Evidence map›Paper›PMID 37464047›Full record

ReviewNature medicine2023

Adverse childhood experiences and lifelong health.

Zulfiqar A Bhutta, Supriya Bhavnani, Theresa S Betancourt, Mark Tomlinson, Vikram Patel

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

83 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  17. Positive affect as a developmental mediator of early adversity and internalizing psychopathology.Journal of child psychology and psychiatry, and allied disciplines · 2026
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23 more citing papers are in PubMed but not listed here.

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

5 authors.

Zulfiqar A BhuttaCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada. zulfiqar.bhutta@sickkids.ca.
Supriya BhavnaniChild Development Group, Sangath, Goa, India.
Theresa S BetancourtBoston College School of Social Work, Chestnut Hill, MA, USA.
Mark TomlinsonInstitute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa.ORCID http://orcid.org/0000-0001-5846-3444
Vikram PatelDepartment of Global Health and Population, Harvard Chan School of Public Health, Boston, MA, USA.

Funding

Social and Biological Mechanisms Driving the Intergenerational Impact of War on Child Mental Health: Implications for Developing Family-Based InterventionsR01MH128928 · NIMH · BOSTON COLLEGE · PI Theresa Stichick Betancourt · 2022 to 2026
$3.6M
6 · The paper itself

Abstract

With the advent of the sustainable development goals, the field of global child health has shifted its focus from reducing mortality to improving health, nutrition and development outcomes - often measured as human capital. A growing knowledge of the biology of development and neuroscience has highlighted the importance of adverse environmental exposures, collectively termed adverse childhood experiences (ACEs) on health outcomes. ACEs are associated with short-term, medium-term and long-term negative consequences for health and development and their effects may be multiplicative, especially during critical periods of sensitivity and developmental plasticity. Some of these effects are compounded by emerging global threats such as climate change, conflict and population displacement. In this Review, we discuss the key mechanisms linking ACEs to health outcomes and consider promising strategies to prevent and mitigate their effects, highlighting evidence from programs in low-income and middle-income countries. Finally, we emphasize the need for early recognition of ACEs and delivery of packages of interventions spanning key sectors such as health, education, women's empowerment and social protection.

Indexed as

Adverse Childhood ExperiencesChildFemaleHumansPovertyPublic Policy

Identifiers

What OpenQuestion holds

Textmetadata
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.