ArticleBMC health services research2020
Physicians' knowledge and practices regarding screening adult patients for adverse childhood experiences: a survey.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04752228 (Adverse Childhood Experiences in Patients With Coronary Artery Disease), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Adverse Childhood Experiences in Patients With Coronary Artery Disease: a Pilot Randomized Control Trial
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Adverse childhood events and mental health problems in cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Pooled it
- Adverse Childhood Experiences and Primary Headache Disorders: A Systematic Review, Meta-analysis, and Application of a Biological Theory.Neurology · 2023Pooled it
- Trauma-Informed Care in a Primary Maternity Care Clinic: Quality Improvement Study of Patient and Physician Perspectives.The Permanente journal · 2026Article
- Integrating trauma-informed principles into collaborative care for depression in primary care.Frontiers in health services · 2026Article
- Article
- Adverse Childhood Experiences (ACEs) Screening in Primary Care Settings for Adults: A Systematic Review.Journal of child & adolescent trauma · 2025Article
- ACE Enquiry in Primary care: A Qualitative Exploration of the Perspective of General Practitioners in Northern Ireland.Journal of child & adolescent trauma · 2025Article
- Health care providers' comfort caring for trauma-exposed patients in the primary care setting: A mixed methods approach.Journal of family medicine and primary care · 2024Article
- Understanding College Students' Healthcare Avoidance: From Early Maladaptive Schemas, through Healthcare Institutional Betrayal and Betrayal Trauma Appraisal of Worst Healthcare Experiences.Healthcare (Basel, Switzerland) · 2024Article
- Adverse Childhood Experiences and Sleep Disturbances Among Puerto Rican Young Adults.JAMA network open · 2024Article
- Medical Students' Knowledge, Attitudes Toward, and Identification of Adverse Childhood Experiences and Trauma-Informed Care.The Permanente journal · 2024Article
- Implementation and Evaluation of Adverse Childhood Experiences Screening in Pediatrics and Obstetrics Settings.The Permanente journal · 2024Article
- Use of Metaphor as an Explanation Tool in Adverse Childhood Experiences Simulation Training.The Permanente journal · 2023Article
- Adverse Childhood Experiences and Family-Centered Care.Journal of prevention (2022) · 2023Article
- Trauma-informed care: what does it mean for general practice?The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Adverse Childhood Experiences and Cardiovascular Risk among Young Adults: Findings from the 2019 Behavioral Risk Factor Surveillance System.International journal of environmental research and public health · 2022Article
- Exposure to unpredictability and mental health: Validation of the brief version of the Questionnaire of Unpredictability in Childhood (QUIC-5) in English and Spanish.Frontiers in psychology · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundAdverse Childhood Experiences (ACEs) are common and associated with many illnesses. Most physicians do not routinely screen for ACEs. We aimed to determine if screening is related to knowledge or medical specialty, and to assess perceived barriers.
methodsPhysicians in Ontario, Canada completed an online survey in 2018-2019. Data were analyzed in 2019.
resultsParticipants were 89 family physicians, 46 psychiatrists and 48 other specialists. Participants screened for ACEs "never or not usually" (N = 58, 31.7%), "when indicated" (N = 67, 36.6%), "routinely" (N = 50, 27.3%) or "other" (N = 5, 2.7%). Screening was strongly associated with specialty (Chi
conclusionsEnhancing knowledge about ACEs' negative influence on physical illness may increase screening. Efforts to promote screening should address concerns that screening is time-consuming and will increase referrals to mental health resources. Education should focus on increasing confidence with screening and with managing patient distress.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.