- Cody Hostutler, PhD, Pediatric Psychologist, Nationwide Children’s Hospital & The Ohio State University, Columbus, OH
- Tyanna Snider, PsyD, Pediatric Psychologist, Nationwide Children’s Hospital, Columbus, OH
- Rebecca Grant, MD, Ohio State University, Wexner Medical Center, Columbus, OH
- Michele Oyortey, MD, Physician, Nationwide Children’s Hospital, Columbus, OH
Adverse Childhood Experiences (ACEs) are highly prevalent, stressful or traumatic events (e.g., abuse, neglect, household dysfunction) experienced in childhood and are related to negative academic, physical, and mental health outcomes in children, teens, and adults. However, there is limited understanding about the ways in which ACEs lead to negative outcomes and which children who experience ACEs will develop negative health outcomes. This project is currently implementing psychological flexibility and ACEs screening during teenage well-care visits using QI methodology. Screening data are being analyzed to determine whether higher levels of psychological flexibility was associated with reduced risk of negative health outcomes for adolescents who have experienced ACEs.
- Identify common barriers to conducting research in integrated primary care, particularly for an early career provider.
- Describe how QI methods can be used to support implementation of screening for ACEs and Psychological Flexibility
- Describe the relationship between ACEs, psychological flexibility, and negative health outcomes
- Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical psychology review, 30(7), 865-878.
- Kerker, B. D., Zhang, J., Nadeem, E., Stein, R. E., Hurlburt, M. S., Heneghan, A., ... & Horwitz, S. M. (2015). Adverse childhood experiences and mental health, chronic medical conditions, and development in young children. Academic pediatrics, 15(5), 510-517.
- Gilbert, L. K., Breiding, M. J., Merrick, M. T., Thompson, W. W., Ford, D. C., Dhingra, S. S., & Parks, S. E. (2015). Childhood adversity and adult chronic disease. American journal of preventive medicine, 48(3), 345-349.
- Greco,L. & Lambert, W., & Baer, R. (2008). Psychological Inflexibility in Childhood and Adolescence: Development and Evaluation of the Avoidance and Fusion Questionnaire for Youth. Psychological Assessment. 20. 93-102. 10.1037/1040-35184.108.40.206.
- American Academy of Pediatrics (2014). Addressing adverse childhood experiences and other types of trauma in the primary care setting. https://www.aap.org/en-us/Documents/ ttb_addressing_aces.pdf.