Official websites use. Share sensitive information only on official, secure websites. The negative effect of adverse childhood experiences ACEs on physical and mental health has led to calls for routine screening for ACEs in primary care settings.
We analyzed data from mother-and-child dyads participating in the All Our Families cohort in Calgary, Canada, between and Data were collected for factors related to the individual child sex, age, temperament and behaviour , the mother adverse childhood experiences, mental health, personality and parenting and sociodemographic characteristics family income, ethnicity and family structure when the children were 3 and 5 years of age.
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Data were available for mother-and-child dyads. However, these associations were attenuated with adjustment. Persistent maternal mental health symptoms were associated with both externalizing and internalizing behaviours at age 5 adjusted odds ratio [OR] 4.
High levels of ineffective parenting behaviours were also associated with both externalizing and internalizing behaviours at age 5 adjusted OR 6. Assessments of maternal mental health and parenting behaviours may be better targets for identifying children at risk of behavioural problems. For example, a retrospective study of families in Oregon found that parental ACEs were associated with increased risk of suspected developmental delay in 2-year-old children. In , the American Academy of Pediatrics called for routine screening in the pediatric setting for risk factors for early adversity, and asked pediatricians to take a leading role in preventing its potential impact.
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Thus, understanding the association between parental ACEs and child behaviour in the context of other individual, family and sociodemographic factors is important to gain clarity about the most important targets for assessment.
