{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T03:07:45Z","timestamp":1782875265155,"version":"3.54.5"},"reference-count":55,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2023,11]]},"DOI":"10.1016\/j.pedn.2023.09.020","type":"journal-article","created":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T11:02:25Z","timestamp":1696330945000},"page":"e266-e272","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Relationship between caregiver adverse childhood events and age of autism spectrum diagnosis"],"prefix":"10.1016","volume":"73","author":[{"given":"Michele","family":"Kilmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minju","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pedn.2023.09.020_bb0005","author":"ACEs Aware"},{"issue":"3","key":"10.1016\/j.pedn.2023.09.020_bb0010","first-page":"45","article-title":"What do we know about drug-endangered children when they are first placed into care?","volume":"90","author":"Altshuler","year":"2011","journal-title":"Child Welfare"},{"key":"10.1016\/j.pedn.2023.09.020_bb0015","first-page":"1","article-title":"Adverse childhood experiences in autistic children and their caregivers: Examining intergenerational continuity","author":"Andrzejewski","year":"2022","journal-title":"Journal of Autism and Developmental Disorders"},{"key":"10.1016\/j.pedn.2023.09.020_bb0020","series-title":"The high failure rate of second and third marriages","author":"Banschick","year":"2012"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0025","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s10803-017-3294-y","article-title":"Delayed diagnosis and treatment among children with autism who experience adversity","volume":"48","author":"Berg","year":"2018","journal-title":"Journal of Autism and Developmental Disorders"},{"key":"10.1016\/j.pedn.2023.09.020_bb0030","series-title":"Revealing divorce statistics 2023","author":"Bieber","year":"2023"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0035","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1037\/com0000248","article-title":"Parental divorce in childhood is related to lower urinary oxytocin concentrations in adulthood","volume":"135","author":"Boccia","year":"2021","journal-title":"Journal of Comparative Psychology"},{"issue":"3","key":"10.1016\/j.pedn.2023.09.020_bb0040","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.paed.2017.12.008","article-title":"Adverse childhood experiences","volume":"28","author":"Boullier","year":"2018","journal-title":"Paediatrics and Child Health"},{"issue":"3","key":"10.1016\/j.pedn.2023.09.020_bb0045","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1080\/08897077.2019.1635967","article-title":"Reliability and construct validity of 3 psychometric trust scales for women seeking substance abuse treatment in a community setting","volume":"41","author":"Cockroft","year":"2020","journal-title":"Substance Abuse"},{"key":"10.1016\/j.pedn.2023.09.020_bb0050","series-title":"Statistical power analysis for the behavioral sciences","author":"Cohen","year":"1988"},{"key":"10.1016\/j.pedn.2023.09.020_bb0055","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.chiabu.2019.04.010","article-title":"Prevalence of adverse childhood experiences (ACEs) among US children","volume":"92","author":"Crouch","year":"2019","journal-title":"Child Abuse & Neglect"},{"issue":"8","key":"10.1016\/j.pedn.2023.09.020_bb0060","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1080\/10926771.2020.1783736","article-title":"An exploratory review of the associations between adverse experiences and autism","volume":"30","author":"Dodds","year":"2019","journal-title":"Journal of Aggression, Maltreatment & Trauma"},{"issue":"7","key":"10.1016\/j.pedn.2023.09.020_bb0065","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1016\/j.chiabu.2003.08.009","article-title":"Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic","volume":"28","author":"Dube","year":"2004","journal-title":"Child Abuse & Neglect"},{"issue":"4","key":"10.1016\/j.pedn.2023.09.020_bb0070","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","article-title":"Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study","volume":"14","author":"Felitti","year":"1998","journal-title":"American Journal of Preventive Medicine"},{"issue":"3","key":"10.1016\/j.pedn.2023.09.020_bb0075","doi-asserted-by":"crossref","first-page":"390","DOI":"10.3390\/children1030390","article-title":"Toxic