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The enduring effects of adverse childhood experiences (ACES) on mood dysregulation in children: A literature review

Published online by Cambridge University Press:  13 August 2021

F. Arain ,
N. Chavannes ,
C.C. Corona ,
A. Tohid ,
H. Arain ,
M. Jennings  and
A. Sanchez-Lacay
F. Arain*
Affiliation:
Psychiatry, BronxCare Health System Mount Sinai, NY, United States of America
N. Chavannes
Affiliation:
Psychiatry, BronxCare Health System Mount Sinai, NY, United States of America
C.C. Corona
Affiliation:
Psychiatry, BronxCare Health System Mount Sinai, NY, United States of America
A. Tohid
Affiliation:
Psychiatry, University of Southern California, Los Angeles, United States of America
H. Arain
Affiliation:
Under Graduate, Columbia University, New York, United States of America
M. Jennings
Affiliation:
Psychiatry, BronxCare Health System Mount Sinai, NY, United States of America
A. Sanchez-Lacay
Affiliation:
Psychiatry, BronxCare Health System Mount Sinai, NY, United States of America
*
*Corresponding author.

Abstract

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Introduction

Behavioral dysregulation is a common presentation of children in the Emergency-Room (ER)1. A 10-year-old African-American boy with attention-deficit/hyperactivity disorder, oppositional defiant disorder with poor treatment adherence, two previous psychiatric hospitalizations and multiple ER visits, presented with dysregulation and aggressive behavior. He had inconsistent parenting and poor attachment with present involvement of child protective services. We did a systematic review to interpret associations between adverse childhood experiences (ACEs) and the development of behavioral dysregulation in later life.

Objectives

To see associations between ACEs and the development of behavioral dysregulation in later life.

Methods

We searched PsycINFO, APA PsycNet, PubMed, and Medline. Among 35 articles, five were included: 1) a meta-analysis of health consequences and ACEs1; 2) a data analysis of 64,329 youth from the Florida Department of Juvenile Justice that focused on suicide attempts and ACEs2; 3) a systematic review of 42 articles related to ACEs 3; 4) data from 22,575 youth for childhood abuse, trauma and neglect 4 and 5) a multimodal logistic regression study on 64,000 juvenile offenders focused on ACE scores and latent trajectory.5

Results

There is increased risk of substance use, mental and physical health problems, and violence associated with ACEs1, 2. The relationship between childhood difficulties and suicide is interceded by adolescent’s maladaptive behaviors3. By age 35, ACEs increase the risk of becoming a serious juvenile offender4. Increased exposure to ACEs differentiates early-onset and sustained criminality from other forms of criminality5.

Conclusions

ACEs can affect the development of a child in multiple ways including suicidal behavior, aggression, impulsivity, criminality, academic difficulties and substance abuse

Keywords

Adverse childhood experiencesjuvenile offendersprevention
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S211
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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