Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician
Translating Developmental Science Into Lifelong Health
Bibliographic Data
| ID | 23368699 |
|---|---|
| Authors | Andrew S Garner, Brian Siegel (0000-0003-3572-2575), Jack P Shonkoff, Benjamin S Siegel, Mary I Dobbins, Marian F Earls (0000-0002-5343-0157), John M Pascoe (0000-0003-4996-4428), Laura McGuinn, John Pascoe, David L Wood (0000-0003-1828-2723) |
| Year | 2012 |
| Volume | 129 |
| Issue | 1 |
| Pages | e224-e231 |
| Publication date | 2012-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | PEDIATRICS (JOURNAL) |
| Journal identifiers | ISSN: 0031-4005 • E-ISSN: 1098-4275 |
| Publisher | American Academy of Pediatrics (AAP) (PUBLISHER) |
| DOI | 10.1542/peds.2011-2662 |
| PMID | 22201148 |
| OpenAlex | W2104818125 |
| Language | EN |
| Citations received | 144 |
| References cited | 57 |
This Policy Statement was revised. See https://doi.org/10.1542/peds.2021-052582. Advances in a wide range of biological, behavioral, and social sciences are expanding our understanding of how early environmental influences (the ecology) and genetic predispositions (the biologic program) affect learning capacities, adaptive behaviors, lifelong physical and mental health, and adult productivity. A supporting technical report from the American Academy of Pediatrics (AAP) presents an integrated ecobiodevelopmental framework to assist in translating these dramatic advances in developmental science into improved health across the life span. Pediatricians are now armed with new information about the adverse effects of toxic stress on brain development, as well as a deeper understanding of the early life origins of many adult diseases. As trusted authorities in child health and development, pediatric providers must now complement the early identification of developmental concerns with a greater focus on those interventions and community investments that reduce external threats to healthy brain growth. To this end, AAP endorses a developing leadership role for the entire pediatric community—one that mobilizes the scientific expertise of both basic and clinical researchers, the family-centered care of the pediatric medical home, and the public influence of AAP and its state chapters—to catalyze fundamental change in early childhood policy and services. AAP is committed to leveraging science to inform the development of innovative strategies to reduce the precipitants of toxic stress in young children and to mitigate their negative effects on the course of development and health across the life span.
Developmental psychology · Stress (linguistics) · Child and Adolescent Health · Childhood Cancer Survivors' Quality of Life · Early Childhood Education and Development · Medicine · Pediatrics
Kangaroo Mother Care
Context and Spatial Nuance Inside a Neighborhood's Drug Hotspot
Profiles of Early Childhood Adversity in an Urban Pediatric Clinic
Intergenerational Associations between Parents’ and Children’s Adverse Childhood Experience Scores
Exploring the effect of the ‘Growing Together’ parenting education kit on early parenting - study protocol for a cluster randomised controlled trial
Feasibility of Assessing Parental ACEs in Pediatric Primary Care
Excessive stress disrupts the development of brain architecture
Human development, nature and nurture
A Holistic Approach to Early Relational Health
Trends, Diagnoses, and Hospitalization Costs of Child Abuse and Neglect in the United States of America
The effects of economic and sociocultural stressors on the well-being of children of Latino immigrants living in poverty
Immigration-related arrest, parental documentation status, and depressive symptoms among early adolescent Latinos
Adverse Childhood Experiences, the Medical Home, and Child Well-Being
Adverse Childhood Experiences and Child Health in Early Adolescence
A case study of care co‐ordination between primary care providers and nurse home visitors to serve young families experiencing adversity in the Northwestern United States
Can Genetics Predict Response to Complex Behavioral Interventions? Evidence from a Genetic Analysis of the Fast Track Randomized Control Trial
Conflictive divorce and forensic therapy
Improvement of executive functions after the application of a neuropsychological intervention program (Pefen) in pre-term children
Intervention Effects on Morning and Stimulated Cortisol Responses among Toddlers in Foster Care
Screening for Sustained Social Withdrawal Behaviors in Six‐month‐old Infants During Pediatric Primary Care Visits
The context and development of the early relational health screen
Early relational health
Psychological stress during childhood and adolescence and its association with inflammation across the lifespan
Improving Mental Health Access for Low-Income Children and Families in the Primary Care Setting
Income Inequality and Child Maltreatment in the United States
An Integrated Scientific Framework for Child Survival and Early Childhood Development
The Power of Play
Addressing Social Determinants of Health at Well Child Care Visits
Social vulnerabilities for substance use
Caregiver parenting practices, dietary diversity knowledge, and association with early childhood development outcomes among children aged 18-29 months in Zanzibar, Tanzania
Evaluation of Community Programs for Early Childhood Development
Relationship Between Parental Locus of Control and Childhood Injury
The Shadow of Childhood Harm Behind Prison Walls
Poverty and Child Health in the United States
Adverse childhood experiences and trauma informed care
A New Framework for Addressing Adverse Childhood and Community Experiences
Chronic School Absenteeism and the Role of Adverse Childhood Experiences
Intergenerational transmission and prevention of adverse childhood experiences (ACEs)
Prevalence of Adverse Childhood Experiences From the 2011-2014 Behavioral Risk Factor Surveillance System in 23 States
Adverse childhood experiences and sexual victimization in adulthood
Sexual and physical abuse in childhood is associated with depression and anxiety over the life course
Inside the Adverse Childhood Experience Score
Adverse Childhood Experiences and Mental Health, Chronic Medical Conditions, and Development in Young Children
The potential impact of the Covid-19 pandemic on child growth and development
Toxic Stress in Children and Adolescents
