Potential Points of Intervention to Minimize the Impact of Parents' Adverse Childhood Experiences on Child Mental Health

Gretchen J Buchanan; Allan D. Tate; Andrew Barnes; Amanda C Trofholz; Jerica M. Berge

doi:10.1097/DBP.0000000000001140

Potential Points of Intervention to Minimize the Impact of Parents' Adverse Childhood Experiences on Child Mental Health

Gretchen J Buchanan, Allan D. Tate, Andrew Barnes, Amanda C Trofholz, Jerica M. Berge

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Objective:Children of parents who experienced adverse childhood experiences (ACEs) are at elevated risk for mental health (MH) issues. The goal of this study was to explore the relationships between parent ACEs and child MH and to identify potential mediators and points of psychosocial intervention.Methods:Participants were 1307 children aged 5 to 9 years from diverse backgrounds and their primary caregivers. Using cross-sectional questionnaire data, we used structural equation modeling to examine the research questions.Results:Parent ACEs were directly related to child MH issues (β = 0.189, p < 0.001). This relationship was fully mediated by parent MH (β = 0.374, p < 0.001; β = 0.246, p < 0.001) and positive parenting behaviors (β = -0.237, p < 0.001; β = -0.556, p < 0.001). High parent ACEs were negatively associated with parent MH (β = 0.374, p < 0.001), which was then negatively associated with parenting behaviors (β = -0.500, p < 0.001), which was then negatively associated with child MH (β = -0.600, p < 0.001). Parent MH maintained a significant, though attenuated, direct relationship with child MH (β = 0.102, p < 0.05).Conclusion:Parents with high ACEs but who have good mental health and positive parenting behaviors demonstrated no impact of their ACEs on their children's mental health. Providing MH care to parents and parenting programs may be strategies for improving children's MH. Parenting behavior assessment is recommended for clinicians when pediatric patients present with MH concerns.

Original language	English (US)
Pages (from-to)	E24-E31
Journal	Journal of Developmental and Behavioral Pediatrics
Volume	44
Issue number	1
DOIs	https://doi.org/10.1097/DBP.0000000000001140
State	Published - Jan 1 2023

Bibliographical note

Funding Information:
Supported by the National Heart, Lung, and Blood Institute (Grant No. R01HL126171; PI: J. M. Berge). In addition, the first author was supported by the National Institutes of Health's National Center for Advancing Translational Sciences, Grant Nos. TL1R002493 (PI: Jayne Fulkerson) and UL1TR002494 (PI: Bruce Blazar) at the University of Minnesota, and the National Institute of Mental Health Grant No. T32MH019960 at Washington University (PI: Leopoldo J. Cabassa). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health's National Heart, Lung, and Blood Institute; National Center for Advancing Translational Sciences; or National Institute of Mental Health.

Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.

Keywords

adverse childhood experiences
child behavior
parent mental health
parenting

PubMed: MeSH publication types

Journal Article
Research Support, N.I.H., Extramural

Publisher link

10.1097/DBP.0000000000001140

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title = "Potential Points of Intervention to Minimize the Impact of Parents' Adverse Childhood Experiences on Child Mental Health",

abstract = "Objective:Children of parents who experienced adverse childhood experiences (ACEs) are at elevated risk for mental health (MH) issues. The goal of this study was to explore the relationships between parent ACEs and child MH and to identify potential mediators and points of psychosocial intervention.Methods:Participants were 1307 children aged 5 to 9 years from diverse backgrounds and their primary caregivers. Using cross-sectional questionnaire data, we used structural equation modeling to examine the research questions.Results:Parent ACEs were directly related to child MH issues (β = 0.189, p < 0.001). This relationship was fully mediated by parent MH (β = 0.374, p < 0.001; β = 0.246, p < 0.001) and positive parenting behaviors (β = -0.237, p < 0.001; β = -0.556, p < 0.001). High parent ACEs were negatively associated with parent MH (β = 0.374, p < 0.001), which was then negatively associated with parenting behaviors (β = -0.500, p < 0.001), which was then negatively associated with child MH (β = -0.600, p < 0.001). Parent MH maintained a significant, though attenuated, direct relationship with child MH (β = 0.102, p < 0.05).Conclusion:Parents with high ACEs but who have good mental health and positive parenting behaviors demonstrated no impact of their ACEs on their children's mental health. Providing MH care to parents and parenting programs may be strategies for improving children's MH. Parenting behavior assessment is recommended for clinicians when pediatric patients present with MH concerns.",

keywords = "adverse childhood experiences, child behavior, parent mental health, parenting",

author = "Buchanan, \{Gretchen J\} and Tate, \{Allan D.\} and Andrew Barnes and Trofholz, \{Amanda C\} and Berge, \{Jerica M.\}",

