Changes

  The '''Adverse Childhood ExperiencesExperience Study''' originated with a questionnaire mailed 13,494 adults. The adverse childhood experiences (ACEsACE) harm children's developing brains. They lead to changing how children respond to [http://www.cirp.org/library/pain/gunnar/ stress] and damaging their immune systems so profoundly that the effects show up decades later. ACEs cause much of our chronic disease burdenstudied included psychological, most mental illnessphysical, and are at the root of or sexual abuse; violenceagainst mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned. Involuntary childhood genital cutting—including female genital mutilationThe study, gender-norming surgery of [[intersex]] childrenwhich was carried out in the 1990s, and male did not include infant [[circumcision]]—is painful and traumatic and has been found to permanently alter individuals' sexuality, and to have other lifelong consequences. These early traumas are not yet included on <ref>{{REFbook |last=van der Kolk |first=Bessel |init= |author-link=Bessel van der Kolk |year=2015 |title=The Body Keeps the ACE checklistscore |url= |chapter=Chapter Nine |scope= |page= |pages=140-3 |ISBN=978-0-14-312774-1 |accessdate=2023-08-07 }}</ref> <ref>{{REFdocument |title=Child genital cutting as an adverse childhood experience |trans-title= |language= |url=http://adversechildhoodexperiences.net/CGC_as_an_ACE.pdf |archived= |contribution= |quote= |trans-quote= |quote-lang= |last=Bollinger |first=Dan |author-link=Dan Bollinger |last2=Chapin |first2=Georganne |author2-link=Georganne Chapin |publisher=Intact America |location=Tarrytown |format=PDF |date=2019-08-01 |accessdate=2023-08-08}}</ref> The study revealed that ACEs are closely related to adult health problems. ACEs are strongly associated with high-risk health behaviors in adulthood, such as smoking, alcohol and drug abuse, promiscuity, and obesity; and with ill health, including depression, heart and lung disease, cancer, and decreased lifespan. ACEs have a dose-response relationship with many health problems. That is, as the number of ACEs accumulates, the greater the health risks to the individual. ACEs come from the CDC-Kaiser Adverse Childhood Experiences Study, a groundbreaking public health study that discovered that childhood trauma leads to the adult onset of chronic diseases, depression and other mental illness, violence and being a victim of violence, as well as financial and social problems.<refname="felitti1998">{{REFjournal |last=FerlittiFelitti |first=Vincent J.

|first2=Robert F.

|last3=NordenbergD |first3=Dale |init3=D

|etallast4=Williamson |first4= |init4=DF |author4-link= |last5=Spitz |first5= |init5=AM |author5-link= |last6=Edwards |first6= |init6=V |author6-link= |last7=Koss |first7= |init7=MP |author7-link= |last8=Marks |first8= |init8=JS |author8-link=yes |title=Relationship of Childhood Abuse childhood abuse and Household Dysfunction household dysfunction to Many many of the Leading Causes leading causes of Death death in Adultsadults. The Adverse Childhood Experiences (ACE) Study

|journal=Am J of Prev Med

|url=https://www.ajpmonline.org/article/S0749-3797(98)00017-8/pdffulltext |archived=

|DOI=10.1016/s0749-3797(98)00017-8 |doi= |accessdate=2023-08-06}}</ref>==Nervous system injury=='''Adverse Childhood Experiences''' (ACEs) harm children's developing brains.<ref>{{REFjournal |last=Anand |first= |init=KJS |author-link= |last2=Scalzo |first2= |init2=FM |author2-link= |etal=no |title=Can Adverse Neonatal Experiences Alter Brain Development and Subsequent Behavior? |trans-title= |language= |journal=Biol Neonate |location= |date=2000-02 |season= |volume=77 |issue=2 |article= |page= |pages=69-8210657682 |url=https://doiwww.cirp.org/library/pain/anand4/ |archived= |quote= |pubmedID=10657682 |pubmedCID= |DOI=10.10161159/S0749000014197 |doi= |accessdate=2023-379708-06}}</ref> Fitzgerald & Walker (2003) described the effect of pain on developing nerve pathways.<ref>{{REFbook |last=Fitzgerald |first= |init=M |author-link= |last2=Walker |first2= |init2=S |author2-link= |year=2003 |title=The role of activity in developing pain pathways. |url=https://www.cirp.org/library/pain/fitzgerald2/ |work=Proceedings of the 10th World Congress on Pain |editor=Dostovsky JO, Carr DB, Koltzenburg M (98eds)00017 |edition= |volume=24 |chapter=Progress in Pain Research and Management |scope= |page= |pages=185-896 |location=Seattle |publisher=IASP Press |ISBN= |quote= |accessdate=2023-08-07 |note=}}</ref>They lead to changing how children respond to [http://www.cirp.org/library/pain/gunnar/ stress] and damaging their immune systems so profoundly that the effects show up decades later. ACEs cause much of our chronic disease burden, most mental illness, and are at the root of violence.<ref>{{REFweb |url=http://adversechildhoodexperiences.net/about-aces.html |title=What Are ACEs? |last= |first= |init= |publisher=HCHEQ |date=2019 |accessdate=2023-1208-0706