleges · 2025Article
- Impact of Early-Life Adversity on Cannabis Use: Exploring the Mediating and Moderating Effects of Chronic Pain.Cannabis and cannabinoid research · 2025Article
- The impact of the COVID-19 pandemic on medical student mental health.PLOS mental health · 2025Article
- Associations between adverse childhood experiences and medical students' interest in careers: a single-setting study.Frontiers in psychiatry · 2025Article
- Impact of Adverse Childhood Experiences (ACE) and Childhood Protective Factors (CPF) on physical and mental health of medical students of a public sector medical university.PLOS global public health · 2025Article
- Adverse childhood experiences among California student pharmacists.The mental health clinician · 2024Article
- Compulsive sexual behavior, sexual functioning problems, and their linkages to substance use among German medical students: exploring the role of sex and trauma exposure.Frontiers in psychology · 2024Article
- Early life adversity and substance use: The mediating role of mood and the moderating role of impulsivity.Journal of psychiatric research · 2023Article
- Adverse childhood experiences and stress among oral health students: a descriptive correlational study.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2023Article
- Adverse Childhood Experiences, Household Income, and Mentorship Among Interns Who Are Underrepresented in Medicine.Journal of graduate medical education · 2023Article
- Adverse Childhood Experiences in Mexico: Prevalence and Association with Sociodemographic Variables and Health Status.Psychology in Russia : state of the art · 2023Article
- Trauma-Informed Care: A Missing Link in Addressing Burnout.Journal of healthcare leadership · 2023Article
- Cancer Screening Behaviors and Associations with Childhood Trauma, Resiliency, and Patient-Provider Relationships: Findings from an Exploratory Study of Appalachian Cervical Cancer Survivors.Journal of Appalachian health · 2023Article
- Nature, nurture, and mental health. Part 2: The influence of life experience.The Canadian veterinary journal = La revue veterinaire canadienne · 2022Article
- Trauma-Informed Care in the Classroom: Our Experience with a Content Warning in a Medical School Course.Medical science educator · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
objectiveThe primary purpose of the study was to assess the prevalence of adverse childhood experiences (ACEs) in a cohort of third-year medical students and characterize their childhood protective factors.
methodsThe authors developed a web-based anonymous survey distributed to all third-year medical students in one school (N = 98). The survey included the 10-item ACE Study questionnaire, a list of childhood protective factors (CPF) and questions to assess students' perception of the impact of ACEs on their physical and mental health. The medical school's IRB approved the student survey as an exempt study. The authors computed descriptive and comparative statistical analyses.
resultsEighty-six of 98 students responded (88% response rate). Forty-four students (51%) reported at least one ACE exposure and 10 (12%) reported ≥ 4 exposures. The latter were all female. The average difference in the ACE score between male and female medical students was - 1.1 (independent t test with unequal variances t(57.7) = - 2.82, P = .007). Students with an ACE score of ≥ 4 were significantly more likely to report a moderate or significant effect on their mental health, compared with students with scores ≤ 3 (chi-square test, P = < .0001). Most students reported high levels of CPF (median score = 13 of a maximum score = 14). ACEs and CPF were inversely associated (Pearson correlation = - 0.32, P = .003).
conclusionsA sizeable minority of medical students reported exposure to multiple ACEs. If replicated, findings suggest a significant vulnerability of these medical students to health risk behaviors and physical and mental health problems during training and future medical practice.
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