Cited by 64Child Abuse and TraumaFamily Support in IllnessChild Welfare and Adoption

Adverse childhood experiences in mothers with chronic pain and intergenerational impact on children

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Dennis, Catlin H., Clohessy, Denae S., Stone, Amanda L., Darnall, Beth D., Wilson, Anna C.·2019·The Journal of Pain

Abstract

Adverse childhood experiences (ACEs; eg, parental divorce, physical or sexual abuse) are more prevalent in individuals with chronic pain compared with the general population. Both increased maternal ACEs and chronic pain have been associated with poor physical and emotional functioning in offspring. However, the mechanisms driving these associations are poorly understood. Thus, this cross-sectional study evaluated the relation between maternal ACEs, mothers' current functioning, and children's physical and emotional functioning in a sample of mothers with chronic pain and their 8- to 12-year-old children. Results indicated a higher prevalence of ≥1 ACE in this sample of mothers with chronic pain (84%) compared with normative data from a community sample of women. Higher maternal ACE scores corresponded with lower physical and social functioning, greater anxiety and depressive symptoms, greater fatigue and sleep disturbances, and greater pain intensity and pain interference in mothers. Higher maternal ACE scores significantly correlated with higher child self-reported depressive symptoms, but not somatic symptoms or functional impairment. A path model indicated that maternal depressive symptoms accounted for the relation between higher maternal ACE scores and children's depressive symptoms. Intervening on maternal depression among mothers with chronic pain may reduce the impact of intergenerational ACE transmission. Perspective: This article presents evidence regarding the intergenerational impact of ACEs in a large sample of mothers with chronic pain and their school-aged children. Maternal depressive symptoms accounted for the relation between maternal ACEs and children's depressive symptoms providing evidence regarding targets for preventive interventions.

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Crossref · 10.1016/j.jpain.2019.04.004

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  • Parents' past trauma as well as their own physical and emotional health struggles can impact their children's pain and functioning.

    “Additionally, parents' past trauma as well as their own physical and emotional health struggles can impact their children's pain and functioning (Dennis et al., 2019).”

    From Psychosocial Functioning of Parents of Youth Receiving Intensive Interdisciplinary Pain Treatment (2024) · cites this paper as Dennis et al., 2019

    The Discussion reports an association between maternal adverse childhood experiences and children’s depressive symptoms, and discusses possible intergenerational effects of maternal chronic pain. But it found no significant association between maternal adverse childhood experiences and children’s pain frequency or functional impairment; the study examined mothers, not parents generally. The claim therefore extends beyond the study’s findings on children’s pain and functioning. (LLM, conf=0.87)

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Authors
Dennis, C. H., Clohessy, D. S., Stone, A. L., Darnall, B. D., & Wilson, A. C.
Affiliations
  • Oregon Health & Science University (US)
  • Portland State University (US)
  • Stanford Medicine (US)
Corresponding author
Dennis, Catlin H.
Venue
The Journal of Pain
Publisher
Elsevier BV
Published
2019-10
Volume
20
Issue
10
Pages
1209-1217
ISSN
1526-5900 (ISSN-L)
OpenAlex
W2939770017
Cited by
64
References
46
Citations by year
2026: 2 · 2025: 9 · 2024: 9 · 2023: 12 · 2022: 13 · 2021: 10 · 2020: 7 · 2019: 2
FWCI
9.34
Type
journal article
Language
en
Open access
Locations
  • Journal of Pain (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • PDXScholar (Portland State University) (submittedVersion)
Funders
National Institute of Child Health and Human Development
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Sociology and Political Science › Family Support in Illness
  • Social Sciences › Safety Research › Child Welfare and Adoption
Keywords
adverse childhood experiences, chronic pain, mothers, intergenerational transmission, child depressive symptoms, maternal depressive symptoms, pain interference, sleep disorders, fatigue, parental divorce, child abuse, preventive interventions
MeSH terms
Adverse Childhood Experiences, Adult, Child, Cross-Sectional Studies, Depression, Female, Humans, Male, Mothers, Child of Impaired Parents, Self Report, Chronic Pain

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