Home > Psychosocial complexity in multimorbidity: the legacy of adverse childhood experiences.

Sinnott, Carol and McHugh, Sheena and Fitzgerald, Anthony P and Bradley, Colin and Kearney, Patricia M (2015) Psychosocial complexity in multimorbidity: the legacy of adverse childhood experiences. Family Practice , 32 , (3) , pp. 269-275.

URL: http://fampra.oxfordjournals.org/content/early/201...

Background. To effectively meet the health care needs of multimorbid patients, the most important psychosocial factors associated with multimorbidity must be discerned. Our aim was to examine the association between self-reported adverse childhood experiences (ACEs) and multimorbidity and the contribution of other social, behavioural and psychological factors to this relationship.

Methods. We analysed cross-sectional data from the Mitchelstown study, a population-based cohort recruited from a large primary care centre. ACE was measured by self-report using the Centre for Disease Control ACE questionnaire. A 10-item questionnaire categorizes ACE into three groups that relate to: abuse (emotional, physical or sexual), neglect (emotional or physical) and household dysfunction (domestic abuse, parents divorced, parents in prison, parental addiction or parental mental illness).

Results. Of 2047 participants, 45.3% (n = 927) reported multimorbidity. ACE was reported by 28.4% (n = 248) of multimorbid participants, 21% (n = 113) of single chronic disease participants and 16% (n = 83) of those without chronic disease.

Conclusions. Multimorbidity is independently associated with a history of ACEs. These findings demonstrate the psychosocial complexity associated with multimorbidity and should be used to inform health care provision in this patient cohort.


Item Type:Article
Date:2015
Page Range:pp. 269-275
Publisher:Oxford
Volume:32
Number:3
EndNote:View
Subjects:A Substance use, abuse, and dependence > Effects and consequences
G Health and disease > State of health
L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role
L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations
T Demographic characteristics > Child
T Demographic characteristics > Child of substance user
VA Geographic area > Europe > Ireland

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