%0 Journal Article %J Soc Work Health Care %D 2014 %T Distinct contributions of adverse childhood experiences and resilience resources: a cohort analysis of adult physical and mental health. %A Logan-Greene, Patricia %A Green, Sara %A Nurius, Paula S %A Longhi, Dario %K Adaptation, Psychological %K Adolescent %K Adult %K Age Distribution %K Aged %K Behavioral Risk Factor Surveillance System %K Child Abuse %K Cohort Studies %K Female %K Health Status %K Humans %K Life Change Events %K Male %K Mental Health %K Middle Aged %K Regression Analysis %K Resilience, Psychological %K Self Concept %K Stress, Psychological %K Washington %K Young Adult %X

Although evidence is rapidly amassing as to the damaging potential of early life adversities on physical and mental health, as yet few investigations provide comparative snapshots of these patterns across adulthood. This population-based study addresses this gap, examining the relationship of adverse childhood experiences (ACEs) to physical and mental health within a representative sample (n = 19,333) of adults, comparing the prevalence and explanatory strength of ACEs among four birth cohorts spanning ages 18-79. This assessment accounts for demographic and socioeconomic factors, as well as both direct and moderating effects of resilience resources (social/emotional support, life satisfaction, and sleep quality). Findings demonstrate (1) increasing trends of reported ACEs across younger cohorts, including time period shifts such as more prevalent family incarceration, substance abuse, and divorce, (2) significant bivariate as well as independent associations of ACEs with poor health within every cohort, controlling for multiple covariates (increasing trends in older age for physical health), and (3) robust patterns wherein resilience resources moderated ACEs, indicating buffering pathways that sustained into old age. Theoretical and practice implications for health professionals are discussed.

%B Soc Work Health Care %V 53 %P 776-97 %8 2014 %G eng %N 8 %1 http://www.ncbi.nlm.nih.gov/pubmed/25255340?dopt=Abstract %R 10.1080/00981389.2014.944251 %0 Journal Article %J J Interpers Violence %D 2011 %T Intimate partner survivors' help-seeking and protection efforts: a person-oriented analysis. %A Nurius, Paula S %A Macy, Rebecca J %A Nwabuzor, Ijeoma %A Holt, Victoria L %K Adolescent %K Adult %K Aged %K Analysis of Variance %K Battered Women %K Cohort Studies %K Depression %K Female %K Humans %K Interpersonal Relations %K Male %K Middle Aged %K Patient Acceptance of Health Care %K Sexual Partners %K Socioeconomic Factors %K Spouse Abuse %K Surveys and Questionnaires %K Survivors %K Washington %K Young Adult %X

Domestic violence advocates and researchers advocate for a survivor-centered approach for assisting women experiencing intimate partner violence (IPV), with individualized safety plans and services; yet little empirical work has been done to determine IPV survivors' specific combinations of vulnerabilities and assets that might inform such an approach. Using latent profile analysis of a cohort of 448 survivors, five distinct subgroups were previously identified in terms of biopsychosocial asset and vulnerability profiles. The purpose of the current study was to apply person-oriented methodology for survivor-centered investigation of differences in help-seeking and protective actions according to subgroup membership within this cohort. Though not differing demographically, the subgroups were found to differ significantly and meaningfully in their patterns of IPV help-seeking and protective actions. Thus, reliance on population-aggregate linear relationships between IPV exposure and safety efforts may risk overlooking important variation by vulnerability and asset profile, and knowledge of distinct clusters among functioning profiles may help with understanding of survivors' coping strategies.The authors outline service-need considerations across the subgroups and provide guidance for targeted outreach, locating IPV survivors and matching services to their needs.

%B J Interpers Violence %V 26 %P 539-66 %8 2011 Feb %G eng %N 3 %R 10.1177/0886260510363422