Abstract
Adverse childhood experiences (ACEs) have been shown to have consequences for adolescent development, yet little is known about the association between ACEs and positive functioning. Positive functioning evaluates engagement, perseverance, optimism, connectedness, and happiness, which are intimately related to pro-social behavior. As skills associated with sociability in adolescence often carry on into adulthood, understanding the developmental origins in inequalities in pro-social behavior, as measured by positive functioning, is key to ensuring equitable life chances across the life course. Subsequently, the Fragile Families and Child Wellbeing Study (FFCWS; n = 3444) was used to examine how early exposure to cumulative ACEs, plus the timing and duration of those ACEs may be associated with positive functioning development in adolescence. The sample consisted of urban-born youth (49% female) with the mean age of 15. Racial/ethnic breakdown of the sample is 18% non-Hispanic White, 49% non-Hispanic Black, 25% Hispanic, and 8% “Other”. Overall, estimates suggest that roughly 88% of these youth experienced at least one ACE by age five. The findings indicate that cumulation, timing, and duration of early ACEs are related to overall adolescent positive functioning and four out of the five domains (perseverance, optimism, connectedness, and happiness), even after controlling for more recent ACEs. This study highlights the critical impact of very early ACEs on youth positive functioning, which may confer further physical, mental, and social disadvantages into adulthood. Positive functioning can serve as a protective factor against some of the negative consequences of adversity, and ensuring that all families receive proper supports may limit the lifelong effects of adversity, and most importantly, prevent ACEs from occurring in the first place.
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Notes
OLS regression assumptions (i.e., homoscedasticity, multicollinearity, checking normality of the residuals) were assessed for the full positive functioning scale as well as each of the five domain subscales. The results from the tests indicate that OLS regression assumptions were not violated.
References
Anda, R. F., Porter, L. E., & Brown, D. W. (2020). Inside the adverse childhood experience score: strengths, limitations, and misapplications. American Journal of Preventive Medicine, 59(2), 293–295.
Bengtson, V. L., Elder, G. H. J., & Putney, N. M. (2005). The life course perspective on ageing: linked lives, timing, and history. In M. L. Johnson (ed.), The Cambridge handbook of age and ageing. Cambridge: Cambridge University Press.
Broekhofa, R., Rius-Ottenheima, N., Spinhoven, P., van der Mast, R. C., Penninx, B. W. J. H., Zitman, F. G., & Giltay, E. J. (2015). Long-lasting effects of affective disorders and childhood trauma on dispositional optimism. Journal of Affective Disorders, 175, 351–358.
Brunzell, T., Stokes, H., & Waters, L. (2015). Trauma-informed positive education: using positive psychology to strengthen vulnerable students. Contemporary School Psychology, 20, 63–83.
Bucci, M., Marques, S. S., Oh, D., & Harris, N. B. (2016). Toxic stress in children and adolescents. Advances in Pediatrics, 63(1), 403–428.
Casas, F. (2011). Subjective social indicators and child and adolescent wellbeing. Child Indicators Research, 4, 555–575. https://doi.org/10.1007/s12187-010-9093-z.
Chaverri, J., Praetorius, R. T., & Ruiz, E. (2018). Counselor happiness: effects of therapy work with similar trauma. Social Work in Mental Health, 16(4), 419–435.
Chen, E., & Miller, G. E. (2012). Shift and persist strategies: why low socioeconomic status isn’t always bad for health. Perspectives on Psychological Science, 7, 2.
Cherry, K. E., Sampson, L., Galea, S., Marks, L. D., Nezat, P. F., Baudoin, K. H., & Lyon, B. A. (2017). Optimism and hope after multiple disasters: relationships to health-related quality of life. Journal of Loss and Trauma, 22, 1.
Cloitre, M., Stolbach, B. C., Herman, J. L., van der Kolk, B., Pynoos, R., Wang, J., & Petkova, E. (2009). A developmental approach to complex PTSD: childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22(5), 399–408.
