ArticleJournal of child & adolescent trauma2019
Safe, Stable, and Nurtured: Protective Factors against Poor Physical and Mental Health Outcomes Following Exposure to Adverse Childhood Experiences (ACEs).
Article in Journal of child & adolescent trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.
- Understanding adverse childhood experiences within the first decade of the ABCD study: A systematic review.Developmental cognitive neuroscience · 2026Pooled it
- A systematic review of non-clinician trauma-based interventions for school-age youth.PloS one · 2024Pooled it
- Trial
- Associations among positive childhood experiences, resilience, and psychological distress in health professions students.Medical education online · 2026Article
- Risk and protective factors for consistent family routines among caregivers with preschool-age children.Child abuse & neglect · 2026Article
- Developmental Pathways to Adult Mental Health in Adolescent Parents: Childhood and Early Adolescent Antecedents.International journal of behavioral development · 2026Article
- Adverse experiences in childhood and adolescence in relation to sleep health in adulthood: An overview of systematic reviews and a global evidence map.Sleep medicine reviews · 2026Review
- Environmental and Genetic Contributions to Attachment in Late Adolescence and Young Adulthood.Child psychiatry and human development · 2026Article
- Using the Socio-Ecological Model to Explore Parents' Resilience and Perceptions of Adverse Childhood Experiences: A Qualitative Study in the Southeastern United States.Healthcare (Basel, Switzerland) · 2026Article
- Prenatal clinicians' perspectives on trauma-informed care competency and training.BMC medical education · 2026Article
- The relationship between adverse childhood experience, resilience, and psychosocial well-being among undergraduates in Osun State, Nigeria.BMC psychology · 2026Article
- Beyond Adversity: Definitions, Retrospective Assessment, and Experimental Manipulation of Positive Early-Life Experiences.Brain sciences · 2026Review
- Positive childhood experiences and insufficient sleep among children and adolescents in the United States: A nationally representative study.Sleep health · 2026Article
- Cumulative social adversity as a correlate of self harm: Validity of the Reward Probability Index.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
- Early life stress enhances the association between residential nature exposure and fasting blood glucose.PloS one · 2026Article
- Adverse childhood experiences and functional stability in the affective-to-psychotic spectrum: a longitudinal multistate analysis of employment and relationship outcomes.Frontiers in psychiatry · 2026Article
- Adverse Experiences, Protective Factors, and Obesity in Latinx and Hispanic Youths.JAMA network open · 2025Article
- The Early Years of Parenthood and Home-Start Home Visiting: An Interpretative Phenomenological Analysis.Journal of community psychology · 2025Article
- Associations of Hair Biomarkers with Height, Weight, and Body Mass Index in Preschool Children.Children (Basel, Switzerland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Protective factors can build resilience and potentially moderate the long-term impact of adverse childhood experiences (ACEs). To better understand the role of protective factors, this study examines the relationship of two protective factors focused on safe, stable and nurturing relationships, ACEs, and self-reported mental and physical health outcomes among a representative adult sample from the South Carolina Behavioral Risk Factor Surveillance System. Protective factors were assessed as potential moderators of ACEs and poor self-reported physical and mental health in multivariate logistic regression analyses. Respondents exposed to four or more ACEs who grew up with an adult who made them feel safe and protected were less likely to report frequent mental distress or poor health. The use of protective factors may be an effective prevention strategy for ACEs and its associated outcomes and may serve as a mechanism to "break the cycle" of childhood trauma.
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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.