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Adverse Childhood Experiences and ADHD Diagnosis at Age 9 Years in a National Urban Sample
Open accessAbstract
Objective To examine associations between adverse childhood experiences (ACEs) and attention-deficit/hyperactivity disorder (ADHD) at age 9 years using longitudinal data and assess the extent to which ACEs during middle childhood are independently associated with ADHD at age 9 years.Methods We conducted a secondary analysis of data from the Fragile Families urban birth cohort 5- and 9-year interviews. The sample was limited to children for whom mothers were the primary caregiver and mother-reported information on 8 ACEs and ADHD were available at age 5 and 9 years. We examined associations between ACEs and parent-reported ADHD at age 9 years using logistic regression and controlling for potential confounders.Results We included 1572 children; 48% were African American, 11% had parent-reported ADHD at age 9 years, 41% and 42% experienced ≥1 ACE by age 5 years and between the ages of 5 and 9 years, respectively. ACEs before age 5 years were associated with ADHD at age 9 years. One, 2, and ≥3 ACEs between age 5 and 9 years were associated with ADHD at age 9 years even after controlling for ACEs before age 5 years and ADHD at age 5 years (adjusted odds ratio [AOR], 1.9; 95% confidence interval [CI], 1.2-3; AOR, 2.1; 95% CI, 1.2-3.8; and AOR, 2.2; 95% CI, 1.1-4.3).Conclusions In this study of urban children, ACEs occurring before age 5 years as well as between the ages of 5 and 9 years were associated with ADHD at age 9 years. Even after controlling for early childhood ACEs and ADHD at age 5 years, the association between ADHD and ACEs in middle childhood remained significant, highlighting the importance of screening and intervention throughout childhood.
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Adverse Childhood Experiences and Teen Behavior Outcomes: The Role of Disability
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“The political debate over access to living conditions has garnered considerable media attention and has raised the pressing health-related question: What are the direct and indirect health-related costs of these shifting immigration policies given the risk for traumatic separation and loss among children? Children exp…”
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“We then summed up the frequencies of those five items and identified participants whose scores of frequencies were high in top 10 percentile of the entire study sample, consistent with coding in prior work (e.g., Jimenez et al., 2017; Wang et al., 2020).”
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“Researchers have found a connection between ACE exposure and symptoms that are similar to an ADHD diagnosis (Fuller-Thomson & Lewis, 2015; Hunt et al., 2017; Jimenez et al., 2017; Van der Kolk, 2014).”
InfluentialLin, J., Scott, J. G., Eapen, V., Kallapiran, K., O’Shea, P., Haslam, D. M., Edirippulige, S., & Davidson, P. M. (2026) · Stress and Health · doi:10.1002/smi.70202 · Cited by 1
“After disaggregating multiple NDDs, the number of ACEs was significantly associated with six specific combinations of NDDs in the fully adjusted models (Table 2, Figure 3), including for children with concurrent LD and ID (i.e., LD + ID) (aOR = 1.20, 95% CI: 1.04–1.40), LD + ASD (aOR = 1.19, 95% CI: 1.03–1.38), LD + S…”
InfluentialRace, Ethnicity, Socioeconomic Factors, and Attention-Deficit Hyperactivity Disorder
Zuckerman, K. E., & Pachter, L. M. (2019) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000645 · Cited by 1
“The relationship between behavioral symptoms and childhood trauma (i.e., adverse childhood events [ACEs]) in particular may make parents more reluctant to raise behavioral symptoms with providers, despite the fact that ACEs are widespread and are risk factors for ADHD.18,19 Many low-income and/or racial/ ethnic minori…”
BackgroundInfluentialSchool Counselors' Perceptions of Trauma-Informed Approaches in Schools
Burkhardt, E. A. (2020) · Digital Commons (Liberty University) · Cited by 1
McDonald, A. C., & Ejesi, K. (2020) · Springer eBooks · doi:10.1007/978-3-030-62393-7_13 · Cited by 1
Lim, Y. B., Kweon, K., & Kim, B.-N. (2021) · Journal of korean Academy of Child and Adolescent Psychiatry · doi:10.5765/jkacap.210003 · Cited by 1
Sweiss, E. C., Vargas, V., Sandman, C., Poggi Davis, E., Hankin, B. L., & Glynn, L. M. (2026) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174426100622
Bhoyroo, R., Chivers, P., Morandini, H., Milroy, H., Barbaro, P., Boutrus, M., Woolard, A., & Rao, P. (2026) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2026.108138
Chen, S.-Y. (2021) · Research Anthology on Mental Health Stigma, Education, and Treatment · doi:10.4018/978-1-7998-0022-4.ch001
Chen, S. (2021) · IGI Global eBooks · doi:10.4018/978-1-7998-8963-2.ch028
Chen, S. (2021) · IGI Global eBooks · doi:10.4018/978-1-7998-8544-3.ch042
Reviewing the Origins of You: How Childhood Shapes Later Life (2020)
Petillo, L. (2022) · New Zealand Journal of Educational Studies · doi:10.1007/s40841-022-00265-0
“With so many positive aspects to the book, one of the few cons is the authors’ failure to associate the findings with the latest theory of Adverse Childhood Environments, or ACEs (Jimenez et al., 2017).”
BackgroundInfluentialMartins, M. T., & Matos, A. (2023) · Gazeta Médica · doi:10.29315/gm.v1i1.734
Dionne, G., Mascheretti, S., Feng, B., Paradis, H., Brendgen, M. R., Vitaro, F., Tremblay, R. E., & Boivin, M. (2024) · Development and Psychopathology · doi:10.1017/s095457942400035x
Alaniz, A. (2024) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2024.107144 · Cited by 1
İçen, S. (2025) · Child Psychiatry & Human Development · doi:10.1007/s10578-025-01881-9
İçen, S. (2025) · Child Psychiatry & Human Development · doi:10.1007/s10578-025-01895-3
Children With ADHD Diagnoses and Adverse Childhood Experiences in A Public Mental Health System
Cassidy, J., & Altschuler, M. R. (2026) · Neurodiversity · doi:10.1177/27546330261430021
Metadata
- Authors
- Jimenez, M. E., Wade, R., Schwartz-Soicher, O., Lin, Y., & Reichman, N. E.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Rutgers, The State University of New Jersey (US)
- Venue
- Academic Pediatrics
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 17
- Issue
- 4
- Pages
- 356-361
- ISSN
- 1876-2859 (ISSN-L)
- PMC
- PMC5555409
- OpenAlex
- W2566635941
- Cited by
- 104
- References
- 37
- Citations by year
- 2026: 10 · 2025: 9 · 2024: 8 · 2023: 18 · 2022: 7 · 2021: 15 · 2020: 18 · 2019: 13 · 2018: 4 · 2017: 1
- FWCI
- 8.02
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Academic Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R25HD074544, K12HD085848, R24HD058486, P2CHD058486, R01HD036916)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- adverse childhood experiences, attention deficit hyperactivity disorder, middle childhood, early childhood adversity, urban children, ADHD screening, maternal care, child mental health
- MeSH terms
- Exposure to Violence, Attention Deficit Disorder with Hyperactivity, Black or African American, Child, Child Abuse, Depression, Female, Humans, Longitudinal Studies, Male, Prisons, United States, Urban Population, Cohort Studies, Odds Ratio, Child of Impaired Parents, Domestic Violence, Substance-Related Disorders, White People
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