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Adverse childhood e...
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Daníelsdóttir, Hilda BjörkCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland; Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, Sweden,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.;Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
(author)
Adverse childhood experiences and resilience among adult women : A population-based study
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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eLife Sciences Publications Ltd,2022
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printrdacarrier
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LIBRIS-ID:oai:DiVA.org:oru-97169
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-97169URI
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https://doi.org/10.7554/eLife.71770DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-468095URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding agencies:Icelandic Centre for Research Doctoral grantIcelandic Centre for Research Grant of excellence grant 163362-051
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Background: Adverse childhood experiences (ACEs) have consistently been associated with elevated risk of multiple adverse health outcomes, yet their contribution to coping ability and psychiatric resilience in adulthood is unclear.Methods: Cross-sectional data were derived from the ongoing Stress-And-Gene-Analysis cohort, representing 30% of the Icelandic nationwide female population, 18-69 years. Participants in the current study were 26,198 women with data on 13 ACEs measured with the ACE-International Questionnaire. Self-reported coping ability was measured with the Connor-Davidson Resilience Scale and psychiatric resilience was operationalized as absence of psychiatric morbidity. Generalized linear regression assuming normal or Poisson distribution were used to assess the associations of ACEs with coping ability and psychiatric resilience controlling for multiple confounders.Results: Number of ACEs was inversely associated with adult resilience in a dose-dependent manner; every 1SD unit increase in ACE scores was associated with both lower levels of coping ability (β = -0.14; 95% CI-0.15,-0.13) and lower psychiatric resilience (β = -0.28; 95% CI-0.29,-0.27) in adulthood. Compared to women with 0 ACEs, women with ≥5 ACEs had 36% lower prevalence of high coping ability (PR = 0.64, 95% CI 0.59,0.70) and 58% lower prevalence of high psychiatric resilience (PR = 0.42; 95% CI 0.39,0.45). Specific ACEs including emotional neglect, bullying, sexual abuse and mental illness of household member were consistently associated with reduced adult resilience. We observed only slightly attenuated associations after controlling for adult socioeconomic factors and social support in adulthood.Conclusions: Cumulative ACE exposure is associated with lower adult resilience among women, independent of adult socioeconomic factors and social support, indicating that adult resilience may be largely determined in childhood.
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Aspelund, ThorCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.
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Thordardottir, Edda BjorkCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.
(author)
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Fall, Katja,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Clinical Epidemiology and Biostatistics,Örebro Univ, Sch Med Sci, Clin Epidemiol & Biostat, Örebro, Sweden.;Karolinska Inst, Inst Environm Med, Stockholm, Sweden.(Swepub:oru)kafl
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Fang, FangInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden,Karolinska Inst, Inst Environm Med, Stockholm, Sweden.,Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
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Tómasson, GunnarCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.
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Rúnarsdóttir, HarpaCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.
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Yang, QianDepartment of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, Sweden
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Choi, Karmel W.Department of Psychiatry, Massachusetts General Hospital, Boston, United States; Harvard T.H. Chan School of Public Health, Boston, United States,Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA.;Harvard TH Chan Sch Publ Hlth, Boston, MA USA.
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Kennedy, Beatrice,1982-Uppsala universitet,Molekylär epidemiologi(Swepub:uu)beake215
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Halldorsdottir, ThorhildurCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland; Department of Psychology, Reykjavík University, Reykjavik, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.;Reykjavik Univ, Dept Psychol, Reykjavik, Iceland.
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Lu, DonghaoInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Harvard T.H. Chan School of Public Health, Boston, United States,Karolinska Inst, Inst Environm Med, Stockholm, Sweden.;Harvard TH Chan Sch Publ Hlth, Boston, MA USA.
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Song, HuanWest China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China,Sichuan Univ, West China Hosp, West China Biomed Big Data Ctr, Chengdu, Peoples R China.
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Jakobsdóttir, JóhannaCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.
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Hauksdóttir, ArnaCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.
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Valdimarsdóttir, Unnur AnnaCentre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland; Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, Sweden; Harvard T.H. Chan School of Public Health, Boston, United States,Univ Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.;Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Harvard TH Chan Sch Publ Hlth, Boston, MA USA.
(author)
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Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland; Department of Medical Epidemiology & Biostatistics, Karolinska Institutet, Stockholm, SwedenUniv Iceland, Fac Med, Ctr Publ Hlth Sci, Reykjavik, Iceland.;Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
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