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Adverse Childhood Experiences in Medical Students: Implications for Wellness
Objective The primary purpose of the study was to assess the prevalence of adverse childhood experiences (ACEs) in a cohort of third-year medical students and characterize their childhood protective factors. Methods The authors developed a web-based anonymous survey distributed to all third-year med...
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| Published in: | Academic psychiatry 2019-08, Vol.43 (4), p.369-374 |
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| container_title | Academic psychiatry |
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| creator | Sciolla, Andrés F. Wilkes, Michael S. Griffin, Erin J. |
| description | Objective
The primary purpose of the study was to assess the prevalence of adverse childhood experiences (ACEs) in a cohort of third-year medical students and characterize their childhood protective factors.
Methods
The authors developed a web-based anonymous survey distributed to all third-year medical students in one school (
N
= 98). The survey included the 10-item ACE Study questionnaire, a list of childhood protective factors (CPF) and questions to assess students’ perception of the impact of ACEs on their physical and mental health. The medical school’s IRB approved the student survey as an exempt study. The authors computed descriptive and comparative statistical analyses.
Results
Eighty-six of 98 students responded (88% response rate). Forty-four students (51%) reported at least one ACE exposure and 10 (12%) reported ≥ 4 exposures. The latter were all female. The average difference in the ACE score between male and female medical students was − 1.1 (independent
t
test with unequal variances
t
(57.7) = − 2.82,
P
= .007). Students with an ACE score of ≥ 4 were significantly more likely to report a moderate or significant effect on their mental health, compared with students with scores ≤ 3 (chi-square test,
P
= |
| doi_str_mv | 10.1007/s40596-019-01047-5 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6647886</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2933640532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-5f36a778a5c7bdab002527e8714facb8683da5902c99e41497c8f0183bd3cdd43</originalsourceid><addsrcrecordid>eNp9kU1vFSEUhomx6fcfcGEmceNm7OFrABcmzU1bm1zjwjZdEgaYXpq5cIWZRv990Vvb6sIFgXDe857z5kHoDYYPGECcFAZcdS1gVQ8w0fJXaB9zxltBKLyub2CkVZ2APXRQyh0AUMzILtqjIDkoqfbR8tTd-1x8s1iF0a1Scs3Zj43PwUfrSxNi88W7YM3YfJtm5-NUPjaX681Yv6aQYmmGlJsbP47Rl3KEdgYzFn_8eB-i6_Ozq8Xndvn14nJxumwtE2xq-UA7I4Q03IremR6AcCK8FJgNxvayk9QZroBYpTzDTAkrB8CS9o5a5xg9RJ-2vpu5X3tn61rZjHqTw9rknzqZoP-uxLDSt-ledx0TUnbV4P2jQU7fZ18mvQ7F1hQm-jQXTbBUnDHGZZW--0d6l-YcazxNFKVdZUBJVZGtyuZUSvbD0zIY9C9YegtLV1j6NyzNa9PblzGeWv7QqQK6FZRairc-P8_-j-0DTnugGA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2933640532</pqid></control><display><type>article</type><title>Adverse Childhood Experiences in Medical Students: Implications for Wellness</title><source>Education Collection (Proquest) (PQ_SDU_P3)</source><source>Springer Nature</source><source>ProQuest Social Science Premium Collection</source><creator>Sciolla, Andrés F. ; Wilkes, Michael S. ; Griffin, Erin J.</creator><creatorcontrib>Sciolla, Andrés F. ; Wilkes, Michael S. ; Griffin, Erin J.</creatorcontrib><description>Objective
The primary purpose of the study was to assess the prevalence of adverse childhood experiences (ACEs) in a cohort of third-year medical students and characterize their childhood protective factors.
Methods
The authors developed a web-based anonymous survey distributed to all third-year medical students in one school (
N
= 98). The survey included the 10-item ACE Study questionnaire, a list of childhood protective factors (CPF) and questions to assess students’ perception of the impact of ACEs on their physical and mental health. The medical school’s IRB approved the student survey as an exempt study. The authors computed descriptive and comparative statistical analyses.
