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Adverse childhood experiences in children with neurodevelopmental disorders and their parents
Maria Davidsson1,2, Frida Ringström1, Bibbi Hagberg1,3
1Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Insights
Maternal adverse childhood experiences (ACEs) are linked to child ACEs and emotional problems in children with neurodevelopmental disorders (NDD). Screening for maternal ACEs and NDD traits is recommended for children with ADHD/ASD.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Trauma Studies
Background:
- Adverse Childhood Experiences (ACEs) are linked to negative health outcomes.
- Children with Neurodevelopmental Disorders (NDD), such as ADHD and ASD, face a higher risk of ACEs.
- Limited research exists on ACEs in NDD populations and their parents.
Purpose of the Study:
- To explore the association between parental ACEs and child ACEs.
- To investigate the link between parental ACEs and NDD traits.
- To determine if parental or child ACEs are associated with child emotional and behavioral problems.
Main Methods:
- Study included 86 mothers, 37 fathers, and 48 children with ADHD/ASD from Swedish psychiatric clinics.
- Parents reported their ACEs, NDD traits, and child's emotional/behavioral problems.
- Children completed ACEs measures; parents provided demographic data.
Main Results:
- Maternal ACEs correlated with child ACEs (r=0.382, p=0.034).
- Maternal ACEs were associated with maternal ADHD and ASD traits (r=0.451, p<0.001).
- Maternal ACEs predicted child emotional and behavioral problems (β=0.511, p=0.036); paternal ACEs showed no significant associations.
Conclusions:
- ACE screenings are crucial for children with ADHD/ASD.
- Clinicians should consider maternal trauma and NDD traits in evaluations.
- Further research is needed to understand paternal ACEs' role.
Introduction:
Adverse childhood experiences (ACEs) are potentially traumatic events associated with negative health outcomes. Children with neurodevelopmental disorders (NDD) are at increased risk of ACEs, however, research on ACEs in children with NDD and their parents, and its possible relation to child problems, is limited. We aimed to explore the association between ACEs in parents and children; if there is an association between parental ACEs and NDD traits, and if ACEs in parents or children are associated with the child's emotional behavioral problems.
Methods:
The study included 86 mothers, 37 fathers, and 48 children diagnosed with attention-deficit/hyperactivity disorder (ADHD) and/or autism spectrum disorder (ASD), recruited from two child psychiatric clinics in Sweden. Parents provided demographic information and reported their own ACEs, NDD traits, and their children's emotional and behavioral problems. Children responded to measure of ACEs.
Results:
Maternal ACEs were significantly correlated with child ACEs (r = 0.382, p = 0.034), as well as with maternal ADHD traits (r = 0.451, p < 0.001) and ASD traits (r = 0.451, p < 0.001). Child ACEs also correlated with child emotional problems (r = 0.304, p = 0.038). Regression analysis revealed a relationship between maternal ACEs and child emotional and behavioral problems (β = 0.511, p = 0.036). None of these associations were found in fathers.
Conclusion:
This study highlights the need for ACE screenings in evaluations of children with ADHD/ASD and suggests clinicians to consider maternal trauma and maternal NDD traits. Future research should explore paternal involvement.
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