Face the ACEs


What are ACEs and what is their impact?

The foundations of lifelong health
are built in childhood

Harvard Medical School

Your health is on the line

Recently, researchers from leading health organizations[1] have found that there are very strong links between (often unnoticed) adverse childhood experiences (ACEs) and the toxic stress they generate, and extensive long-term negative health effects within the population.

The ACE Effects Pyramid
(by Charles Whitfield, M.D.)

Being exposed to a wide range of adverse childhood experiences can ultimately be a significant contributing factor of early death, through having negatively influenced the physiological, mental, and social wellbeing of a person throughout a lifetime.

For example, people who have experienced high levels of trauma are at triple the risk for heart disease and lung cancer than people who haven't.[2]

Having been exposed to 6 or more ACEs results in a life expectancy that's as much as 20 years lower than people who have been exposed to none.[3]

For those exposed to a narrower range of ACEs - or being less exposed and better supported - the consequences may be less lethal, but none the less still very severe throughout a lifetime.

ACEs are generally regarded as significant factors in the development of poor mental and physiological health coping mechanisms, in difficulties with building social support networks, in challenges completing school and further education, in the risk of contracting sexually transmitted diseases - and much more.

As such, the effects of ACEs can be passed down through generations by the ongoing presence of social, mental, or physiological issues within families.

Even more profoundly, science is accumulating evidence that adverse childhood effects may have an epigenetic impact, thus potentially affecting the DNA passed on from generation to generation.[4]


Didn't we know this?

Yes and no.

Before the ACE study was conducted there had been a lot of research into the effects of genetics, environment, and upbringing on long-term health, wealth, social coherence (and other such topics) which pointed in this direction.

However, the effects of adverse childhood effects weren't clear and well-understood before the results of the ACE study arrived - and the results were pretty shocking in their extent and influence.


What can you do?

If you have been exposed to one or more adverse childhood effects (about 60% of Californians have been exposed to at least one), you can do a lot to alleviate the effects of them on your life.

By gaining more knowledge about ACEs, and by building mental and physical resiliency, you can gain the skills needed to minimize the prevalence of ACEs and their effects on your own life - and on the life of your children.

» Read more on how to beat the ACEs on the page "Beat the ACEs" on this website.


What is being done?

As a result of the extensive research into the topic of ACEs (which has primarily taken place in the United States), a lot of goverment, non-profit, and private organizations are beginning to implement pediatric initiatives that seek to lessen children's exposure to ACEs and to alleviate the effects in adults who have experienced them. Often these initatives have very good results.

In Scandinavia (Northern Europe), which has for a long time had a strong societal focus on supporting children's needs, on narrowing social and wealth gap through wealth distribution, free healthcare and free education services, we see that there has not been the same public discussion on the results of the ACE study.

This is especially important as many of the ACEs occur not as the direct result of the presence or lack of a certain level of societal welfare, but as the result of social, mental, and somatic problems within a family leading to significant toxic stress. Some of these problems can, in turn, be founded in adverse socioeconomic factors, but good parenting - or the lack of it - remains one of the biggest factors determining the level of toxic stress experienced by the child, regardless of socioeconomic factors.

Additionally, lifestyle and mental problems like stress, depression, and anxiety is on the rise these years across the world, affecting millions of children and adults alike. Having experienced toxic stress - and much likely not having had the opportunities to develop very strong and healthy stress-coping skills - handling other forms of stress can become especially challenging to people with adverse childhood experiences.

Therefore, we believe that curating and spreading knowledge about the causes and effects of ACEs can help people individually, and society as a whole, in developing better ways of coping, caring, and helping, thus minimizing the prevalence and spread of ACEs.


Further resources

The Adverse Childhood Experiences Study

Huffington Post

The ACE Study - probably the most important public health study you never heard of

Foundations of lifelong health are built in early childhood

Harvard Center on the Developing Child

Read the PDF from Harvard on the profound effects on ACEs on lifelong health

Why the Most Significant Factor in Predicting Chronic Disease May Be Childhood Trauma

National Institute for the Clinical Application of Behavioral Medicine

A PDF transcript of a teleseminar session with Vincent Felitti. MD and Ruth Buczynski, PhD

Adverse Childhood Experiences and the Lifelong Consequences of Trauma

American Academy of Pediatrics

Read the PDF from the American Academy of Pediatrics on the findings of the ACE Study

Getting in-depth with the ACE Study findings

Center for Disease Control (CDC)

Explore the science behind the ACE Study, and get in-depth information about the medical effects of ACEs

Adverse childhood events linked to premature death

NHS (UK Goverment)

Traumatic childhoods increase the risk of death before the age of 50 by up to 80%

Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence

Center for Disease Control (CDC)

Research on the connections between different forms of violence and describe how these connections affect communities

The Effects of Childhood Stress on Health Across the Lifespan

Center for Disease Control (CDC)

The Effects of Childhood Stress on Health Across the Lifespan is a publication in PDF format by the CDC

Aces Too High

AcesTooHigh.com

ACESTooHigh is the leading news site relating to prevention and effects of adverse childhood effects

acestudy.org

Health Presentations

A website created by the authors behind the ACE Study with a lot of learning resources

ADHD and trauma go hand-in-hand (Danish)

Psygo.dk

A report on the Montefiore children's hospital study describing a link between ADHD and ACE exposure

Early Experiences Can Alter Gene Expression and Affect Long-Term Development

Psygo.dk

A report on the Montefiore children's hospital study describing a link between ADHD and ACE exposure

Childhood Adversity and Epigenetic Modulation

plos.org

An academic paper describing possible epigenetic links between ACEs and gene expression

Long Term Physical Health Consequences of Adverse Childhood Experiences

Harvard Center on the Developing Child

New scientific research shows that environmental influences can actually affect whether and how genes are expressed.

The Lifelong Effects of Early Childhood Adversity and Toxic Stress

American Academy of Pediatrics

A paper describing the lifelong effects of early childhood adversity and toxic stress

The Lifelong Effects of Early Childhood Adversity and Toxic Stress

American Academy of Pediatrics

A paper describing the lifelong effects of early childhood adversity and toxic stress

The Aftermath of Adverse Childhood Experiences: Posttraumatic Stress Disorder and Beyond

Dr. Ruth Lanius, the Alberta Family Wellness Initiative

A presentation describing the PTSD and suffering often associated with ACEs

Responding to Adverse Childhood Experiences

Ohio Association for Infant Mental Health

A PDF describing possible ways to address the long-term effects of ACES

Adverse Childhood Experiences: National and State-level Prevalence

Child Trends

A PDF describing the prevalence of ACEs in the US

Adverse Childhood Experiences among New York’s Adults

New York Council on Children and Families

A PDF describing a study of the impact of ACEs on population groups in New York City

Adverse Childhood Experiences among New York’s Adults

SAMHSA’s GAINS Center

How Being Trauma-Informed Improves Criminal Justice System Responses

Invisible Children (book)

Mike Tikkanen

A very recommended (free/donation-based) book on the negative impact of adverse childhood effects within society

Adverse childhood events appear to increase the risk of being a hypertensive adult

Science Blog / Georgia Regents University

Research findings from a cardiovascular research initiative


Footnotes

[1] Among others The Center for Disease Control (CDC) and Kaiser Permanente
[2] Pediatrician Nadine Burke Harris in her MedTED talk: How Childhood Trauma Affects Health Across a Lifetime
[3] Early Experiences Can Alter Gene Expression and Affect Long-Term Development
[4] The CDC: "Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence"