@article{ref1,
title="Adverse childhood experiences: Non-medical trauma in the context of pediatric chronic illness",
journal="Children's health care",
year="2020",
author="Sharkey, C.M. and Espeleta, H.C. and Bakula, D.M. and Roberts, C.M. and Ruppe, N.M. and Marissa Baudino, B.S. and Clawson, A.H. and Chaney, J.M. and Mullins, L.L.",
volume="49",
number="1",
pages="40-54",
abstract="OBJECTIVE: To examine the prevalence of adverse childhood experiences (ACEs) and their relationship with psychological distress among adolescents/young adults (AYAs) with and without pediatric chronic medical conditions (CMC). <br><br>METHODS: A matched sample of AYAs with and without a CMC (n = 484, Mage = 19.48, 77.7% female) completed online measures of demographics, ACEs, and anxious/depressive symptoms. <br><br>RESULTS: AYAs with a CMC were more likely to have experienced an ACE (p < 0.001). Both CMC status and ACEs related to increased distress (ps < 0.001). Moderation showed that ACEs had a stronger effect on depressive symptoms for those without a CMC (p < 0.001). <br><br>CONCLUSIONS: AYAs with a CMC and/or ACEs have increased risk for distress. Trauma-informed health care and assessment of childhood adversity may be important for early detection and intervention. © 2018, © 2018 Taylor & Francis.<p /><p>Language: en</p>",
language="en",
issn="0273-9615",
doi="10.1080/02739615.2018.1553677",
url="http://dx.doi.org/10.1080/02739615.2018.1553677"
}