{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:42:29Z","timestamp":1792078949541,"version":"4.4.0"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T00:00:00Z","timestamp":1560729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["K12HS023000"],"award-info":[{"award-number":["K12HS023000"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["T32AG019134"],"award-info":[{"award-number":["T32AG019134"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>To examine the prevalence of adverse childhood experiences (ACEs) and the associations of ACEs with psychiatric and substance use disorders among older adults in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>Cross\u2010sectional analysis of the 2012\u20102013 National Epidemiological Survey on Alcohol and Related Conditions Wave III (NESARC\u2010III).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Nationally representative drug\u2010related health interview survey in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>Survey respondents aged 65 or older (n = 5806 unweighted).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>\n                      ACEs, the key independent variable, were assessed using validated measures. Outcome variables consisted of past\u2010year psychiatric disorders (eg, major depressive disorder and generalized anxiety disorder) and substance use disorders (eg, alcohol use disorder) using criteria from the\n                      <jats:italic>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition<\/jats:italic>\n                      . We estimated the national prevalence of ACEs in older adults and used multivariable\u2010adjusted logistic regression analyses to assess the association between ACEs and the outcomes after adjusting for sociodemographics and clinical comorbidities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Overall, 35.9% of older adults, representative of 14.8 million older adults nationwide, reported some form of ACEs. The most common types were parental psychopathology (20.3%), other traumatic events (14.0%), and physical\/psychological abuse (8.4%). Having experienced any ACEs was associated with higher odds of having a past\u2010year psychiatric disorder (adjusted odds ratio = 2.11; 95% confidence interval = 1.74\u20102.56). Similar results were found for substance use disorders (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>\n                      ACEs are linked to an increased risk for past\u2010year psychiatric and substance use disorders in older adults. ACEs may have long\u2010term effects on older adults\u2019 mental well\u2010being. Although further research is needed, preventing ACEs may lead to large improvements in public mental health that persist well into older age.\n                      <jats:bold>J Am Geriatr Soc 67:2085\u20132093, 2019<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.16032","type":"journal-article","created":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T14:46:59Z","timestamp":1560782819000},"page":"2085-2093","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Associations of Adverse Childhood Experiences with Past\u2010Year DSM\u20105 Psychiatric and Substance Use Disorders in Older Adults"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4961-3361","authenticated-orcid":false,"given":"Taeho Greg","family":"Rhee","sequence":"first","affiliation":[{"name":"Department of Community Medicine and Health Care, School of Medicine University of Connecticut Farmington Connecticut"},{"name":"Department of Psychiatry, School of Medicine Yale University New Haven Connecticut"},{"name":"Yale Center for Outcomes Research and Evaluation, Yale\u2010New Haven Health New Haven Connecticut"},{"name":"US Department of Veterans Affairs Connecticut Healthcare System Mental Illness Research, Education and Clinical Center of New England West Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa C.","family":"Barry","sequence":"additional","affiliation":[{"name":"Center on Aging, School of Medicine University of Connecticut Farmington Connecticut"},{"name":"Department of Psychiatry, School of Medicine University of Connecticut Farmington Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George A.","family":"Kuchel","sequence":"additional","affiliation":[{"name":"Center on Aging, School of Medicine University of Connecticut Farmington Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Steffens","sequence":"additional","affiliation":[{"name":"Center on Aging, School of Medicine University of Connecticut Farmington Connecticut"},{"name":"Department of Psychiatry, School of Medicine University of Connecticut Farmington Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel T.","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine Yale University New Haven Connecticut"},{"name":"Yale Center for Outcomes Research and Evaluation, Yale\u2010New Haven Health New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,17]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"World Health Organization.Mental health of older adults. 2017.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/mental\u2010health\u2010of\u2010older\u2010adults. 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