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66The contribution of adverse childhood experiences to post-injury psychological outcomes in urban black men in the US
Journal article   Peer reviewed

66The contribution of adverse childhood experiences to post-injury psychological outcomes in urban black men in the US

S Therese, Nancy Adams, Douglas Wiebe, John Rich, Patrick Reilly and Justine Shults
Injury prevention, v 21(Suppl 2), pp A24-A24
01 Apr 2015
DOI: https://doi.org/10.1136/injuryprev-2015-041654.66
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Statement of purposeTo examine whether adverse childhood experiences (ACEs) contribute to severity of PTSD and depression symptoms after recent serious injury in Black men.Methods/approachInjured Black adult men were consecutively enrolled during hospitalisation for an acute, serious injury. Baseline data, including demographics and injury-related characteristics, were collected during interviews conducted in hospital. A questionnaire assessed whether seven Adverse Childhood Experiences had been experienced prior to the age of 18 years. Primary outcomes were collected at 3 months post-discharge during an in-person interview using the PTSD Checklist (PCL-C) for PTSD symptom severity and the Quick Inventory of Depressive Symptoms-Self Report (QID-SR) for depression symptom severity.Results231 men (mean age = 37 years, SD = 15.8) were included in this analysis. Injury was classified as unintentional (52%) or intentional (48%, i.e. the result of interpersonal violence). Mean number of ACEs was 2.51; 83% reported at least 1 ACE and 37.7% reported >4. No association was found between number of ACEs and whether the index injury was intentional versus unintentional. Intentional injuries were associated with higher mean PCL-C scores (42.8 vs. 33.6, p < 0.0001) and higher mean QID-SR scores (10.0 vs. 8.0, p < 0.01). In adjusted multiple regression, younger age, intentional injury, and number of ACEs were independently associated with higher PCL-C scores. Intentional injury and number of ACEs were independently associated with higher QID-SR scores.ConclusionsThis sample of urban Black men reported substantial histories of childhood trauma and adversity. There is a dose response relationship with higher numbers of ACEs contributing to more severe symptoms of PTSD and depression after serious traumatic injury.Significance and contributionsTo improve outcomes after serious injury in urban Black men, previous trauma histories should be obtained and drive care practices that are trauma-informed. Funder: NINR R01NR013503

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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