Results
Eighty-six of 98 students responded (88% response rate). Forty-four students (51%) reported at least one ACE exposure and 10 (12%) reported ≥ 4 exposures. The latter were all female. The average difference in the ACE score between male and female medical students was − 1.1 (independent
t
test with unequal variances
t
(57.7) = − 2.82,
P
= .007). Students with an ACE score of ≥ 4 were significantly more likely to report a moderate or significant effect on their mental health, compared with students with scores ≤ 3 (chi-square test,
P
= < .0001). Most students reported high levels of CPF (median score = 13 of a maximum score = 14). ACEs and CPF were inversely associated (Pearson correlation = − 0.32,
P
= .003).
Conclusions
A sizeable minority of medical students reported exposure to multiple ACEs. If replicated, findings suggest a significant vulnerability of these medical students to health risk behaviors and physical and mental health problems during training and future medical practice.</description><identifier>ISSN: 1042-9670</identifier><identifier>ISSN: 1545-7230</identifier><identifier>EISSN: 1545-7230</identifier><identifier>DOI: 10.1007/s40596-019-01047-5</identifier><identifier>PMID: 30850989</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject><![CDATA[Adult ; Adverse childhood experiences ; Adverse Childhood Experiences - statistics & numerical data ; Child abuse & neglect ; Child Neglect ; Childhood ; Data Analysis ; Domestic violence ; Educational Attainment ; Educational Objectives ; Female ; Females ; Frequency distribution ; Gender ; Households ; Humans ; In Brief Report ; Internet ; Male ; Medical Education ; Medical schools ; Medical students ; Medicine ; Medicine & Public Health ; Mental depression ; Mental disorders ; Mental Health ; Minority & ethnic groups ; Psychiatry ; Questionnaires ; Resilience, Psychological ; Sex Factors ; Student Surveys ; Students, Medical - psychology ; Students, Medical - statistics & numerical data ; Suicides & suicide attempts ; Surveys and Questionnaires ; Women]]></subject><ispartof>Academic psychiatry, 2019-08, Vol.43 (4), p.369-374</ispartof><rights>The Author(s) 2019</rights><rights>The Author(s) 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-5f36a778a5c7bdab002527e8714facb8683da5902c99e41497c8f0183bd3cdd43</citedby><cites>FETCH-LOGICAL-c474t-5f36a778a5c7bdab002527e8714facb8683da5902c99e41497c8f0183bd3cdd43</cites><orcidid>0000-0002-0713-2183</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2933640532/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2933640532?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,21378,21394,27924,27925,33611,33612,33877,33878,43733,43880,74221,74397</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30850989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sciolla, Andrés F.</creatorcontrib><creatorcontrib>Wilkes, Michael S.</creatorcontrib><creatorcontrib>Griffin, Erin J.</creatorcontrib><title>Adverse Childhood Experiences in Medical Students: Implications for Wellness</title><title>Academic psychiatry</title><addtitle>Acad Psychiatry</addtitle><addtitle>Acad Psychiatry</addtitle><description>Objective
The primary purpose of the study was to assess the prevalence of adverse childhood experiences (ACEs) in a cohort of third-year medical students and characterize their childhood protective factors.
Methods
The authors developed a web-based anonymous survey distributed to all third-year medical students in one school (
N
= 98). The survey included the 10-item ACE Study questionnaire, a list of childhood protective factors (CPF) and questions to assess students’ perception of the impact of ACEs on their physical and mental health. The medical school’s IRB approved the student survey as an exempt study. The authors computed descriptive and comparative statistical analyses.
