{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:41:30Z","timestamp":1790959290486,"version":"4.1.0"},"reference-count":24,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T00:00:00Z","timestamp":1667865600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jom-2022-0140_abs_001\">\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>Adverse childhood experiences (ACEs) negatively impact health outcomes later in life, in a dose\u2013dependent relationship; however, little is known about the impact of the individual ACE categories and subjective cognitive decline (SCD) later in life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0140_abs_002\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The aim of this study was to determine the associations among the eight ACEs and SCD.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0140_abs_003\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We analyzed data from two cycles of the Behavioral Risk Factor Surveillance System (BRFSS; 2019\u20132020). We assessed the accumulation of ACEs and their association with SCD, and among individuals reporting only one ACE, we utilized logistic regression to compare the likelihood of reporting SCD and symptomology among the eight categories of adversity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0140_abs_004\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among included respondents, 10.14% reported experiencing SCD. More ACEs were reported among those with SCD (mean, 2.61; SD, 2.56) compared to those without SCD (mean, 1.44; SD, 1.91). Those with higher ACE scores were significantly less likely to have spoken with a healthcare provider about their cognitive decline. Individuals reporting one ACE of either family mental illness, family substance abuse, family incarceration, emotional abuse, or physical abuse had significantly greater odds of reporting memory loss compared to individuals with no ACEs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jom-2022-0140_abs_005\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Having multiple ACEs was significantly associated with higher odds of SCD and associated limitation of social activity and was inversely associated with getting help when it is needed. Further, many ACE categories were associated with SCD\u00a0\u2013 a novel addition to the literature and the methodology utilized herein. Interventions focused on improving cognitive health and preventing cognitive decline should consider the potential role of ACEs among affected populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jom-2022-0140","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T23:44:04Z","timestamp":1667951044000},"page":"125-133","source":"Crossref","is-referenced-by-count":14,"title":["Adverse childhood experience categories and subjective cognitive decline in adulthood: an analysis of the Behavioral Risk Factor Surveillance System"],"prefix":"10.1515","volume":"123","author":[{"given":"Rachel M.","family":"Terry","sequence":"first","affiliation":[{"name":"Oklahoma State University Center for Health Sciences, Office of Medical Student Research , Tulsa , OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadie E.","family":"Schiffmacher","sequence":"additional","affiliation":[{"name":"Oklahoma State University College of Osteopathic Medicine at the Cherokee Nation, Office of Medical Student Research , Tahlequah , OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avery A.","family":"Dutcher","sequence":"additional","affiliation":[{"name":"Oklahoma State University Center for Health Sciences, Office of Medical Student Research , Tulsa , OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie M.","family":"Croff","sequence":"additional","affiliation":[{"name":"National Center for Wellness and Recovery , Tulsa , OK , USA"},{"name":"Oklahoma State University Center for Health Sciences, Center for Integrative Research on Childhood Adversity , Tulsa , OK , USA"},{"name":"Oklahoma State University Center for Health Sciences, Center for Rural Health , Tulsa , OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina J.","family":"Jelley","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine , University of Oklahoma School of Community Medicine , Tulsa , OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micah L.","family":"Hartwell","sequence":"additional","affiliation":[{"name":"Oklahoma State University Center for Health Sciences, Office of Medical Student Research , Tulsa , OK , USA"},{"name":"Department of Psychiatry and Behavioral Sciences , Oklahoma State University Center for Health Sciences , Tulsa , OK , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2022,11,8]]},"reference":[{"key":"2023022108245498365_j_jom-2022-0140_ref_001","doi-asserted-by":"crossref","unstructured":"Jutkowitz, E, Kane, RL, Gaugler, JE, MacLehose, RF, Dowd, B, Kuntz, KM. 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