Volume 6, Issue 4, December 2020, Page: 421-427
Prevalence of Adverse Childhood Events (ACEs) and Its Relationships to Life-Satisfaction Among Patients with Psychiatric Disorders
Wachiraporn Arunothong, Department of Psychiatry, Lampang Regional Hospital, Lampang, Thailand
Received: Sep. 23, 2020;       Accepted: Oct. 7, 2020;       Published: Oct. 17, 2020
DOI: 10.11648/j.ajp.20200604.15      View  80      Downloads  21
Abstract
Objective: To demonstrate the prevalence of ACEs and the association of ACEs’ effects on life- satisfaction among patients with psychiatric disorders. Methods: Patients with psychiatric disorders aged ≥ 18 were enrolled. Patients who had dementia and could not read or write in Thai were excluded. Patients were asked to complete demographic, ACEs, and life-satisfaction questions. The study was held in a psychiatric clinic with prompt intervention to help patients who might be sensitive to ACEs questions. Results: 271 patients, with a mean age of 37.6 years (range 18-80 yr.) completed questionnaires. 66.8% were males. 59.4% of patients suffered from substance related disorders. Overall, 45% of patients had ≥ 1 ACE and of these, 5.5% had ≥ 4 ACEs. The top three ACEs were feelings of abandonment by a family, parents divorced or separated, and being a witness of domestic violence. After adjusted confounders, ACEs could significantly increase feeling bored with life; feelings of failure; and feelings of suffering in life; and significantly decrease feelings of life-satisfaction; feelings of ease and happiness; feeling safe; and feeling love in a family; feeling of accepting; and handling of difficult situations. The protective factors of ACEs were living with both parents, living with either of them, and living in a family that could support each other during difficulties. Conclusion: The prevalence of ACEs among patients with psychiatric disorders is quite common. ACEs showed negative relationships with later life-satisfaction and happiness. The graded negative relationships of ACEs to life-satisfaction found at every ACE that increases. Solutions to decrease the impacts of ACEs are to promote parents to live with their children during their childhood periods and to strengthen family relationship to support each other during difficulties.
Keywords
Adverse Childhood Events, Prevalence, Thailand, Patients with Mental Illness, Life-satisfaction
To cite this article
Wachiraporn Arunothong, Prevalence of Adverse Childhood Events (ACEs) and Its Relationships to Life-Satisfaction Among Patients with Psychiatric Disorders, American Journal of Pediatrics. Vol. 6, No. 4, 2020, pp. 421-427. doi: 10.11648/j.ajp.20200604.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Felitti VJ, Anda RF, Nordenberg D, Edwards V, Koss PM, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998; 14 (4): 245-58. doi: 10.1016/s0749-3797(98)00017-8.
[2]
Panyayong B, Wacharasindhu A. Psychiatric disorders in Thai school-aged children: II Associated factors. J Med Assoc Thai. 2002; 85 Suppl 1: S137-47.
[3]
Finkelhor D, Hotaling G, Lewis IA, Smith C. Sexual abuse in a national survey of adult men and women: prevalence, characteristics, and risk factors. Child Abuse Negl. 1990; 14 (1): 19-28. doi: 10.1016/0145-2134(90)90077-7.
[4]
Isaranurug S, Chansatitporn N, Auewattana P, Wongarsa C. Violence against children by parents. J Med Assoc Thai. 2002; 85 (8): 875-80.
[5]
Jirapramukpitak T, Prince M, Harpham T. The experience of abuse and mental health in the young Thai population A preliminary survey. Soc Psychiatry Psychiatr Epidemiol. 2005; 40 (12): 955-63. doi: 10.1007/s00127-005-0983-1.
[6]
Panyayong B, Tantirangsee N, Bogoian III R, Thai National Mental Health Survey Team 2013 T. Long-Term Mental Health Consequences of Child Maltreatment: A Result from Thai National Mental Health Survey 2013. J Med Assoc Thai 2018; 101: 1375-84.
[7]
Htike M, Thepthein B, Chucharoen P. A web-based survey on adverse childhood experience, anxiety, depression, sexual behavior affecting methamphetamine use among adolescents in Bangkok, Thailand. Journal of Public Health and Development. 2017; 15 (3): 17-31.
[8]
Ham E, Thepthein B, Chucharoen P, Hong SA. Patterns of polysubstance use and associated factors among grade 11 students in Bangkok, Thailand. Journal of Public Health and Development, 2019; 17 (2): 1-17.
[9]
Briere J, Elliott DM. Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse Negl. 2003; 27 (10): 1205-22. doi: 10.1016/j.chiabu.2003.09.008.
[10]
Scheeringa MS, Zeanah CH, Myers L, Putnam FW. Predictive validity in a prospective follow-up of PTSD in preschool children. J Am Acad Child Adolesc Psychiatry. 2005; 44 (9): 899-906. doi: 10.1097/01.chi.0000169013.81536.71.
