title: Life course pathways of adverse childhood experiences toward adult psychological well-being: A stress process analysis.
abstract: Growing evidence suggests that toxic stressors early in life not only convey developmental impacts but also augment risk of proliferating chains of additional stressors that can overwhelm individual coping and undermine recovery and health. Examining trauma within a life course stress process perspective, we posit that early childhood adversity carries a unique capacity to impair adult psychological well-being both independent of and cumulative with other contributors, including social disadvantage and stressful adult experiences. This study uses data from a representative population-based health survey (N=13,593) to provide one of the first multivariate assessments of unique, cumulative, and moderated effects of adverse childhood experiences (ACEs) toward explaining 3 related yet distinct measures of adult mental health: perceived well-being, psychological distress, and impaired daily activities. Results demonstrate support for each set of hypothesized associations, including exacerbation and amelioration of ACEs effects by adult stress and resilience resources, respectively. Implications for services and future research are discussed.
authors.affiliation: University of Washington, USA.
authors.forename: Paula S
authors.initials: PS
authors.lastname: Nurius
authors.affiliation: University of Washington, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Green
authors.affiliation: University at Buffalo, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Logan-Greene
authors.affiliation: University of Washington, USA.
authors.forename: Sharon
authors.initials: S
authors.lastname: Borja
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D019548:Crime Victims / Q000523:psychology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D015999:Multivariate Analysis; D010549:Personal Satisfaction; D012044:Regression Analysis; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000523:psychology*; D014861:Washington
keywords: Adverse childhood experiences; Mental health; Stress; Trauma; Victimization
references.citation: J Health Soc Behav. 2010;51 Suppl:S41-53
references.pmid: 20943582
references.citation: Suicide Life Threat Behav. 2002 Summer;32(2):131-8
references.pmid: 12079029
references.citation: J Health Soc Behav. 2009 Dec;50(4):377-94
references.pmid: 20099446
references.citation: J Consult Clin Psychol. 2000 Oct;68(5):782-7
references.pmid: 11068964
references.citation: J Pers Soc Psychol. 2003 Mar;84(3):632-43
references.pmid: 12635922
references.citation: JAMA. 2001 Dec 26;286(24):3089-96
references.pmid: 11754674
references.citation: Arch Pediatr Adolesc Med. 2009 Dec;163(12):1135-43
references.pmid: 19996051
references.citation: Neuropsychopharmacology. 2004 Apr;29(4):641-8
references.pmid: 15034558
references.citation: Am J Public Health. 2008 Jun;98(6):1094-100
references.pmid: 18445797
references.citation: Am J Prev Med. 2010 Jul;39(1):93-8
references.pmid: 20547282
references.citation: Biol Psychiatry. 2006 Oct 1;60(7):671-6
references.pmid: 16934775
references.citation: Arch Gen Psychiatry. 2004 May;61(5):481-8
references.pmid: 15123493
references.citation: J Gerontol B Psychol Sci Soc Sci. 2010 Mar;65B(2):207-15
references.pmid: 20022925
references.citation: Child Abuse Negl. 2004 Jul;28(7):729-37
references.pmid: 15261468
references.citation: Child Abuse Negl. 2013 Jun;37(6):361-73
references.pmid: 23195701
references.citation: Annu Rev Public Health. 2010;31:329-47 3p following 347
references.pmid: 20070189
references.citation: Pediatrics. 2003 Mar;111(3):564-72
references.pmid: 12612237
references.citation: Ann N Y Acad Sci. 2010 Feb;1186:146-73
references.pmid: 20201872
references.citation: Psychoneuroendocrinology. 2009 Feb;34(2):190-8
references.pmid: 18922645
references.citation: J Health Soc Behav. 2010 Mar;51(1):48-63
references.pmid: 20420294
references.citation: Annu Rev Psychol. 2009;60:501-24
references.pmid: 19035829
references.citation: Physiol Behav. 2012 Apr 12;106(1):29-39
references.pmid: 21888923
references.citation: J Affect Disord. 2004 Oct 15;82(2):217-25
references.pmid: 15488250
references.citation: J Abnorm Psychol. 2006 Nov;115(4):730-41
references.pmid: 17100530
references.citation: Sleep Med. 2011 Sep;12(8):773-9
references.pmid: 21704556
references.citation: Eur Arch Psychiatry Clin Neurosci. 2006 Apr;256(3):174-86
