ArticleThe American psychologist
Integrating and synthesizing adversity and resilience knowledge and action: The ICARE model.
Article in The American psychologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Daily Parental Positive Experiences Are Linked to Better Daily Parenting Practice Through Reduced Stress and Depressive Mood.Family process · 2026Article
- Adverse childhood experiences and cyber aggression among college students: the mediating role of psychological resilience and the moderating role of physical exercise.Frontiers in psychiatry · 2026Article
- The protective power of connection: a proposed conceptual model of social supports in the context of youth adversity, disrupted attachment, and trauma symptoms.Frontiers in psychology · 2026Review
- Adverse Childhood Experiences, Psychological Distress, and Resilience in Health Professions Students.Academic medicine : journal of the Association of American Medical Colleges · 2025Article
- Effects of adverse childhood experiences and personal resilience on household emergency preparedness: considerations for disaster planning.Frontiers in public health · 2025Article
- Positive Childhood Experiences are Associated With Alcohol Use in Adolescent and Emerging Adult Females by Adverse Childhood Experiences Dimension.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Intervening After Trauma: Child-Parent Psychotherapy Treatment Is Associated With Lower Pediatric Epigenetic Age Acceleration.Psychological science · 2024Article
- The Mediating Role of Sleep Quality, Regularity, and Insomnia on the Relationship Between Adverse Childhood Experiences and Resilience.Journal of child & adolescent trauma · 2024Article
- Leveraging the interpersonal context of child development to promote family resilience: A universal prevention approach from preconception through early childhood.Mental health & prevention · 2024Article
- Health Workers' Mindfulness-Based Stress Reduction and Resilience During COVID-19 Pandemic.Journal of multidisciplinary healthcare · 2024Article
- Character Strengths and Resilience in Adolescence: A Developmental Perspective.The journal of positive psychology · 2024Article
- Trends and forecasted rates of adverse childhood experiences among adults in the United States: an analysis of the Behavioral Risk Factor Surveillance System.Journal of osteopathic medicine · 2023Article
- Protective and compensatory childhood experiences and their impact on adult mental health.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023Article
- Childhood Centeredness is a Broader Predictor of Young Adulthood Mental Health than Childhood Adversity, Attachment, and Other Positive Childhood Experiences.Adversity and resilience science · 2023Article
- Adverse childhood experiences and premature mortality through mid-adulthood: A five-decade prospective study.Lancet regional health. Americas · 2022Article
- Protective Factors for Nicotine and Marijuana Vaping Among U.S. Adolescents.American journal of preventive medicine · 2022Article
- Maternal Adverse and Protective Childhood Experiences and Prenatal Smoking.Health behavior research · 2022Article
- Intergenerational Transmission of Maternal Adverse Childhood Experiences on Next Generation's Development: A Mini-Review.Frontiers in psychology · 2022Review
- Resilience and Stress as Mediators in the Relationship of Mindfulness and Happiness.Frontiers in psychology · 2022Article
- The Intersection of Depressive Symptoms, Adverse Childhood Experiences, and Protective Factors Among Adolescents: Epidemiological Evidence from Minnesota, 2016 and 2019.Adversity and resilience science · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
This article proposes a model for understanding the effects of adverse childhood experiences (ACEs) as dynamic and interrelated biobehavioral adaptations to early life stress that have predictable consequences on development and health. Drawing upon research from multiple theoretical and methodological approaches, the intergenerational and cumulative adverse and resilient experiences (ICARE) model posits that the negative consequences of ACEs result from biological and behavioral adaptations to adversity that alter cognitive, social, and emotional development. These adaptations often have negative consequences in adulthood and may be transmitted to subsequent generations through epigenetic changes as well as behavioral and environmental pathways. The ICARE model also incorporates decades of resilience research documenting the power of protective relationships and contextual resources in mitigating the effects of ACEs. Examples of interventions are provided that illustrate the importance of targeting the dysregulated biobehavioral adaptations to ACEs and developmental impairments as well as resulting problem behaviors and health conditions. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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