note = "Funding Information: Supported by the National Heart, Lung, and Blood Institute (Grant No. R01HL126171; PI: J. M. Berge). In addition, the first author was supported by the National Institutes of Health's National Center for Advancing Translational Sciences, Grant Nos. TL1R002493 (PI: Jayne Fulkerson) and UL1TR002494 (PI: Bruce Blazar) at the University of Minnesota, and the National Institute of Mental Health Grant No. T32MH019960 at Washington University (PI: Leopoldo J. Cabassa). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health's National Heart, Lung, and Blood Institute; National Center for Advancing Translational Sciences; or National Institute of Mental Health. Publisher Copyright: {\textcopyright} 2023 Lippincott Williams and Wilkins. All rights reserved.",

year = "2023",

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doi = "10.1097/DBP.0000000000001140",

language = "English (US)",

volume = "44",

pages = "E24--E31",

journal = "Journal of Developmental and Behavioral Pediatrics",

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T1 - Potential Points of Intervention to Minimize the Impact of Parents' Adverse Childhood Experiences on Child Mental Health

AU - Buchanan, Gretchen J

AU - Tate, Allan D.

AU - Barnes, Andrew

AU - Trofholz, Amanda C

AU - Berge, Jerica M.

N1 - Funding Information: Supported by the National Heart, Lung, and Blood Institute (Grant No. R01HL126171; PI: J. M. Berge). In addition, the first author was supported by the National Institutes of Health's National Center for Advancing Translational Sciences, Grant Nos. TL1R002493 (PI: Jayne Fulkerson) and UL1TR002494 (PI: Bruce Blazar) at the University of Minnesota, and the National Institute of Mental Health Grant No. T32MH019960 at Washington University (PI: Leopoldo J. Cabassa). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health's National Heart, Lung, and Blood Institute; National Center for Advancing Translational Sciences; or National Institute of Mental Health. Publisher Copyright: © 2023 Lippincott Williams and Wilkins. All rights reserved.

PY - 2023/1/1

Y1 - 2023/1/1

N2 - Objective:Children of parents who experienced adverse childhood experiences (ACEs) are at elevated risk for mental health (MH) issues. The goal of this study was to explore the relationships between parent ACEs and child MH and to identify potential mediators and points of psychosocial intervention.Methods:Participants were 1307 children aged 5 to 9 years from diverse backgrounds and their primary caregivers. Using cross-sectional questionnaire data, we used structural equation modeling to examine the research questions.Results:Parent ACEs were directly related to child MH issues (β = 0.189, p < 0.001). This relationship was fully mediated by parent MH (β = 0.374, p < 0.001; β = 0.246, p < 0.001) and positive parenting behaviors (β = -0.237, p < 0.001; β = -0.556, p < 0.001). High parent ACEs were negatively associated with parent MH (β = 0.374, p < 0.001), which was then negatively associated with parenting behaviors (β = -0.500, p < 0.001), which was then negatively associated with child MH (β = -0.600, p < 0.001). Parent MH maintained a significant, though attenuated, direct relationship with child MH (β = 0.102, p < 0.05).Conclusion:Parents with high ACEs but who have good mental health and positive parenting behaviors demonstrated no impact of their ACEs on their children's mental health. Providing MH care to parents and parenting programs may be strategies for improving children's MH. Parenting behavior assessment is recommended for clinicians when pediatric patients present with MH concerns.

AB - Objective:Children of parents who experienced adverse childhood experiences (ACEs) are at elevated risk for mental health (MH) issues. The goal of this study was to explore the relationships between parent ACEs and child MH and to identify potential mediators and points of psychosocial intervention.Methods:Participants were 1307 children aged 5 to 9 years from diverse backgrounds and their primary caregivers. Using cross-sectional questionnaire data, we used structural equation modeling to examine the research questions.Results:Parent ACEs were directly related to child MH issues (β = 0.189, p < 0.001). This relationship was fully mediated by parent MH (β = 0.374, p < 0.001; β = 0.246, p < 0.001) and positive parenting behaviors (β = -0.237, p < 0.001; β = -0.556, p < 0.001). High parent ACEs were negatively associated with parent MH (β = 0.374, p < 0.001), which was then negatively associated with parenting behaviors (β = -0.500, p < 0.001), which was then negatively associated with child MH (β = -0.600, p < 0.001). Parent MH maintained a significant, though attenuated, direct relationship with child MH (β = 0.102, p < 0.05).Conclusion:Parents with high ACEs but who have good mental health and positive parenting behaviors demonstrated no impact of their ACEs on their children's mental health. Providing MH care to parents and parenting programs may be strategies for improving children's MH. Parenting behavior assessment is recommended for clinicians when pediatric patients present with MH concerns.

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Potential Points of Intervention to Minimize the Impact of Parents' Adverse Childhood Experiences on Child Mental Health

Abstract

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