Evidence map›Paper›PMID 34176519›Full record

ArticleBMC psychology2021

Adult support during childhood: a retrospective study of trusted adult relationships, sources of personal adult support and their association with childhood resilience resources.

Kathryn Ashton, Alisha R Davies, Karen Hughes, Kat Ford, Andrew Cotter-Roberts, Mark A Bellis

Open access · goldAbstract read
In one paragraph

Article in BMC psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kathryn AshtonPolicy and International Development Directorate, a World Health Organization Collaboration Centre on Investment for Health and Well-Being, Cardiff, CF10 4BZ, UK. Kathryn.Ashton2@wales.nhs.uk.ORCID http://orcid.org/0000-0002-6907-5102
Alisha R DaviesKnowledge Directorate, Public Health Wales, Cardiff, CF10 4BZ, UK.
Karen HughesPolicy and International Development Directorate, a World Health Organization Collaboration Centre on Investment for Health and Well-Being, Wrexham, LL13 7YP, UK.
Kat FordPublic Health Collaborating Unit, School of Health Sciences, Bangor University, Wrexham, LL13 7YP, UK.
Andrew Cotter-RobertsPolicy and International Development Directorate, a World Health Organization Collaboration Centre on Investment for Health and Well-Being, Cardiff, CF10 4BZ, UK.
Mark A BellisPolicy and International Development Directorate, a World Health Organization Collaboration Centre on Investment for Health and Well-Being, Wrexham, LL13 7YP, UK.
Bangor University · GBPublic Health Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) can affect health and well-being across the life course. Resilience is an individual characteristic that is known to help negate the effect of adversities and potentially transform toxic stress into tolerable stress. Having access to a trusted adult during childhood is critical to helping children build resiliency. Here, we aim to understand the relationship between always having access to trusted adult support and childhood resilience resources, and examine which sources of personal adult support and the number of sources of adult support, best foster childhood resilience.

methodsA Welsh national cross-sectional retrospective survey (n = 2497), using a stratified random probability sample. Data were collected via face-to-face interviews at participants' places of residence by trained interviewers. Analyses use chi-square and binary logistic regression methods. Outcome measures were childhood resilience resources, access to an always-available trusted adult, and sources of personal adult support.

resultsPrevalence of access to an always-available trusted adult decreased with increasing number of ACEs from 86.6% of individuals with no ACEs, to 44.4% of those with four or more ACEs (≥ 4). In addition, for those experiencing ≥ 4 ACEs, individuals with no access to a trusted adult were substantially less likely than those with access, to report childhood resilience resources. For example, for individuals with ≥ 4 ACEs, those with access to an always-available trusted adult were 5.6 times more likely to have had supportive friends and 5.7 times more likely to have been given opportunities to develop skills to succeed in life, compared to those with no access to a trusted adult. When looking at sources of personal adult support, resilience levels increased dramatically for those individuals who had either one parent only or two parents as sources of support, in comparison to those without parental support.

conclusionsAnalyses here suggest strong relationships between elements of childhood resilience, constant access to trusted adults and different sources of personal adult support. While the eradication of ACEs remains unlikely, actions to strengthen childhood access to trusted adults may partially ease immediate harms and protect future generations.

Indexed as

Adverse Childhood ExperiencesAdultChildCross-Sectional StudiesHumansParentsRetrospective StudiesTrustAdverse childhood experiencesParental programmesResilienceTrusted adult

Identifiers

PMID34176519
PMCPMC8237477
OpenAlexW3177223125

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.