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(By the way, lest you think that the ACE Study was yet another involving inner-city poor people of color, take note: The study’s participants were 17,000 mostly white, middle and upper-middle class college-educated San Diegans with good jobs and great health care – they all belonged to the Kaiser Permanente health maintenance organization.) Here are some specific graphic examples of how increasing ACE scores increase the risk of some diseases, social and emotional problems.
All of these graphs come from “The relationship of adverse childhood experiences to adult health, well being, social function and health care”, a book chapter by Drs.
The content of the questions was based on a number of research studies from the literature over the past 40 years including that of Emmy Werner and others. A secure early childhood is helpful, but not necessary.
A higher number of positive experiences is not necessarily more protective.
Two psychologists in the group, Mark Rains and Kate Mc Clinn, came up with the 14 statements with editing suggestions by the other members of the group.
(Of course, other types of trauma exist that could contribute to an ACE score, so it is conceivable that people could have ACE scores higher than 10; however, the ACE Study measured only 10 types.) As your ACE score increases, so does the risk of disease, social and emotional problems.
For more information about that aspect, check out the interactive graphic COLEVA — Consequences of lifetime exposure to violence and abuse.
Here’s a screen-grab of the home page of that site to give you an idea of how extensive the research is.
With an ACE score of 4 or more, things start getting serious.
The likelihood of chronic pulmonary lung disease increases 390 percent; hepatitis, 240 percent; depression 460 percent; suicide, 1,220 percent.
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Fortunately, brains and lives are somewhat plastic.