Childhood Trauma in People living with Chronic illness
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | Among multimorbidity studies, 48.1% ≥1 ACE; selected populations |
| Is it more common among people living with chronic illness? | ACE burden associated dose-dependently with adult multimorbidity |
| Are people living with chronic illness at higher risk? | #N/A |
| How much higher is the risk? | Each additional ACE associated with 12.9% higher odds of multimorbidity |
| How often can it be missed? | #N/A |
| Does it show up differently among people living with chronic illness? | Strong Yes |
| How might it look different? | Medical procedures, bodily vulnerability, dependency and loss of control can reactivate trauma; illness must never be dismissed as psychological |
| What commonly occurs alongside it? | #N/A |
| What can it be confused with? | Appropriate illness distress; PTSD; somatic symptom disorder |
| Common screening tool | ACE Questionnaire — Adverse Childhood Experiences Questionnaire |
| Separate screening tool for people living with chronic illness | None |
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