Investigating the Impact of Caregiver Adverse Childhood Experiences Screening and Pediatrician-Led Discussions on Posttraumatic Stress Disorder Symptoms in a Majority-Hispanic Pediatric Primary Care Clinic Setting
Bibliographic Data
| ID | 9099061 |
|---|---|
| Authors | Chiara M Bettale (0000-0003-1316-797X, Emory University School of Medicine, Atlanta, GA, corresponding author), Melyrene Pomales (Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA), Angie Boy (Children’s Healthcare of Atlanta, Atlanta, GA), Tim Moran (Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA), Tim P Moran (0000-0003-0425-1256, Emory University), Maneesha Agarwal (Children’s Healthcare of Atlanta, Atlanta, GA), Abigail Powers (0000-0003-3197-7415, Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA) |
| Year | 2025 |
| Volume | 63 |
| Issue | 1 |
| Pages | 38-42 |
| Publication date | 2025-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000002065 |
| PMID | 39642016 |
| OpenAlex | W4403172913 |
| Language | EN |
| References cited | 30 |
BACKGROUND: Evidence suggests that screening and provider-led discussions of parental adverse childhood experiences (ACEs) may help identify at-risk families and be linked to positive health outcomes in caregivers and their children. However, the direct effect of ACEs screening and discussions on posttraumatic stress disorder (PTSD) has yet to be studied. OBJECTIVES: To determine if screening or provider-led discussions of parental ACEs are associated with inadvertent worsening of PTSD symptoms 1 week after screening. RESEARCH DESIGN: Data was obtained as part of a cluster randomized controlled trial to examine the effects of ACEs screening and provider-led discussions on child health care utilization outcomes. Baseline surveys were completed before scheduled infant well child checks (WCCs). Providers were randomized into the standard of care or intervention (discussion) conditions. Intervention providers were trained in delivering brief trauma-informed discussions about the impact of ACEs on parenting during WCCs. SUBJECTS: Caregivers in a pediatric primary care clinic serving predominantly Hispanic and low socioeconomically resourced families (N=179, 93% female, 87% Hispanic). MEASURES: The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5), Brief Resilience Scale (BRS), and ACEs screening were completed at baseline. PC-PTSD-5 was repeated 1-week after screening. RESULTS: Mixed-effects ordinal logistic regression analysis of PTSD scores from baseline to 1-week postscreening with the full sample showed no significant effect of time [odds ratio (OR)=1.21, P=0.68], group (OR=1.68, P=0.33), or their interaction (OR=0.48, P=0.21). CONCLUSIONS: Screening or brief discussion of ACEs with providers trained in trauma-informed care were not associated with worsening PTSD symptoms
Adverse Childhood Experiences · Brief intervention · Family medicine · Intervention (counseling) · Medical emergency · Mental health · Poison control · Psychiatry · Psychological resilience · Randomized controlled trial · Suicide prevention · Child Abuse and Trauma · Clinical Psychology · Infant Development and Preterm Care · Medicine · Posttraumatic Stress Disorder Research · Psychology
The association between adverse childhood experience (ACE) and school success in elementary school children.
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Screening for adverse childhood experiences (ACEs)
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The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)
Adverse childhood experiences and associated health outcomes
The effect of multiple adverse childhood experiences on health
Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults
Childhood Trauma and Adult Risk Factors and Disease in Hispanics/Latinos in the US
Racial/ethnic differences in clusters of adverse childhood experiences and associations with adolescent mental health
Feasibility of Assessing Parental ACEs in Pediatric Primary Care
Association Between Adverse Childhood Experiences, Resilience and Mental Health in a Hispanic Community
Adverse childhood experiences and life opportunities
Maternal Abuse History, Postpartum Depression, and Parenting
Trauma‐Responsive Care in a Pediatric Setting
| Highly cited | No |
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