Results
Eighty-six of 98 students responded (88% response rate). Forty-four students (51%) reported at least one ACE exposure and 10 (12%) reported ≥ 4 exposures. The latter were all female. The average difference in the ACE score between male and female medical students was − 1.1 (independent
t
test with unequal variances
t
(57.7) = − 2.82,
P
= .007). Students with an ACE score of ≥ 4 were significantly more likely to report a moderate or significant effect on their mental health, compared with students with scores ≤ 3 (chi-square test,
P
= < .0001). Most students reported high levels of CPF (median score = 13 of a maximum score = 14). ACEs and CPF were inversely associated (Pearson correlation = − 0.32,
P
= .003).
Conclusions
A sizeable minority of medical students reported exposure to multiple ACEs. If replicated, findings suggest a significant vulnerability of these medical students to health risk behaviors and physical and mental health problems during training and future medical practice.</description><subject>Adult</subject><subject>Adverse childhood experiences</subject><subject>Adverse Childhood Experiences - statistics & numerical data</subject><subject>Child abuse & neglect</subject><subject>Child Neglect</subject><subject>Childhood</subject><subject>Data Analysis</subject><subject>Domestic violence</subject><subject>Educational Attainment</subject><subject>Educational Objectives</subject><subject>Female</subject><subject>Females</subject><subject>Frequency distribution</subject><subject>Gender</subject><subject>Households</subject><subject>Humans</subject><subject>In Brief Report</subject><subject>Internet</subject><subject>Male</subject><subject>Medical Education</subject><subject>Medical schools</subject><subject>Medical students</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Minority & ethnic groups</subject><subject>Psychiatry</subject><subject>Questionnaires</subject><subject>Resilience, Psychological</subject><subject>Sex Factors</subject><subject>Student Surveys</subject><subject>Students, Medical - psychology</subject><subject>Students, Medical - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>Surveys and Questionnaires</subject><subject>Women</subject><issn>1042-9670</issn><issn>1545-7230</issn><issn>1545-7230</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><recordid>eNp9kU1vFSEUhomx6fcfcGEmceNm7OFrABcmzU1bm1zjwjZdEgaYXpq5cIWZRv990Vvb6sIFgXDe857z5kHoDYYPGECcFAZcdS1gVQ8w0fJXaB9zxltBKLyub2CkVZ2APXRQyh0AUMzILtqjIDkoqfbR8tTd-1x8s1iF0a1Scs3Zj43PwUfrSxNi88W7YM3YfJtm5-NUPjaX681Yv6aQYmmGlJsbP47Rl3KEdgYzFn_8eB-i6_Ozq8Xndvn14nJxumwtE2xq-UA7I4Q03IremR6AcCK8FJgNxvayk9QZroBYpTzDTAkrB8CS9o5a5xg9RJ-2vpu5X3tn61rZjHqTw9rknzqZoP-uxLDSt-ledx0TUnbV4P2jQU7fZ18mvQ7F1hQm-jQXTbBUnDHGZZW--0d6l-YcazxNFKVdZUBJVZGtyuZUSvbD0zIY9C9YegtLV1j6NyzNa9PblzGeWv7QqQK6FZRairc-P8_-j-0DTnugGA</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Sciolla, Andrés F.</creator><creator>Wilkes, Michael S.</creator><creator>Griffin, Erin J.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0713-2183</orcidid></search><sort><creationdate>20190801</creationdate><title>Adverse Childhood Experiences in Medical Students: Implications for Wellness</title><author>Sciolla, Andrés F. ; Wilkes, Michael S. ; Griffin, Erin J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-5f36a778a5c7bdab002527e8714facb8683da5902c99e41497c8f0183bd3cdd43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Adverse childhood experiences</topic><topic>Adverse Childhood Experiences - statistics & numerical data</topic><topic>Child abuse & neglect</topic><topic>Child Neglect</topic><topic>Childhood</topic><topic>Data Analysis</topic><topic>Domestic violence</topic><topic>Educational Attainment</topic><topic>Educational Objectives</topic><topic>Female</topic><topic>Females</topic><topic>Frequency distribution</topic><topic>Gender</topic><topic>Households</topic><topic>Humans</topic><topic>In Brief Report</topic><topic>Internet</topic><topic>Male</topic><topic>Medical Education</topic><topic>Medical schools</topic><topic>Medical students</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>Minority & ethnic groups</topic><topic>Psychiatry</topic><topic>Questionnaires</topic><topic>Resilience, Psychological</topic><topic>Sex Factors</topic><topic>Student Surveys</topic><topic>Students, Medical - psychology</topic><topic>Students, Medical - statistics & numerical data</topic><topic>Suicides & suicide attempts</topic><topic>Surveys and Questionnaires</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sciolla, Andrés F.