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Journal article
Examining Associations between Adverse Childhood Experiences and Posttraumatic Stress Disorder Symptoms among Young Survivors of Urban Violence
Journal of urban health, v 99(4), pp 669-679
14 Jun 2022
PMID: 35699886
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Our study examines the association between Adverse Childhood Experience (ACE) exposure and posttraumatic stress disorder (PTSD) symptoms among survivors of violence. In this cross-sectional study, an ACE questionnaire and PTSD Checklist for DSM-5 (PCL-5) were completed by 147 participants ≤ 3 months after presenting to a Philadelphia, PA emergency department between 2014 and 2019 with a violent injury. This study treated ACEs, both separate and cumulative, as exposures and PTSD symptom severity as the outcome. Most participants (63.3%) met criteria for provisional PTSD, 90% reported experiencing ≥ 1 ACE, and 39% reported experiencing ≥ 6 ACEs. Specific ACEs were associated with increasing PCL-5 scores and increased risk for provisional PTSD. Additionally, as participants' cumulative ACE scores increased, their PCL-5 scores worsened (b = 0.16; p < 0.05), and incremental ACE score increases predicted increased odds for a positive provisional PTSD screen. Results provide further evidence that ACEs exacerbate the development of PTSD in young survivors of violence. Future research should explore targeted interventions to treat PTSD among survivors of interpersonal violence.
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Details
- Title
- Examining Associations between Adverse Childhood Experiences and Posttraumatic Stress Disorder Symptoms among Young Survivors of Urban Violence
- Creators
- Loni Philip Tabb - Drexel UniversityJohn A Rich - Drexel UniversityDaria Waite - Drexel UniversityCinthya Alberto - Department of Health Management & Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USAErica Harris - Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA, USAJames Gardner - Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC, USANina Gentile - Department of Emergency Medicine, Temple University Lewis Katz School of Medicine, Philadelphia, PA, USATheodore J Corbin - Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, 60612, USA. Theodore_Corbin@rush.edu
- Publication Details
- Journal of urban health, v 99(4), pp 669-679
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics; Health Management and Policy
- Web of Science ID
- WOS:000810859100002
- Scopus ID
- 2-s2.0-85131784578
- Other Identifier
- 991019168639704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health