Adverse childhood experiences,health perception,and the role of shared familial factors in adult twins |
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| Authors: | Sheeva M Mostoufi Eric Strachan Laura Chopko Annemarie Succop Beatrice Martinez Sandra M Ahumada Niloofar Afari |
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| Institution: | 1. San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, 5500 Campanile Drive, San Diego, CA 92182-4611, USA;2. Department of Psychiatry & Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Seattle, WA 98195-6560, USA;3. Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, 0737, La Jolla, CA 92093, USA;4. Institute of Child Development, University of Minnesota, Twin Cities, 75 East River Road, Minneapolis, MN 55455, USA;5. VA Center of Excellence for Stress and Mental Health and VA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161, USA |
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| Abstract: | To examine the relationship between adverse childhood experiences (ACE) and health perception in adulthood, and to explore the contribution of shared familial factors to these associations. Data were collected from 180 female twins (90 pairs) from the community-based University of Washington Twin Registry. Participants completed questionnaires including the modified ACE Questionnaire, Traumatic Life Events Questionnaire, McGill Pain Questionnaire-Short Form, and the SF-36. Mixed effects linear regression modeling investigated the effects of ACE on indices of health perception controlling for correlated twin data. Additional models examined the associations while controlling for the experience of physical and/or sexual abuse in childhood; within-twin pair models that inherently adjust for familial factors explored shared familial influences. After controlling for relevant demographic variables, more ACE was associated with worse perceptions of general health (p = .01) and vitality (p = .05) on the SF-36. After controlling for childhood physical and/or sexual abuse, the relationship between ACE and general health remained significant (p = .01) while vitality was no longer significant. None of the associations remained significant after accounting for the influence of familial factors. These results support previous findings on the negative link between ACE and perceived health in adulthood. The detrimental effects of ACE on vitality may be accounted for by the experience of childhood physical and/or sexual abuse. Shared familial factors might play a partial role in the relationship between ACE and health perception. Future research should further investigate the genetic and environmental mechanisms that may explain this relationship. |
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| Keywords: | ACE adverse childhood experiences MPQ-SF McGill Pain Questionnaire-Short Form SF-36 Short Form Health Survey-36 TLEQ Traumatic Life Events Questionnaire |
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