Contractor, A. A., Brown, L. A., & Weiss, N. H. (2018). Relation between lifespan polytrauma typologies and post-trauma mental health. Comprehensive Psychiatry, 80, 202–213.
Crouch, E., Probst, J. C., Radcliff, E., Bennett, K. J., & McKinney, S. A. (2019). Prevalence of adverse childhoodexperiences (ACEs) among US children. Child Abuse & Neglect 92, 209–218.
Dannefer, D. (2011). Age, the life course, and the sociological imagination: prospects for theory. In Handbook of aging and the social sciences (pp. 3–16). Elsevier.
Dunn, E. C., Soare, T. W., Zhu, Y., Simpkin, A. J., Suderman, M. J., & Klengel, T., et al. (2019). Sensitive periods for the effect of childhood adversity on DNA methylation: results from a prospective, longitudinal study. Biological Psychiatry, 85(10), 838–849.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.
Forehand, R., Wierson, M., Thomas McCombs, A., Armistead, L., Kempton, T., & Neighbors, B. (1991). The role of family stressors and parent relationships on adolescent functioning. Journal of the American Academy of Child & Adolescent Psychiatry, 30(2), 316–322.
Forster, M., Gower, A. L., McMorris, B. J., & Borowsky, I. W. (2020). Adverse childhood experiences and school-based victimization and perpetration. Journal of Interpersonal Violence, 35(3-4), 662–681.
Gallus, K. L. S., Shreffler, K. M., Merten, M. J., & Cox, R. B. J. (2014). Interpersonal trauma and depressive symptoms in early adolescents: exploring the moderating roles of parent and school connectedness. Journal of Early Adolescence, 35(7), 990–1013.
Graham, J. W., Olchowski, A. E., & Gilreath, T. D. (2007). How many imputations are really needed? Some practical clarifications of multiple imputation theory. Prevention Science, 8, 206–213.
van Harmelen, A. L., Kievit, R. A., Ioannidis, K., Neufeld, S., Jones, P. B., Bullmore, E., Dolan, R., Fonagy, P., & Goodyer, I., The NSPN Consortium. (2017). Adolescent friendships predict later resilient functioning across psychosocial domains in a healthy community cohort. Psychological Medicine, 47, 13.
Hawkins, D., Kosterman, R., & Catalano, R. F. (2005). Promoting positive adult functioning through social development intervention in childhood. Long term effects from the Seattle Social Development Project. JAMA Pediatrics, 159(1), 25–31.
Hawkins, D., & Weis, J. G. (2015). The social development model: an integrated approach to delinquency prevention. Book: Developmental and Life-course Criminological Theories. Routledge.
Huang, C. C., Chen, Y., Cheung, S., Hu, H., & Wang, E. (2021). Adverse childhood experiences, mindfulness, and happiness in chinese college students During the COVID-19 Pandemic. Child and Family Social Work, 26(4), 677–686.
Hunt, T. K. A., Slack, K. S., & Berger, L. M. (2017). Adverse childhood experiences and behavioral problems in middle childhood. Child Abuse & Neglect, 67, 391–402.
Jackson, D. B., Testa, A., & Vaughn, M. G. (2021). Adverse childhood experiences and school readiness among preschool-aged children. The Journal of Pediatrics, 230, 191–197.
Jimenez, M. E., Wade, Jr., R., Schwartz-Soicher, O., Lin, Y., & Reichman, N. E. (2017). Adverse childhood experiences and ADHD diagnosis at age 9 years in a national urban sample. Academic Pediatrics, 17(4), 356–361.
Joseph, S., & Wood, A. (2010). Assessment of positive functioning in clinical psychology: theoretical and practical issues. Clinical Psychology Review, 30(7), 830–838.
Kern, M. L., Steinberg, E. A., Benson, L., & Steinberg, L. (2016). The EPOCH measure of adolescent well-being. Psychological Assessment, 28(5), 586–597.
Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H. U. (1998). The world health organization composite international diagnostic interview short-form (CIDI-SF). International Journal of Methods in Psychiatric Research,, 7(4), 171–185.
