Adverse childhood experiences and family violence among adults with low back pain

Friday, March 30, 2012: 10:40 AM-12:00 PM
Pacific C (San Francisco Marriott Marquis)
Speaker:
Cynthia A. Loveland Cook, PhD, RN, ACSW, Saint Louis University

Authors:
F. David Schneider, MD, MSPH, Saint Louis University
Sandra K. Burge, PhD, University of Texas Health Science Center at San Antonio


Presentation Format:
Scientific Program Report

Learning Objectives:
  1. Explore the association between adverse childhood experiences and health outcomes in adults with chronic low back pain
  2. Recognize the relationship of adverse childhood experiences to severity of pain, functional limitations, narcotic use and depression in adults with chronic low back pain
  3. Identify the preventive, clinical, programmatic and policy implications related to the health of survivors of adverse childhood experiences
Description:
Using a cross-sectional research design, 254 adults with chronic low back pain seen in family medicine clinics were surveyed about their adverse childhood experiences (ACEs), including family violence. Nearly two-thirds experienced or witnessed ACEs as children; 40% specifically reported family violence experiences or exposure. ACEs were significantly associated with pain severity, functional limitations, narcotic use and depression. The findings contribute to our understanding of the longstanding effects of adverse childhood experiences, including violence, on the health of adults.