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Friday, March 27, 2015

Resiliency ... What's your ACE score?


There is a long-lasting change to the hormonal system, immune system, and hypothalamic-pituitary-adrenal (HPA) axis because of childhood stresses, trauma, or exposure to mental illness. Physicians really need to be aware of this, so we can better help our patients.

-CB

The CDC’s Adverse Childhood Experiences Study (ACE Study) uncovered a stunning link between childhood trauma and the chronic diseases people develop as adults, as well as social and emotional problems. This includes heart disease, lung cancer, diabetes and many autoimmune diseases, as well as depression, violence, being a victim of violence, and suicide.

http://acestoohigh.com/got-your-ace-score/


Prior to your 18th birthday:
  1. Did a parent or other adult in the household often or very often… Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid that you might be physically hurt?
    No___If Yes, enter 1 __
  2. Did a parent or other adult in the household often or very often… Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured?
    No___If Yes, enter 1 __
  3. Did an adult or person at least 5 years older than you ever… Touch or fondle you or have you touch their body in a sexual way? or Attempt or actually have oral, anal, or vaginal intercourse with you?
    No___If Yes, enter 1 __
  4. Did you often or very often feel that … No one in your family loved you or thought you were important or special? or Your family didn’t look out for each other, feel close to each other, or support each other?
    No___If Yes, enter 1 __
  5. Did you often or very often feel that … You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? or Your parents were too drunk or high to take care of you or take you to the doctor if you needed it?
    No___If Yes, enter 1 __
  6. Was a biological parent ever lost to you through divorce, abandonment, or other reason ?
    No___If Yes, enter 1 __
  7. Was your mother or stepmother:
    Often or very often pushed, grabbed, slapped, or had something thrown at her? or Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard? or Ever repeatedly hit over at least a few minutes or threatened with a gun or knife?
    No___If Yes, enter 1 __
  8. Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?
    No___If Yes, enter 1 __
  9. Was a household member depressed or mentally ill, or did a household member attempt suicide?                        No___If Yes, enter 1 __
  10. Did a household member go to prison?
    No___If Yes, enter 1 __
Now add up your “Yes” answers: _ This is your ACE Score


RESILIENCE Questionnaire

Please circle the most accurate answer under each statement:
1.  I believe that my mother loved me when I was little.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

2.  I believe that my father loved me when I was little.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

3.  When I was little, other people helped my mother and father take care of me and they seemed to love me.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

4.   I’ve heard that when I was an infant someone in my family enjoyed playing with me, and I enjoyed it, too.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

5.  When I was a child, there were relatives in my family who made me feel better if I was sad or worried.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

6.   When I was a child, neighbors or my friends’ parents seemed to like me.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

7.  When I was a child, teachers, coaches, youth leaders or ministers were there to help me.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

8.  Someone in my family cared about how I was doing in school.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

9.  My family, neighbors and friends talked often about making our lives better.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

10.  We had rules in our house and were expected to keep them.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

11. When I felt really bad, I could almost always find someone I trusted to talk to.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

12.  As a youth, people noticed that I was capable and could get things done.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

13.  I was independent and a go-getter.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

14.  I believed that life is what you make it.
Definitely true         Probably true         Not sure         Probably Not True        Definitely Not True

How many of these 14 protective factors did I have as a child and youth? (How many of the 14 were circled “Definitely True” or “Probably True”?)   _______
Of these circled, how many are still true for me? _______

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