Kosterman, R., Mason, W. A., Haggerty, K. P., Hawkins, D. J., Spoth, R., & Redmond, C. (2011). Positive childhood experiences and positive adult functioning: prosocial continuity and the role of adolescent substance use. Journal of Adolescent Health, 49(2), 180–186.
Kubzansky, L. D., Boehm, J. K., & Segerstrom, S. C. (2015). Positive psychological functioning and the biology of health. Social and Personality Psychology Compass, 9(12), 645–660.
Langley, A., Santiago, C. D., Rodriguez, A., & Zelaya, J. (2013). Improving implementation of mental health services for trauma in multicultural elementary schools: stakeholder perspectives on parent and educator engagement. The Journal of Behavioral Health Services & Research, 40, 247–262.
Larkin, H., Felitti, V. J., & Anda, R. F. (2014). Social work and adverse childhood experiences research: implications for practice and health policy. Social Work in Public Health, 29(1), 1–16.
Lensch, T., Clements-Nolle, K., Oman, R. F., Evans, W. P., Lu, M., & Yang, W. (2021). Adverse childhood experiences and suicidal behaviors among youth: the buffering influence of family communication and school connectedness. Journal of Adolescent Health, 68(5), 945–952.
Mayer, K. U. (2009). New directions in life course research. Annual Review of Sociology, 35, 413–433.
Maurer, M. M., Daukantaite, D., & Hoff, E. (2021). Testing the psychometric properties of the Swedish version of the EPOCH measure of adolescent well-being. Plos One, 16(10), e0259191.
McDonald, S. W., Madigan, S., Racine, N., Benzies, K., Tomfohr, L., & Tough, S. (2019). Maternal childhood experiences, mental health, and child behavior at age 3: the all our families community cohort study. Preventive Medicine, 118, 286–294.
McLennan, J. D., MacMillan, H. L., & Afifi, T. O. (2020). Questioning the use of adverse childhood experiences (ACEs) questionnaires. Child Abuse & Neglect, 101, 104331.
Merrick, M. T., Ports, K. A., Ford, D. C., Afifi, T. O., Gershoff, E. T., & Grogan-Kaylor, A. (2017). Unpacking the impact of adverse childhood experiences on adult mental health. Child Abuse & Neglect, 69, 10–19.
Nguyen, M. N., Watanabe-Galloway, S., Hill, J. L., Siahpush, M., Tibbits, K. S., & Wichman, C. (2019). Ecological model of school engagement and attention-deficit/hyperactivity disorder in school-aged children. European Child Adolescent Psychiatry, 28, 795–805.
Nurius, P. S., Green, S., Logan-Greene, P., Longhi, D., & Song, C. (2016). Stress pathways to health inequalities: embedding ACEs within social and behavioral contexts. International Public Health Journal, 8(2), 241–256.
Ogle, C. M., Rubin, D. C., & Siegler, I. C. (2013). The impact of the developmental timing of trauma exposure on PTSD symptoms and psychosocial functioning among older adults. Developmental Psychology, 49(11), 2191–2200.
Oesterle, S., Hill, K. G., Hawkins, D., & Abbott, R. D. (2008). Positive functioning and alcohol-use disorders from adolescence to young adulthood. Journal of Studies on Alchohol and Drugs, 69(1), 100–111.
Park, C., Hyung, K., Lee, J. W., Lee, S. Y., Shim, S.-H., Moon, J.-J., Paik, J.-W., Cho, S.-J., Kim, S. G., Kim, M.-H., Kim, S., Park, J.-H., You, S., Jeon, H. J., & Ahn, Y. M. (2018). Implications of increased trait impulsivity on psychopathology and experienced stress in the victims of early trauma with suicidality. The Journal of Nervous and Mental Disease, 206(11), 840–849.
Patten, S. B., Brandon-Christine, J., Devji, J., & Sedmak, B. (2000). Performance of the composite international diagnostic interview short form for major depression in a community sample. Chronic Diseases in Canada, 21(2), 68–72.
