Retrospective chart review‐based assessment scale for adverse childhood events and experiences

Abstract Aim Adverse childhood experiences (ACEs) are highly prevalent in the general population, and their lifelong impact on physical and mental health is profound. In assessing ACEs, it is vital to consider the pathways and modalities by which an individual internalizes events as an adverse exper...

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Main Authors: Mika Yamagishi, Yoshihiro Satomura, Hanako Sakurada, Akiko Kanehara, Eisuke Sakakibara, Naohiro Okada, Shinsuke Koike, Sho Yagishita, Kayo Ichihashi, Shinsuke Kondo, Seiichiro Jinde, Masato Fukuda, Kiyoto Kasai
Format: Article
Language:English
Published: Wiley 2022-12-01
Series:PCN Reports
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Online Access:https://doi.org/10.1002/pcn5.58
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author Mika Yamagishi
Yoshihiro Satomura
Hanako Sakurada
Akiko Kanehara
Eisuke Sakakibara
Naohiro Okada
Shinsuke Koike
Sho Yagishita
Kayo Ichihashi
Shinsuke Kondo
Seiichiro Jinde
Masato Fukuda
Kiyoto Kasai
author_facet Mika Yamagishi
Yoshihiro Satomura
Hanako Sakurada
Akiko Kanehara
Eisuke Sakakibara
Naohiro Okada
Shinsuke Koike
Sho Yagishita
Kayo Ichihashi
Shinsuke Kondo
Seiichiro Jinde
Masato Fukuda
Kiyoto Kasai
author_sort Mika Yamagishi
collection DOAJ
description Abstract Aim Adverse childhood experiences (ACEs) are highly prevalent in the general population, and their lifelong impact on physical and mental health is profound. In assessing ACEs, it is vital to consider the pathways and modalities by which an individual internalizes events as an adverse experience and its effects on their biological, psychological, and social function. However, conventional assessments of ACEs are inadequate in that they do not comprehensively assess the source of the adverse event and the pathway and mode of its impact on the individual. Methods This study developed an original scale for ACEs that classifies the source of the event and the pathway and mode of its impact on the individual from a retrospective review of medical charts. We also used this scale to investigate the ACEs in 536 patients with psychiatric disorders (depression, bipolar disorder, and schizophrenia). Results This scale consisted of 28 items, and its reliability and validity were sufficient. We also found that 45.9% of the patients studied had at least one ACE, ranging from 43.5% to 51.5% for all disorders. Psychological trauma (bullying) from peers was the most common cause at 27.2%. Conclusion We developed a retrospective chart review‐based assessment tool for ACEs which enables the examination of the source of the events of ACEs and the pathways and modalities of their impact on the individual. The frequency of ACEs is high regardless of the type of psychiatric disorder, and horizontal trauma (bullying victimization) is as frequent as vertical trauma (parental maltreatment).
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spelling doaj.art-e3d587a6c68642cd910727f3830411002022-12-23T09:10:32ZengWileyPCN Reports2769-25582022-12-0114n/an/a10.1002/pcn5.58Retrospective chart review‐based assessment scale for adverse childhood events and experiencesMika Yamagishi0Yoshihiro Satomura1Hanako Sakurada2Akiko Kanehara3Eisuke Sakakibara4Naohiro Okada5Shinsuke Koike6Sho Yagishita7Kayo Ichihashi8Shinsuke Kondo9Seiichiro Jinde10Masato Fukuda11Kiyoto Kasai12Department of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Structural Physiology, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Psychiatry and Neuroscience Gunma University Graduate School of Medicine Maebashi JapanDepartment of Neuropsychiatry, Graduate School of Medicine The University of Tokyo Tokyo JapanAbstract Aim Adverse childhood experiences (ACEs) are highly prevalent in the general population, and their lifelong impact on physical and mental health is profound. In assessing ACEs, it is vital to consider the pathways and modalities by which an individual internalizes events as an adverse experience and its effects on their biological, psychological, and social function. However, conventional assessments of ACEs are inadequate in that they do not comprehensively assess the source of the adverse event and the pathway and mode of its impact on the individual. Methods This study developed an original scale for ACEs that classifies the source of the event and the pathway and mode of its impact on the individual from a retrospective review of medical charts. We also used this scale to investigate the ACEs in 536 patients with psychiatric disorders (depression, bipolar disorder, and schizophrenia). Results This scale consisted of 28 items, and its reliability and validity were sufficient. We also found that 45.9% of the patients studied had at least one ACE, ranging from 43.5% to 51.5% for all disorders. Psychological trauma (bullying) from peers was the most common cause at 27.2%. Conclusion We developed a retrospective chart review‐based assessment tool for ACEs which enables the examination of the source of the events of ACEs and the pathways and modalities of their impact on the individual. The frequency of ACEs is high regardless of the type of psychiatric disorder, and horizontal trauma (bullying victimization) is as frequent as vertical trauma (parental maltreatment).https://doi.org/10.1002/pcn5.58adverse childhood experiencesassessment scalebullying victimizationmaltreatmentretrospective chart review
spellingShingle Mika Yamagishi
Yoshihiro Satomura
Hanako Sakurada
Akiko Kanehara
Eisuke Sakakibara
Naohiro Okada
Shinsuke Koike
Sho Yagishita
Kayo Ichihashi
Shinsuke Kondo
Seiichiro Jinde
Masato Fukuda
Kiyoto Kasai
Retrospective chart review‐based assessment scale for adverse childhood events and experiences
PCN Reports
adverse childhood experiences
assessment scale
bullying victimization
maltreatment
retrospective chart review
title Retrospective chart review‐based assessment scale for adverse childhood events and experiences
title_full Retrospective chart review‐based assessment scale for adverse childhood events and experiences
title_fullStr Retrospective chart review‐based assessment scale for adverse childhood events and experiences
title_full_unstemmed Retrospective chart review‐based assessment scale for adverse childhood events and experiences
title_short Retrospective chart review‐based assessment scale for adverse childhood events and experiences
title_sort retrospective chart review based assessment scale for adverse childhood events and experiences
topic adverse childhood experiences
assessment scale
bullying victimization
maltreatment
retrospective chart review
url https://doi.org/10.1002/pcn5.58
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