History of childhood adversity and coping strategies: Positive flow and creative experiences |
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| Institution: | 1. Department of Family Medicine & Rural Health, Florida State University College of Medicine, Orlando, Florida;2. Department of Medicine, University of Central Florida College of Medicine, Orlando, Florida;3. Department of Family and Community Medicine, School Health Centers, Office of Community Engagement and Neighborhood Health Partnerships, University of Illinois Chicago, Chicago, Illinois;4. Family Medicine Residency, AdventHealth Sebring, Sebring, Florida;5. Clinical Operations, Clinica Mi Salud, Orlando, Florida;6. Collaborative Care Clinician, Clinica Mi Salud, Orlando, Florida;7. Department of Psychiatry, Brookdale University Hospital Medical Center, Brooklyn, New York;8. Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland;2. School of Sport, Exercise, and Health Sciences, Loughborough University, Leicestershire, United Kingdom |
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| Abstract: | BackgroundAcquiring more complex coping strategies despite a history of childhood adversity may transpire in settings outside the family home.ObjectivesThe objectives of this cross-sectional study included investigating coping strategies under stressful situations in a non-clinical sample of active athletes and performing artists. Participants and Setting: In this community and university sample (n = 577), 40.4% had no ACEs, 43.4% had 1–3 ACEs, and 16.3% had ≥4 ACEs.MethodsA series of multivariate analyses (gender and age included as covariates) were conducted to examine differences between the three ACE groups.ResultsResults indicated no between-subject differences between the three ACE groups for flow-like experiences during preferred activities, although gender differences were significant (p < .001). Individuals in the ≥4 ACEs group endorsed more intense creative experiences compared to the no-ACE and 1–3 ACEs groups (p = .006, η2 = .048); however, in the third MANCOVA they had heightened anxiety, internalized shame, dissociative processing, emotion-oriented coping, and cumulative trauma (p < .001, η2 = .132). There were no group differences for task-oriented and avoidant-oriented coping, a finding that highlights the ability of active individuals to engage in effective coping strategies under stressful situations.ConclusionRegardless of past childhood adversity history, this non-clinical high achieving sample was able to engage in a range of coping strategies under stress. |
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| Keywords: | Adverse childhood experience (ACE) Coping strategies Creativity Flow |
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