Wednesday, September 12, 2012

Do You Get More Headaches than Most? Adverse Childhood Experiences (ACE) May Be the Cause


CEC Associates has written extensively about Adverse Childhood Experiences (ACE) in terms of employee dysfunction in the workplace. The original ACE study was done by Robert Anda, M.D., at the Center for Disease Control (CDC) and Vincent J. Felitti, M.D., at Kaiser Permanente. The findings of this developmental research showed that in many adults, the cause of otherwise unexplained illnesses and impaired adult worker performance is ACE.

More recently, the research has been extended by other medical professionals to include other pervasive physiological difficulties in adults. The latest findings indicate that between 20% and 40% of headache patients have endured some kind of maltreatment during their early lives.

One of the lead researchers of this phenomenon is Dr. Elliott Schulman, a neurologist at the Lankenau Hospital in Wynnewood.

Schulman’s study of ACE confirmed a strong association between childhood stress and adult headaches. The report, which studied more than 17,000 adults, examined the relationship between frequent headaches and eight early stressors:

1.      emotional abuse
2.      physical abuse
3.      sexual abuse
4.      domestic violence
5.      parental separation or divorce
6.      living with an adult who was mentally ill
7.      living with a substance abuser
8.      engaged in criminal activity

ACE research is only now beginning to look more into subtle manifestations of ACE, and we look forward to the findings of additional studies of these cause-and-effect factors. How strong do you think this causal relationship is between ACE scores and headaches? What would be an appropriate way, if any, to measure the effects of ACE in the workplace? Please share your thoughts in the comments.

For more information, see the summary article from Clinical Psychiatry News or the ACE study website. For more on the impact of ACE on workplace dysfunction, see this Continuing Education article written by CEC Associates.