stress: Effects, prevention and treatment","volume":"1","author":"Franke","year":"2014","journal-title":"Children"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0080","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1017\/S0954579406060147","article-title":"Trajectories of depressive symptoms and stressful life events among male and female adolescents in divorced and nondivorced families","volume":"18","author":"Ge","year":"2006","journal-title":"Development and Psychopathology"},{"issue":"2","key":"10.1016\/j.pedn.2023.09.020_bb0085","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.biopsych.2011.12.027","article-title":"Anxiety and decision-making","volume":"72","author":"Hartley","year":"2012","journal-title":"Biological Psychiatry"},{"issue":"2","key":"10.1016\/j.pedn.2023.09.020_bb0090","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/YCO.0000000000000390","article-title":"Adverse childhood experiences in children with autism spectrum disorder","volume":"31","author":"Hoover","year":"2018","journal-title":"Current Opinion in Psychiatry"},{"issue":"2","key":"10.1016\/j.pedn.2023.09.020_bb0095","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.pedhc.2014.09.006","article-title":"Childhood trauma exposure and toxic stress: What the PNP needs to know","volume":"29","author":"Hornor","year":"2015","journal-title":"Journal of Pediatric Health Care"},{"key":"10.1016\/j.pedn.2023.09.020_bb0100","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00406-006-0641-y","article-title":"Long-term psychosocial effects of parental divorce","volume":"256","author":"Huurre","year":"2006","journal-title":"European Archives of Psychiatry and Clinical Neuroscience"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0105","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.neubiorev.2009.10.002","article-title":"Allostatic load biomarkers of chronic stress and impact on health and cognition","volume":"35","author":"Juster","year":"2010","journal-title":"Neuroscience & Biobehavioral Reviews"},{"issue":"4","key":"10.1016\/j.pedn.2023.09.020_bb0110","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1007\/s10803-018-3862-9","article-title":"Health disparities among children with autism spectrum disorders: Analysis of the national survey of children\u2019s health 2016","volume":"49","author":"Karpur","year":"2019","journal-title":"Journal of Autism and Developmental Disorders"},{"issue":"6","key":"10.1016\/j.pedn.2023.09.020_bb0115","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/01.NPR.0000666192.02590.ed","article-title":"The impact of primary care providers on pediatric autism: Applying evidence-based interventions in primary care clinics","volume":"45","author":"Kilmer","year":"2020","journal-title":"The Nurse Practitioner"},{"key":"10.1016\/j.pedn.2023.09.020_bb0120","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.pedn.2022.04.014","article-title":"Analysis of the 2000 to 2018 autism and developmental disabilities monitoring network surveillance reports: Implications for primary care clinicians","volume":"65","author":"Kilmer","year":"2022","journal-title":"Journal of Pediatric Nursing"},{"key":"10.1016\/j.pedn.2023.09.020_bb0125","article-title":"Caregiver mental health predictors of age of evaluation for autism spectrum disorder (in press)","author":"Kilmer","year":"2023","journal-title":"Pediatric Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0130","doi-asserted-by":"crossref","first-page":"50","DOI":"10.3109\/17549507.2013.861511","article-title":"The importance of early identification and intervention for children with or at risk for autism spectrum disorders","volume":"16","author":"Koegel","year":"2014","journal-title":"International Journal of Speech-Language Pathology"},{"issue":"3","key":"10.1016\/j.pedn.2023.09.020_bb0135","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1542\/peds.2004-2841","article-title":"American Academy of Pediatrics Committee on substance abuse. Tobacco, alcohol, and other drugs: The role of the pediatrician in prevention, identification, and management of substance abuse","volume":"115","author":"Kulig","year":"2005","journal-title":"Pediatrics"},{"issue":"10","key":"10.1016\/j.pedn.2023.09.020_bb0140","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1017\/S0033291719001570","article-title":"Dissecting the impact of depression on