Systematic review of pediatric health outcomes associated with childhood adversity
Food Insecurity and Mental Health among Females in High-Income Countries
Leveraging the biology of adversity to address the roots of disparities in health and development
Parenting and Child Development
A Caregiver-Child Intervention for Mitigating Toxic Stress (“The Resiliency Clinic”)
Clinical Profile Associated with Adverse Childhood Experiences
Study protocol for a 2-year longitudinal study of positive youth development at an urban sport for development facility
Urban, Low-Income, African American Well-Child Care
Inter-Clinician Variability in Primary Care Providers’ Adverse Childhood Experience Knowledge, Training, Screening Practices, and Perceived Intervention Barriers
The Association of Moms2B, a Community-Based Interdisciplinary Intervention Program, and Pregnancy and Infant Outcomes among Women Residing in Neighborhoods with a High Rate of Infant Mortality
Enhancing Early Childhood Mental Health Primary Care Services
The Comorbidity of Physical, Mental, and Developmental Conditions Associated with Childhood Adversity
Mediators of the Relationship Between Adverse Childhood Experiences (ACEs) and Symptoms of Anxiety, Depression, and Suicidality among Adults
Emotional and Behavioral Problems Among 3- to 5-Year-Olds Left-Behind Children in Poor Rural Areas of Hunan Province
Preschoolers’ Developmental Profiles and School-Readiness in a Low-Income Canadian City
A National Trauma-Informed Adverse Childhood Experience Screening and Intervention Evaluation Project
Protocol for a Case Control Study to Evaluate Oral Health as a Biomarker of Child Exposure to Adverse Psychosocial Experiences
Improving Knowledge and Attitudes About Child Trauma Among Parents and Staff in Head Start Programs
The impact of change in neighborhood poverty on BMI trajectory of 37,544 New York City youth
Do Subspecialists Ask About and Refer Families with Psychosocial Concerns? A Comparison with General Pediatricians
Vision and Hearing Deficits and Associations with Parent-Reported Behavioral and Developmental Problems in International Adoptees
Copenhagen infant mental health project
Adverse childhood experiences as risk factors for recurrent admissions in young psychiatric inpatients
When Attitudes Become Obstacles
Understanding Your Baby
Health Care Financing Systems and Their Effectiveness
Home-Based Parent Child Therapy for Young Traumatized Children Living In Poverty
Do Children with Special Health Care Needs with Anxiety have Unmet Health Care Needs? An Analysis of a National Survey
The Child Life Challenges Scale (CLCS)
Grandparents Raising Grandchildren
Do Gamers Play for Money? A Moderated Mediation of Gaming Motives, Relative Deprivation, and Upward Mobility
Covid-19
Developmental literacy and epistemic dignity as primary child protection
Prevalence and associations of adverse childhood experiences with anxiety and depressive symptoms in Indonesia
Implementation Evaluation of Hugs/Abrazos During the Covid-19 Pandemic
Special Report
Pediatric Practitioners’ Screening for Adverse Childhood Experiences
Trauma-Sensitive Parenting in the Context of Intergenerational Trauma and Resiliencies
Who Is Talking About Adverse Childhood Experiences? Evidence From Twitter to Inform Health Promotion
Ways parental health and stress shape the parenting of preteens in the rural Ozark Mountains
Trauma is only part of the story
“We know what's going on in our community”
Exploring mediators of the Amaka Amasanyufu Multiple Family Group Intervention (2016–2022) on parenting stress reduction among caregivers of children with disruptive behavior disorders in Uganda
Unjust
Psychometric evaluation of an Adverse Childhood Experiences (ACEs) measurement tool
Child Poverty in the United States
Lesbian, Gay, and Heterosexual Adoptive Parents’ Experiences with Pediatricians
Violence Against Incarcerated Women
Using Machine Learning Techniques to Predict Adolescents’ Involvement in Family Conflict
Healthcare Policy in the United States
Examining the Relationship Between Food Insecurity and Family Violence
The Intergenerational Impact of Intimate Partner Violence against Mothers on Child Functioning over four Years
Neighborhood disorder and telomeres
Maternal experiences of intimate partner violence and C-reactive protein levels in young children in Tanzania
Court-level stakeholders’ reunification decisions and perceived role in parents’ readiness to support early emotional development post-abuse and/or neglect
Relationships Between Poverty and Psychopathology
Building a New Biodevelopmental Framework to Guide the Future of Early Childhood Policy
The economics, technology, and neuroscience of human capability formation
Unintended Pregnancy Among Adult Women Exposed to Abuse or Household Dysfunction During Their Childhood
Childhood Abuse, Household Dysfunction, and the Risk of Attempted Suicide Throughout the Life Span
Childhood maltreatment predicts adult inflammation in a life-course study
Long-term Effects of Prenatal and Infancy Nurse Home Visitation on the Life Course of Youths
Health Disparities Beginning in Childhood
Population-Based Prevention of Child Maltreatment
Economic, neurobiological, and behavioral perspectives on building America’s future workforce
Identifying Infants and Young Children With Developmental Disorders in the Medical Home
Early Childhood Stimulation Benefits Adult Competence and Reduces Violent Behavior
Insights Into Causal Pathways for Ischemic Heart Disease
The Triple P-Positive Parenting Program
Adverse childhood experiences and the risk of depressive disorders in adulthood
Neuroscience, Molecular Biology, and the Childhood Roots of Health Disparities
The enduring effects of abuse and related adverse experiences in childhood
Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults
Investing in early human development
The relationship of adverse childhood experiences to a history of premature death of family members
Child Health and the Community
The Impact of Enhancing Students' Social and Emotional Learning
Family Antecedents and Consequences of Trajectories of Depressive Symptoms from Adolescence to Young Adulthood
| Unique citing works | 144 |
|---|---|
| Citations per year | 10,29 |
| Citation span | 2012 - 2026 (15) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 115 |