After Five Years: Adverse Childhood Experiences and Response to Surviving Illness Contribute to Shorter Life Expectancy

IF 1.4 Q2 SOCIAL WORK
L. Johnston
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引用次数: 1

Abstract

ABSTRACT Initial research in 2012 described the psychological responses of 32 older adult survivors of critical illness. At the five year follow up in 2017, 15 participants were deceased. Only 2 of these 15 participants achieved their expected life span. Quantitative and qualitative analysis comparing deceased vs. surviving participants yielded significant results. The deceased participants who died 10 to 14 years before their life expectancy were more likely to have experienced severe trauma in childhood, followed by reoccurring illnesses as adults. Deceased participants’ survival was also impacted by their approach to coping with their recovery after illness. Significant correlations were found between Adverse Childhood Experiences (ACE), illness approach, reoccurring illness and death before life expectancy. A key conclusion is that the impact of childhood trauma should be studied across the entire life course. Social workers for older adults must consider the personal complexity of each client’s experience, by exploring unique personal and historical traumas that are not listed on the ACE Scale. Psycho-education can be utilized to teach older adults coping strategies and increase psychological agency.
五岁后:不良的童年经历和对生存疾病的反应导致预期寿命缩短
2012年的初步研究描述了32名老年危重疾病幸存者的心理反应。在2017年的五年随访中,有15名参与者去世。这15名参与者中只有2人达到了预期寿命。定量和定性分析比较了死亡和幸存的参与者,得出了显著的结果。在预期寿命之前10到14年死亡的参与者更有可能在童年经历过严重的创伤,然后在成年后再次发病。已故参与者的生存也受到他们应对疾病后康复的方法的影响。儿童期不良经历(ACE)、患病方式、疾病复发与预期寿命前死亡之间存在显著相关性。一个关键的结论是,童年创伤的影响应该在整个生命过程中进行研究。为老年人服务的社会工作者必须通过探索ACE量表中未列出的独特的个人和历史创伤,来考虑每个来访者个人经历的复杂性。心理教育可以用来教授老年人应对策略,增加心理能动性。
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来源期刊
CiteScore
1.50
自引率
10.00%
发文量
10
期刊介绍: Smith College Studies in Social Work focuses on the vital issues facing practitioners today, featuring only those articles that advance theoretical understanding of psychological and social functioning, present clinically relevant research findings, and promote excellence in clinical practice. This refereed journal addresses issues of mental health, therapeutic process, trauma and recovery, psychopathology, racial and cultural diversity, culturally responsive clinical practice, intersubjectivity, the influence of postmodern theory on clinical practice, community based practice, and clinical services for specific populations of psychologically and socially vulnerable clients.
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