</creatorcontrib><creatorcontrib>Wilkes, Michael S.</creatorcontrib><creatorcontrib>Griffin, Erin J.</creatorcontrib><collection>Springer_OA刊</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Academic psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sciolla, Andrés F.</au><au>Wilkes, Michael S.</au><au>Griffin, Erin J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse Childhood Experiences in Medical Students: Implications for Wellness</atitle><jtitle>Academic psychiatry</jtitle><stitle>Acad Psychiatry</stitle><addtitle>Acad Psychiatry</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>43</volume><issue>4</issue><spage>369</spage><epage>374</epage><pages>369-374</pages><issn>1042-9670</issn><issn>1545-7230</issn><eissn>1545-7230</eissn><abstract>Objective
The primary purpose of the study was to assess the prevalence of adverse childhood experiences (ACEs) in a cohort of third-year medical students and characterize their childhood protective factors.
Methods
The authors developed a web-based anonymous survey distributed to all third-year medical students in one school (
N
= 98). The survey included the 10-item ACE Study questionnaire, a list of childhood protective factors (CPF) and questions to assess students’ perception of the impact of ACEs on their physical and mental health. The medical school’s IRB approved the student survey as an exempt study. The authors computed descriptive and comparative statistical analyses.
Results
Eighty-six of 98 students responded (88% response rate). Forty-four students (51%) reported at least one ACE exposure and 10 (12%) reported ≥ 4 exposures. The latter were all female. The average difference in the ACE score between male and female medical students was − 1.1 (independent
t
test with unequal variances
t
(57.7) = − 2.82,
P
= .007). Students with an ACE score of ≥ 4 were significantly more likely to report a moderate or significant effect on their mental health, compared with students with scores ≤ 3 (chi-square test,
P
= < .0001). Most students reported high levels of CPF (median score = 13 of a maximum score = 14). ACEs and CPF were inversely associated (Pearson correlation = − 0.32,
P
= .003).
Conclusions
A sizeable minority of medical students reported exposure to multiple ACEs. If replicated, findings suggest a significant vulnerability of these medical students to health risk behaviors and physical and mental health problems during training and future medical practice.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30850989</pmid><doi>10.1007/s40596-019-01047-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0713-2183</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Academic psychiatry, 2019-08, Vol.43 (4), p.369-374 |
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| language | eng |
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| source | Education Collection (Proquest) (PQ_SDU_P3); Springer Nature; ProQuest Social Science Premium Collection |
| subjects | Adult Adverse childhood experiences Adverse Childhood Experiences - statistics & numerical data Child abuse & neglect Child Neglect Childhood Data Analysis Domestic violence Educational Attainment Educational Objectives Female Females Frequency distribution Gender Households Humans In Brief Report Internet Male Medical Education Medical schools Medical students Medicine Medicine & Public Health Mental depression Mental disorders Mental Health Minority & ethnic groups Psychiatry Questionnaires Resilience, Psychological Sex Factors Student Surveys Students, Medical - psychology Students, Medical - statistics & numerical data Suicides & suicide attempts Surveys and Questionnaires Women |
| title | Adverse Childhood Experiences in Medical Students: Implications for Wellness |
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