Browsing by Author "Zhu, Jenney"
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Item Open Access Adverse Childhood Experiences and Intimate Partner Violence: A Meta-Analysis(2022-08) Zhu, Jenney; Madigan, Sheri; Dobson, Keith; Wells, Lana; Noel, MelanieBackground: Intimate partner violence (IPV) represents a significant public health concern that impacts individuals globally. Exposure to adverse childhood experiences (ACEs) represents one risk factor for IPV involvement. However, the results of existing research on the association between ACEs and IPV have demonstrated somewhat mixed results. Given the heterogeneity of existing findings, the overall effect size of the association between ACEs and IPV was examined, to in turn inform policy, knowledge translation, prevention, and intervention efforts. Objectives: The present research sought to meta-analytically examine the association between ACEs and (1) IPV perpetration and (2) IPV victimization. Additionally, moderator analyses were conducted to determine demographic factors and study characteristics that may impact the association between ACEs and IPV involvement Method: Electronic searches were conducted in MEDLINE, Embase, and PsycINFO in August of 2021. One-hundred and twenty-three records were screened for inclusion. All studies must have included a measure of ACEs (i.e., 8-item, 10-item, or other composite measure) and a measure of IPV victimization or perpetration (e.g., physical, sexual, or psychological abuse). Results: Among the 27 studies and 41 samples included in the present meta-analysis, 65,330 participants were included. Across all included studies, 33.84% of participants identified as male and the mean age was 32.10 years (age range, 14-56.9). The results of the meta-analyses demonstrated that ACEs were positively associated with IPV perpetration [k = 15, r = .172, (95% CI: .119, .223), p < .001], and victimization [k = 26, r = .200, (95% CI: .143, .255) p < .001]. Results of the moderator analysis demonstrated that the association between ACEs and IPV perpetration and victimization was stronger among studies that examined mixed IPV (i.e., more than one type of IPV) compared to physical IPV exclusively. The association between ACEs and IPV victimization was also stronger among studies that included younger participants and among more recently published studies. Conclusions: The present meta-analyses demonstrate a need for trauma-informed and early approaches to IPV screening, prevention, and intervention. Further, significant moderators identified in the present meta-analyses contribute to a stronger understanding of factors that amplify or attenuate risk for IPV among individuals with ACEs exposure. Future research should build upon these results to help inform resiliency factors that may mitigate risk for IPV.Item Open Access Adverse childhood experiences and maternal anxiety and depression: a meta-analysis(2021-01-11) Racine, Nicole; Devereaux, Chloe; Cooke, Jessica E; Eirich, Rachel; Zhu, Jenney; Madigan, SheriAbstract Background It has been proposed that adverse childhood experiences (ACEs) can put women at risk for mental illness in the pregnancy and postpartum periods. While some studies have found strong support for this proposition, others have found weak or no support. This study is a meta-analysis of the association between ACEs and maternal mental health to resolve between-study discrepancies, and to examine potential moderators of associations. Methods Three electronic databases (i.e., MEDLINE, Embase, and PsycINFO) were searched up to November 2018 by a health sciences librarian. A hand search was conducted in January 2020 and relevant studies were added. Included studies reported on associations between ACEs and maternal depression and/or anxiety in the perinatal period (pregnancy to 1-year postpartum). Pregnancy and postpartum outcomes were examined separately for both depression and anxiety. Random-effect meta-analyses were conducted. Moderator analyses were conducted using meta-regression. Study quality was evaluated using a 15-point scale. Results The initial search yielded 4646 non-duplicate records and full text review occurred for 196 articles. A total of 15 studies (N = 7788) were included in the meta-analyses, of which 2 were also described narratively. Publication year ranged from 1998 to 2019. Mothers were approximately 28.93 years of age when they retrospectively reported on their ACEs. All studies had maternal self-report questionnaires for the mental health outcomes. Study quality ranged from 7 to 12. The pooled effect sizes between ACEs and prenatal (N = 12; r = .19; 95% CI= .13, .24) and postpartum (N = 7; r = .23; 95% CI = .06 to .39) depressive symptoms were significant. The pooled effect size between ACEs and prenatal anxiety was also significant (N = 5; r = .14; 95% CI= .07, .21). Moderator analyses indicated that timing of depressive and anxiety symptoms may be important for understanding associations. Conclusions ACEs confer risk to maternal mental health, albeit effect sizes are small to moderate in magnitude. Trauma-informed approaches, as well as increased mental health support during and after pregnancy, may help to offset the relative risk of ACEs on maternal mental health.