A review of primary care interventions to improve health outcomes in adult survivors of adverse childhood experiences
Language: 
English
Abstract: 

Research has consistently demonstrated a link between the experience of adverse childhood experiences (ACEs) and adult health conditions, including mental and physical health problems. While a focus on the prevention or mitigation of adversity in childhood is an important direction of many programs, many individuals do not access support services until adulthood, when health problems may be fairly engrained. It is not clear which interventions have the strongest evidence base to support the many adults who present to services with a history of ACEs. The current review examines the evidence base for psychosocial interventions for adults with a history of ACEs. The review focuses on interventions that may be provided in primary care, as that is the setting where most patients will first present and are most likely to receive treatment. A systematic review of the literature was completed using PsycInfo and PubMed databases, with 99 studies identified that met inclusion and exclusion criteria. These studies evaluated a range of interventions with varying levels of supportive evidence. Overall, cognitive-behavioral therapies (CBT) have the most evidence for improving health problems - in particular, improving mental health and reducing health-risk behaviors - in adults with a history of ACEs. Expressive writing and mindfulness-based therapies also show promise, whereas other treatments have less supportive evidence. Limitations of the current literature base are discussed and research directions for the field are provided.

Author(s): 
Korotana, Laurel M.
Dobson, Keith S.
Pusch, Dennis
Josephson, Trevor
Item Type: 
Journal Article
Publication Title: 
Clinical Psychology Review
Journal Abbreviation: 
Clin Psychol Rev
Publication Date: 
2016-06
Publication Year: 
2016
Pages: 
59-90
Volume: 
46
ISSN: 
1873-7811
DOI: 
10.1016/j.cpr.2016.04.007
Library Catalog: 
PubMed
Extra: 
PMID: 27179348

Turabian/Chicago Citation

Laurel M. Korotana, Keith S. Dobson, Dennis Pusch and Trevor Josephson. 2016-06. "A review of primary care interventions to improve health outcomes in adult survivors of adverse childhood experiences." Clinical Psychology Review 46: 59-90. 10.1016/j.cpr.2016.04.007.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1016/j.cpr.2016.04.007 | issn = 1873-7811 | volume = 46 | pages = 59-90 | last = Korotana | first = Laurel M. | coauthors = Dobson, Keith S., Pusch, Dennis, Josephson, Trevor | title = A review of primary care interventions to improve health outcomes in adult survivors of adverse childhood experiences | journal = Clinical Psychology Review | date = 2016-06 | pmid = | pmc = }} </ref>