ACE Study

What’s Your ACE?

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The Adverse Childhood Experiences (ACE) Study is the first large-scale study to empirically demonstrate that various types of family dysfunction in childhood significantly increase the risk for physical and mental disease into adulthood. The ACE Study breaks new ground in exposing the physical manifestations of childhood trauma.  The effects of ACEs last a lifetime, but the cycle can be broken by developing a safe and nurturing relationship between parents and their children.

The (ACE) Study with over 17,000 adults is now in its 20th year and has been duplicated in 38 States.  The study is designed to examine the childhood origins of many of our Nation’s leading health and social problems. The Study represents collaboration between the nation’s leading prevention agency, the Centers for Disease Control and Prevention (CDC) and the Kaiser Health Plan’s Department of Preventive Medicine in San Diego, CA.   The results are alarming.

Our society has treated the abuse, maltreatment, violence, and chaotic experiences of our children as an oddity that is adequately dealt with by emergency response systems—child protective services, criminal justice, foster care, and alternative schools—to name a few. These services are needed and are worthy of support—but they are a dressing on a greater wound.

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88 million adults experience chronic physical abuse in childhood.  We know that nearly 85% of all physical child abuse cases begin with an attempt to use corporal punishment.  Experts in the field of Childhood Abuse and Neglect conclude reducing corporal punishment is essential to reducing physical abuse.

Spanking is an ACE

To determine if spanking should be considered an ACE, this study aimed to examine 1): the grouping of spanking with physical and emotional abuse; and 2) if spanking has similar associations with poor adult health problems and accounts for additional model variance.  Spanking was associated with increased odds of suicide attempts, moderate to heavy drinking, and the use of street drugs in adulthood over and above experiencing physical and emotional abuse. Spanking is empirically similar to physical and emotional abuse and including spanking with abuse adds to our understanding of these mental health problems. Spanking should also be considered an ACE and addressed in efforts to prevent violence.

Mothers with High ACEs More Likely to Spank

In “Parenting Attitudes and Infant Spanking: The Influence of Childhood Experiences,” the authors interviewed 1,265 mostly low-income women during their first prenatal care visit and 3 and 11 months after they gave birth. The new mothers provided information about their attitudes toward corporal punishment and about their own childhoods, including any experiences of violence or other adverse childhood experiences. During the third interview, the mothers also provided information about how often they spanked their infants. Researchers found that 14% of mothers in this group spanked their infants, and 19% valued corporal punishment for infants. Mothers who had experienced physical abuse as a child were 1.5 times more likely to spank. More adverse childhood experiences were related to a greater propensity to spank.

The study’s authors discuss the need for early counseling about the potential harmful effects of spanking, especially with at-risk mothers who experienced physical abuse as children, in order to stop the intergenerational transmission of corporal punishment.