Pierce, H., & Jones, M. S. (2022). Gender differences in the accumulation, timing, and duration of childhood adverse experiences and youth delinquency in fragile families. Journal of Research in Crime and Delinquency, 59(1), 3–43.
Pierce, H., Jones, M. S., & Gibbs, B. G. (2022). Early adverse childhood experiences and exclusionary discipline in high school. Social Science Research, 101, 102621.
Reichman, N. E., Teitler, J. O., Garfinkel, I., & McLanahan, S. S. (2001). Fragile families: sample and design. Children and Youth Services Review,, 23(4-5), 303–326.
Roberts, R. E. L., & Bengston, V. L. (1996). Affective ties to parents in early adulthood and self-esteem across 20 years. Social Psychology Quarterly, 59, 96–106.
Sacks, V., & Murphey, D. (2018). The prevalence of adverse childhood experiences, nationality, by state, and my race or ethnicity. Child Trend. Retrieved November 7, 2022. https://www.childtrends.org/publications/prevalence-adverse-childhood-experiences-nationally-state-race-ethnicity.
Schalinski, I., Teicher, M. H., Nischk, D., Hinderer, E., Müller, O., & Rockstroh, B. (2016). Type and timing of adverse childhood experiences differentially affect severity of PTSD, dissociative and depressive symptoms in adult inpatients. BMC Psychiatry, 16, 295.
Schroeder, A., Slopen, N., & Mittal, M. (2020). Accumulation, timing, and duration of early childhood adversity and behavior problems at age 9. Journal of Clinical Child & Adolescent Psychology, 49(1), 36–49.
Segovia, F., Moore, J. L., Linnville, S. E., Hoyt, R. E., & Hain, R. E. (2012). Optimism Ppedicts resilience in repatriated prisoners of war: a 37-year longitudinal study. Journal of Traumatic Stress, 25(3), 330–336.
Soyunmez, S., & Oz, H. S. (2022) Childhood traumatic experiences and happiness of nursing students: a mixed methods study. Child Maltreatment. https://doi.org/10.1177/10775595221143530.
Sheikh, I. S.,Alsubaie, M. K., Dolezal, M. L., Walker, R. S., Rosencrans, P. L., Peconga, E., Holloway, A., Bentley, J. A., & Zoellner. L. A. (2021). The role of social connectedness in buffering the effects of discrimination on post-trauma cognitions in forcibly displaced Muslims. Psychological Trauma: Theory, Research, Practice, and Policy. https://doi.org/10.1037/tra0001070.
Song, W., & Qian, X. (2020). Adverse childhood experiences and teen sexual behaviors: the role of self-regulation school-related factors. Journal of School Health, 90(11), 830–841.
Sosnowski, D. W., Musci, R. J., & Johnson, S. B. (2021). Positive functioning moderates the association between classes of adverse childhood experiences and adolescent depressive symptoms. Adversity and Resilience Science, 2, 157–168.
Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998). Identification of child maltreatment with the parent-child conflict tactics scales: Development and psychometric data for national sample of American parents. Child Abuse & Neglect, 22(4), 249–270.
Wang, X., Wu, O., & Phelps, B. J. (2021) How do fathers help? A moderation analysis of the association between adverse childhood experiences and child behavioral health in fragile families. Child Psychiatry & Human Development, 53(4), 754–764.
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We would like to thank Lance Erickson for his crucial help with revisions to this manuscript.
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H.P. conceived of the study, participated in its design and coordination and drafted the manuscript; M.S.J. participated in the design and interpretation of the data and mentored the performance of the statistical analysis; H.S. drafted portions of the manuscript; and M.H. performed initial drafts of the statistical analysis. All authors approved the final manuscript.
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The data that support the findings of this study are available upon application from Fragile Families and Child Wellbeing at https://fragilefamilies.princeton.edu/.
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Pierce, H., Jones, M.S., Shoaf, H. et al. Early Adverse Childhood Experiences and Positive Functioning during Adolescence. J Youth Adolescence 52, 913–930 (2023). https://doi.org/10.1007/s10964-022-01729-8
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DOI: https://doi.org/10.1007/s10964-022-01729-8