decision-making","volume":"50","author":"Lawlor","year":"2020","journal-title":"Psychological Medicine"},{"issue":"7","key":"10.1016\/j.pedn.2023.09.020_bb0145","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1002\/aur.2276","article-title":"A conceptual framework for understanding the cultural and contextual factors on autism across the globe","volume":"13","author":"de Leeuw","year":"2020","journal-title":"Autism Research"},{"issue":"5","key":"10.1016\/j.pedn.2023.09.020_bb0150","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/S0272-7358(98)00100-7","article-title":"Maternal depression and parenting behavior: A meta-analytic review","volume":"20","author":"Lovejoy","year":"2000","journal-title":"Clinical Psychology Review"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0155","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1017\/S0954579418001700","article-title":"Testing the cycle of maltreatment hypothesis: Meta-analytic evidence of the intergenerational transmission of child maltreatment","volume":"31","author":"Madigan","year":"2019","journal-title":"Development and Psychopathology"},{"key":"10.1016\/j.pedn.2023.09.020_bb0160","series-title":"Prevalence of autism spectrum disorder among children aged 8 years \u2014 Autism and developmental disabilities monitoring network, 11 sites, United States. MMWR surveillance summary 69(no. SS-4)","first-page":"1","author":"Maenner","year":"2020"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0165","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1037\/ort0000405","article-title":"Investigating racial differences in clusters of adverse childhood experiences","volume":"90","author":"Maguire-Jack","year":"2020","journal-title":"American Journal of Orthopsychiatry"},{"issue":"6","key":"10.1016\/j.pedn.2023.09.020_bb0170","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1542\/peds.2005-0185","article-title":"Factors associated with age of diagnosis among children with autism spectrum disorders","volume":"116","author":"Mandell","year":"2005","journal-title":"Pediatrics"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0175","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1542\/peds.2008-0576","article-title":"Child protection outcomes for infants of substance-using mothers: A matched-cohort study","volume":"124","author":"McGlade","year":"2009","journal-title":"Pediatrics"},{"key":"10.1016\/j.pedn.2023.09.020_bb0180","series-title":"Vital Signs: Estimated Proportion of Adult Health Problems Attributable to Adverse Childhood Experiences and Implications for Prevention \u2014 25 States, 2015\u20132017. MMWR Morbidity & Mortal Weekly Rep","first-page":"999","volume":"68","author":"Merrick","year":"2019"},{"key":"10.1016\/j.pedn.2023.09.020_bb0185","doi-asserted-by":"crossref","DOI":"10.1016\/j.chiabu.2021.105066","article-title":"Disparities in adverse childhood experiences by race\/ethnicity, gender, and economic status: Intersectional analysis of a nationally representative sample","volume":"117","author":"Mersky","year":"2021","journal-title":"Child Abuse & Neglect"},{"key":"10.1016\/j.pedn.2023.09.020_bb0190","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1016\/j.chiabu.2017.12.012","article-title":"Racial and ethnic differences in the prevalence of adverse childhood experiences: Findings from a low-income sample of US women","volume":"76","author":"Mersky","year":"2018","journal-title":"Child Abuse & Neglect"},{"key":"10.1016\/j.pedn.2023.09.020_bb0195","series-title":"Applying regression and correlation: A guide for students and researchers","author":"Miles","year":"2001"},{"issue":"5","key":"10.1016\/j.pedn.2023.09.020_bb0200","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1097\/DBP.0b013e3181ba0fcf","article-title":"How early do parent concerns predict later autism diagnosis?","volume":"30","author":"Ozonoff","year":"2009","journal-title":"Journal of Developmental and Behavioral Pediatrics"},{"issue":"9","key":"10.1016\/j.pedn.2023.09.020_bb0205","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.tics.2012.07.009","article-title":"Emotion and decision-making: Affect-driven belief systems in anxiety and depression","volume":"16","author":"Paulus","year":"2012","journal-title":"Trends in Cognitive Sciences"},{"key":"10.1016\/j.pedn.2023.09.020_bb0210","first-page":"97","article-title":"Adverse childhood experiences and associated health