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AllanfromWales1 t1_ixyw72x wrote

Reply to comment by OrcRampant in Childhood traumas strongly impact both mental and physical health, new study shows. For every reported type of abuse experienced in childhood, a participant's risk for PTSD increased 47%. Each cumulative trauma also increased one's risk for making a suicide attempt by 33%. by Wagamaga

OP's study, though, is based on answers to the ACE test, not on assessing participants' cortisol levels.

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OrcRampant t1_ixyx14e wrote

My point is, whatever a person’s personality is does not determine the health affects of the adverse events. What you are referring to is under reporting, or normalizing trauma. That’s why these questions are asked in several ways and with different wording. The results aren’t unreliable.

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AllanfromWales1 t1_ixyy7ct wrote

> That’s why these questions are asked in several ways and with different wording.

Not in the test I was looking at. They looked for different effects, but didn't repeat questions with different formulations to try to pick up issues which might have been passed over.

Yes, my concern is that normalised trauma may introduce a bias in the results. In particular, that the sort of people/families that may normalise trauma may well be the sort of people/families who would not identify PTSD and hence it would not be detected. This would appear in the records as people without detected trauma having a lower incidence rate of detected PTSD, as such introducing a bias in the results.

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OrcRampant t1_ixyzrbu wrote

“Many previous studies observed that traumatic childhood events are linked to long-term adult diseases using the standard Adverse Childhood Experience Questionnaire.”

“…volunteer-based population health study in which each adult participant is invited to take a retrospective questionnaire that includes the Adverse Childhood Experience Questionnaire…”

“Using participant’s cross-referenced electronic health records, a phenome-wide association analysis of 1,703 phenotypes and the incidence of ACEs examined links between traumatic events in childhood and adult disease.”

So, this is science. They have to be thorough. Also consider that the hypothetical person who has normalized trauma would not be volunteering to be in a study like this. All in all, I just think that means that there are likely more abuse victims out there than we know, but that really doesn’t affect a study like this.

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