[11]
Karatzias T, Chouliara Z, Power K, Brown K, Begum M, McGoldrick T, et al. Life satisfaction in people with post-traumatic stress disorder. J Ment Health. 2013; 22 (6): 501-8. doi: 10.3109/09638237.2013.819418.
[12]
Zaragoza SA. Depression, post-traumatic stress disorder, and life satisfaction in Greenlandic adults. Psyke & Logos. 2017; 38 (1): 90-101.
[13]
Mosley-Johnson E, Garacci E, Wagner N, Mendez C, Williams JS, Egede LE. Assessing the relationship between adverse childhood experiences and life satisfaction, psychological well-being, and social well-being: United States Longitudinal Cohort 1995-2014. Qual Life Res. 2019; 28 (4): 907-14. doi: 10.1007/s11136-018-2054-6.
[14]
Mc Elroy S, Hevey D. Relationship between adverse early experiences, stressors, psychosocial resources and wellbeing. Child Abuse Negl. 2014; 38 (1): 65-75. doi: 10.1016/j.chiabu.2013.07.017.
[15]
EIC report. Report of Thai life style to be more singles. 2019 http: //www.voicetv.co.th/read/zFwdnrx2K.
[16]
Jacob L, Haro JM, Koyanagi A. Relationship between living alone and common mental disorders in the 1993, 2000 and 2007 National Psychiatric Morbidity Surveys. PLoS One. 2019; 14 (5): e0215182. Published 2019 May 1. doi: 10.1371/journal.pone.0215182.
[17]
Redd MJ. Adverse Childhood Experiences and Couple Relationships: Impacts on Relationship Quality and Partner Selection (Doctoral dissertation, University of Akron). 2017.
[18]
Norman RE, Byambaa M, De R, Butchart A, Scott J, Vos T. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med. 2012; 9 (11): e1001349. doi: 10.1371/journal.pmed.1001349.
[19]
Mongkol A, Vongpiromsan Y, Tangseree T, Huttapanom W, Romsai P, Chutha W. The Development and Testing of Thai Mental Health Indicator Version 2007. J Psychiatr Assoc Thailand [Internet]. 2013 Apr 3 [cited 2020 Jul 2]; 54 (3): 299-316. Available from: https://he01.tci-thaijo.org/index.php/JPAT/article/view/7673.
[20]
Zielinski DS. Child maltreatment and adult socioeconomic well-being. Child Abuse Negl. 2009; 33 (10): 666-78. doi: 10.1016/j.chiabu.2009.09.001.
[21]
Alison P, Sophie B. Child Maltreatment History and Interpersonal Problems in Adult Couple Relationships, Journal of Aggression, Maltreatment & Trauma. 2010; 19 (2): 138-58. doi: 10.1080/10926770903539433.
[22]
Nguyen TP, Karney BR, Bradbury TN. Childhood abuse and later marital outcomes: Do partner characteristics moderate the association? J Fam Psychol. 2017; 31 (1): 82-92. doi: 10.1037/fam0000208.
[23]
Klettke B, Hallford D, Mellor D. Perceptions of credibility of sexual abuse victims across generations. Int J Law Psychiatry. 2016; 44: 91-7. doi: 10.1016/j.ijlp.2015.08.035.
[24]
Wessa M, Flor H. Failure of extinction of fear responses in posttraumatic stress disorder: evidence from second-order conditioning. Am J Psychiatry. 2007; 164 (11): 1684-92. doi: 10.1176/appi.ajp.2007.07030525. PMID: 17974933.
[25]
Daly, M., Wilson, M. Child abuse and other risks of not living with both parents. Ethology & Sociobiology.1985; 6 (4): 197–210. doi: 10.1016/0162-3095(85)90012-3.
[26]
McLafferty M, O'Neill S, Armour C, Murphy S, Bunting B. The mediating role of various types of social networks on psychopathology following adverse childhood experiences. J Affect Disord. 2018; 238: 547-53. doi: 10.1016/j.jad.2018.06.020.
[27]
Thompson MP, Kingree JB, Desai S. Gender differences in long-term health consequences of physical abuse of children: data from a nationally representative survey. Am J Public Health. 2004; 94 (4): 599-604. doi: 10.2105/ajph.94.4.599.
[28]
Asscher JJ, Van der Put CE, Stams GJ. Gender Differences in the Impact of Abuse and Neglect Victimization on Adolescent Offending Behavior. Journal of family violence. 2015; 30: 215–25. doi: 10.1007/s10896-014-9668-4.
[29]
de Vasconcelos NM, Ribeiro M, Reis D, et al. Life satisfaction mediates the association between childhood maltreatment and depressive symptoms: a study in a sample of Brazilian adolescents. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil: 1999). 2020; 42 (3): 250-257. doi: 10.1590/1516-4446-2019-0535.
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