references.pmid: 16311898
references.citation: Child Abuse Negl. 2013 Feb-Mar;37(2-3):116-9
references.pmid: 23260115
references.citation: Psychol Med. 2000 Jan;30(1):11-22
references.pmid: 10722172
references.citation: Child Abuse Negl. 2009 Oct;33(10):666-78
references.pmid: 19811826
references.citation: Ann N Y Acad Sci. 2006 Dec;1094:1-12
references.pmid: 17347337
references.citation: Child Abuse Negl. 2013 Jun;37(6):415-25
references.pmid: 23562083
references.citation: Behav Brain Res. 2011 Oct 31;224(2):233-40
references.pmid: 21621560
references.citation: Psychol Med. 2010 Oct;40(10):1647-58
references.pmid: 20018126
references.citation: Sleep Med. 2005 Jan;6(1):23-7
references.pmid: 15680291
references.citation: Child Adolesc Psychiatr Clin N Am. 2009 Oct;18(4):877-91
references.pmid: 19836694
references.citation: Soc Sci Med. 2009 Jul;69(1):138-46
references.pmid: 19446943
references.citation: Arch Gen Psychiatry. 2010 Feb;67(2):113-23
references.pmid: 20124111
references.citation: Child Abuse Negl. 2013 Nov;37(11):917-25
references.pmid: 23978575
references.citation: Child Abuse Negl. 2012 Sep;36(9):676-9
references.pmid: 22954641
references.citation: Int J Epidemiol. 2002 Apr;31(2):285-93
references.pmid: 11980781
references.citation: Ann Behav Med. 2011 Oct;42(2):245-56
references.pmid: 21656087
references.citation: Annu Rev Clin Psychol. 2007;3:377-401
references.pmid: 17716061
references.citation: Nat Sci Sleep. 2013 Dec 23;6:1-9
references.pmid: 24379734
references.citation: Child Abuse Negl. 2007 Apr;31(4):393-415
references.pmid: 17412420
references.citation: Am J Geriatr Psychiatry. 2009 Sep;17(9):810-8
references.pmid: 19700953
references.citation: J Health Soc Behav. 2005 Jun;46(2):205-19
references.pmid: 16028458
references.citation: Exerc Sport Sci Rev. 2005 Jul;33(3):120-6
references.pmid: 16006819
references.citation: Gerontologist. 2009 Jun;49(3):333-43
references.pmid: 19377044
references.citation: J Prev Interv Community. 2012;40(4):278-90
references.pmid: 22970781
references.citation: Psychol Aging. 2009 Sep;24(3):715-21
references.pmid: 19739927
references.citation: Ann N Y Acad Sci. 2010 Feb;1186:174-89
references.pmid: 20201873
references.citation: Psychol Rep. 2010 Oct;107(2):425-40
references.pmid: 21117468
references.citation: Sleep Med. 2010 Jan;11(1):17-22
references.pmid: 19962937
references.citation: Soc Sci Med. 2006 Jan;62(1):13-27
references.pmid: 16002198
references.citation: J Health Soc Behav. 2011 Jun;52(2):145-61
references.pmid: 21673143
references.citation: J Epidemiol Community Health. 2003 Oct;57(10):778-83
references.pmid: 14573579
references.citation: J Clin Psychiatry. 2004;65 Suppl 1:18-28
references.pmid: 14728093
references.citation: Child Abuse Negl. 2007 Jan;31(1):71-84
references.pmid: 17215039
references.citation: Prev Sci. 2009 Jun;10(2):87-99
references.pmid: 19003535
references.citation: Br J Sports Med. 2009 Dec;43(14):1111-4
references.pmid: 18403415
references.citation: Curr Dir Psychol Sci. 2013 Oct 1;22(5):400-406
references.pmid: 25419054
references.citation: PM R. 2014 Aug;6(8):670-80
references.pmid: 24486921
references.citation: Am J Epidemiol. 1991 Jul 15;134(2):220-31
references.pmid: 1862805
references.citation: Psychiatr Serv. 2008 Sep;59(9):1018-26
references.pmid: 18757595
references.citation: Ann N Y Acad Sci. 2010 Feb;1186:190-222
references.pmid: 20201874
references.citation: Eur J Pharmacol. 2008 Apr 7;583(2-3):174-85
references.pmid: 18282566
references.citation: J Psychiatr Res. 2011 Jun;45(6):814-22
references.pmid: 21146190
references.citation: Psychol Med. 1997 Sep;27(5):1101-19
references.pmid: 9300515
references.citation: J Psychiatr Ment Health Nurs. 2004 Aug;11(4):476-83
references.pmid: 15255923
references.citation: Child Abuse Negl. 2007 Jan;31(1):7-26
references.pmid: 17224181
references.citation: Am J Psychiatry. 2003 Aug;160(8):1453-60
references.pmid: 12900308
references.citation: Psychol Med. 2002 Aug;32(6):959-76
references.pmid: 12214795
references.citation: Pediatrics. 2012 Jan;129(1):e232-46
references.pmid: 22201156
references.citation: JAMA. 2009 Jun 3;301(21):2252-9
references.pmid: 19491187
references.citation: CMAJ. 2006 Mar 14;174(6):801-9
references.pmid: 16534088
references.citation: Pediatrics. 2008 Feb;121(2):369-75
references.pmid: 18245429
references.citation: Psychol Med. 2008 Apr;38(4):581-9
references.pmid: 18261247