Recent on-line and in-person discussions with my colleagues who care for patients with Psychophysiologic Disorders (PPD) make it clear that there are many successful approaches to diagnosis and treatment. What these techniques have in common is clarifying for patients that psychosocial stress can cause real pain and/or other physical symptoms and that uncovering and treating these issues can relieve the illness (partially or completely). Our discussion led me to summarize my approach: (more…)
Posts Tagged ‘ACE’
A colleague asked how I would screen for Adverse Childhood Experiences (ACEs) in primary care patients with unexplained illness, chronic pain or functional syndromes such as irritable bowel or fibromyalgia. (A blog of mine describing ACEs is here with an important web site here). Here is my answer:
There is a new compilation of the latest research on the long-term impact of childhood adversity. I have written about this key subject in earlier blogs (here and again here). Now there is a new DVD where the latest research and its implications for policy are presented by those who conducted the studies.
A therapist recently posed a key question about adverse childhood experiences (ACEs): what is the benefit to a patient of their family doctor knowing this information?
For the million American children identified by social agencies as being maltreated every year, and for the many more whose abuse is not brought to the attention of authorities, a new study* shows that the long shadow of their misfortune falls on their economic potential as adults.
The long-term effects of childhood stress impact relationships and mood in adults. The study* described in the last post surveyed 380 women who came to a general medical clinic. In addition to questions about abuse in childhood, patients were surveyed about whether they had ever experienced intimate-partner violence (IPV) and also about depression. (The vast majority of those who had experienced IPV were no longer in an abusive relationship.)
Adult patients seen by primary care medical clinicians often are affected by stress in childhood. Recent evidence of this is a study of 380 women at a medical clinic at Oregon Health & Science University in Portland *. Their survey asked about physical or sexual childhood abuse and assessed the impact of these on physical symptoms.
Researchers have been shocked at the profound impact childhood stress can have on health in adults. The ACE (Adverse Childhood Experience) Study *, led by my friend Vincent Felitti, MD in San Diego, is one of the best examples. They studied 18,000 people who were having routine check-ups. You can read a summary here .