ArticleJournal of the American Geriatrics Society2019
Associations of Adverse Childhood Experiences with Past-Year DSM-5 Psychiatric and Substance Use Disorders in Older Adults.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The prevalence of child maltreatment among Chinese primary and middle school students: a systematic review and meta-analysis.Social psychiatry and psychiatric epidemiology · 2020Pooled it
- The association between elder abuse and childhood adversity: A study of older adults in Malaysia.PloS one · 2021Trial
- Associations between posttraumatic cognitions and cannabis cravings among trauma-exposed individuals using cannabis.The British journal of clinical psychology · 2026Article
- Psychological Resilience Buffers Depression and Post-Traumatic Stress Disorder Due to Childhood Trauma in Thai Seniors.Medicina (Kaunas, Lithuania) · 2025Article
- The interrelationship between childhood emotional abuse and aggressive behavior in the Chinese adolescent population: a network perspective.Child and adolescent psychiatry and mental health · 2025Article
- Psychological Resilience Mediates the Impact of Childhood Trauma on Depressive Symptoms in Major Depressive Disorder.Journal of clinical medicine · 2025Article
- Adverse childhood experiences and chronic pain in adults aged 86: findings from the Lothian Birth Cohort 1936.Frontiers in aging · 2025Article
- Childhood adversity and suicidal ideation in older Korean adults: unraveling the mediating mechanisms of mental health, physical health, and social relationships.BMC psychiatry · 2024Article
- Adverse childhood experiences, brain function, and psychiatric diagnoses in a large adult clinical cohort.Frontiers in psychiatry · 2024Article
- Better together: utilizing an interprofessional course and escape room to educate healthcare students about opioid use disorder.BMC medical education · 2023Article
- Adverse Childhood Experiences and Aging-Associated Functional Impairment in a National Sample of Older Community-Dwelling Adults.Journal of general internal medicine · 2023Article
- Associations of adverse childhood experiences with common psychiatric disorder in later life: results from the China mental health survey.BMC geriatrics · 2023Article
- A comprehensive evaluation of adverse childhood experiences, social-emotional impairments, and neurodevelopmental disorders in cannabis-use disorder: Implications for clinical practice.European psychiatry : the journal of the Association of European Psychiatrists · 2023Article
- Adverse childhood experiences and their association with substance use disorders in adulthood: A general population study (Young-HUNT).Addictive behaviors reports · 2023Article
- Pathway of effects of adverse childhood experiences on the poly-drug use pattern among adults using drugs: A structural equation modeling.Frontiers in public health · 2023Article
- The mediating and moderating effects of resilience between childhood trauma and geriatric depressive symptoms among Chinese community-dwelling older adults.Frontiers in public health · 2023Article
- "Psychologically and emotionally, it affects me 'til this day": exploration of childhood sexual abuse perspectives among older adults living with HIV in South Carolina.Aging & mental health · 2022Article
- Development and Validation of the Weighted Index for Childhood Adverse Conditions (WICAC).International journal of environmental research and public health · 2022Article
- The Impact of Traumatic Events on Mental Health Among Older African American and Black Caribbean Adults.Journal of aging and health · 2022Article
- Association of Adverse Childhood Experiences With Poor Neuropsychiatric Health and Dementia Among Former Professional US Football Players.JAMA network open · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo examine the prevalence of adverse childhood experiences (ACEs) and the associations of ACEs with psychiatric and substance use disorders among older adults in the United States.
designCross-sectional analysis of the 2012-2013 National Epidemiological Survey on Alcohol and Related Conditions Wave III (NESARC-III).
settingNationally representative drug-related health interview survey in the United States.
participantsSurvey respondents aged 65 or older (n = 5806 unweighted). MEASUREMENTS: ACEs, the key independent variable, were assessed using validated measures. Outcome variables consisted of past-year psychiatric disorders (eg, major depressive disorder and generalized anxiety disorder) and substance use disorders (eg, alcohol use disorder) using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. We estimated the national prevalence of ACEs in older adults and used multivariable-adjusted logistic regression analyses to assess the association between ACEs and the outcomes after adjusting for sociodemographics and clinical comorbidities.
resultsOverall, 35.9% of older adults, representative of 14.8 million older adults nationwide, reported some form of ACEs. The most common types were parental psychopathology (20.3%), other traumatic events (14.0%), and physical/psychological abuse (8.4%). Having experienced any ACEs was associated with higher odds of having a past-year psychiatric disorder (adjusted odds ratio = 2.11; 95% confidence interval = 1.74-2.56). Similar results were found for substance use disorders (P < .01).
conclusionACEs are linked to an increased risk for past-year psychiatric and substance use disorders in older adults. ACEs may have long-term effects on older adults' mental well-being. Although further research is needed, preventing ACEs may lead to large improvements in public mental health that persist well into older age. J Am Geriatr Soc 67:2085-2093, 2019.
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