outcomes: A systematic review and meta-analysis","author":"Petruccelli","year":"2019","journal-title":"Child Abuse & Neglect"},{"issue":"12","key":"10.1016\/j.pedn.2023.09.020_bb0215","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.3390\/children8121099","article-title":"Impact of social and relational adversity on access to services among US children with autism Spectrum disorder 2016\u20132019","volume":"8","author":"Ronis","year":"2021","journal-title":"Children"},{"issue":"8","key":"10.1016\/j.pedn.2023.09.020_bb0220","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/j.pmrj.2014.01.013","article-title":"Adverse childhood experiences and disability in US adults","volume":"6","author":"Rose","year":"2014","journal-title":"PM&R"},{"issue":"2","key":"10.1016\/j.pedn.2023.09.020_bb0225","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1177\/1359104510365203","article-title":"Dilemmas, diagnosis, and de-stigmatization: Parental perspectives on the diagnosis of autism spectrum disorders","volume":"17","author":"Russell","year":"2012","journal-title":"Clinical Child Psychology and Psychiatry"},{"key":"10.1016\/j.pedn.2023.09.020_bb0230","author":"Shern"},{"issue":"1","key":"10.1016\/j.pedn.2023.09.020_bb0235","doi-asserted-by":"crossref","first-page":"e232","DOI":"10.1542\/peds.2011-2663","article-title":"The lifelong effects of early childhood adversity and toxic stress","volume":"129","author":"Shonkoff","year":"2012","journal-title":"Pediatrics"},{"issue":"2","key":"10.1016\/j.pedn.2023.09.020_bb0240","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-1575","article-title":"Families affected by parental substance use","volume":"138","author":"Smith","year":"2016","journal-title":"Pediatrics"},{"issue":"6","key":"10.1016\/j.pedn.2023.09.020_bb0245","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1176\/ajp.2006.163.6.993","article-title":"Sticks, stones, and hurtful words: Relative effects of various forms of childhood maltreatment","volume":"163","author":"Teicher","year":"2006","journal-title":"The American Journal of Psychiatry"},{"issue":"3","key":"10.1016\/j.pedn.2023.09.020_bb0250","first-page":"279","article-title":"The effect of parental divorce on the health of adult children. Longitudinal and life course studies","volume":"6","author":"Thomas","year":"2015","journal-title":"International Journal"},{"issue":"3","key":"10.1016\/j.pedn.2023.09.020_bb0255","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/0145-2134(91)90067-N","article-title":"Verbal aggression by parents and psychosocial problems of children","volume":"15","author":"Vissing","year":"1991","journal-title":"Child Abuse & Neglect"},{"issue":"6","key":"10.1016\/j.pedn.2023.09.020_bb0260","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0179140","article-title":"Protective mental health factors in children of parents with alcohol and drug use disorders: A systematic review","volume":"12","author":"Wlodarczyk","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.pedn.2023.09.020_bb0265","author":"World Population Review"},{"issue":"11","key":"10.1016\/j.pedn.2023.09.020_bb0270","doi-asserted-by":"crossref","first-page":"2341","DOI":"10.3390\/ijerph15112341","article-title":"Effect of caregiver\u2019s mental health on early childhood development across different rural communities in China","volume":"15","author":"Zhang","year":"2018","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"10.1016\/j.pedn.2023.09.020_bb0275","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.bbr.2013.04.004","article-title":"Early identification of autism spectrum disorders","volume":"251","author":"Zwaigenbaum","year":"2013","journal-title":"Behavioural Brain Research"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596323002683?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596323002683?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:34:17Z","timestamp":1760114057000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596323002683"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":55,"alternative-id":["S0882596323002683"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2023.09.020","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Relationship between caregiver adverse childhood events and age of autism spectrum diagnosis","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2023.09.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}