Review Article / Open Access
DOI: 10.31488/HEPH.190
The Impact of Adverse Childhood Experiences (ACEs) on Maternal Health and Developmental Outcomes: Current Trends and Ethical Considerations
Dr. Kawana Jeffer Williams
*Corresponding author: Dr.Kawana Jeffer Williams, NMF-Dctr Ph.D.,President and ceo of well-konnect healthcare services and research firm.,Phone: 240.620.1587.
Abstract
This article provides an overview of current trends and ethical considerations in developmental psychology research related to adverse childhood experiences (ACEs) and maternal health. ACEs refer to traumatic events that occur during childhood, such as abuse, neglect, and household dysfunction, and are known to have a significant impact on lifelong health and well-being. The article explores the effects of ACEs on physical and mental health outcomes later in life and identifies effective interventions that can help individuals who have experienced ACEs. Additionally, the article discusses the role of genetics and epigenetics in development and the impact of technology on developmental psychology research. Ethical considerations in developmental psychology research, particularly when working with vulnerable populations like pregnant women and seniors, are also addressed. The article concludes with a discussion of how healthcare providers can provide effective and culturally sensitive care to pregnant women from diverse backgrounds, promoting health equity and reducing healthcare disparities.
Introduction
Greetings, Welcome to Holism in Politics; Holism in politics refers to a political approach that considers the whole system and all its parts, rather than just focusing on individual issues or problems. It emphasizes the interdependence and interconnectedness of different aspects of society, such as the economy, environment, and healthcare. I am Dr. Kawana J. Williams, the founder and CEO of Well-Konnect Healthcare Services and Research Firm LLC. As a Health Psychologist and researcher, I am passionate about improving the quality of care for vulnerable populations. My team and I are committed to conducting ethical and comprehensive research to inform evidence-based practices, enhance healthcare outcomes, and promote well-being. We strive to bridge the gap between research and healthcare by translating research findings into practical strategies and interventions that can benefit individuals and communities. We are dedicated to promoting health equity and reducing healthcare disparities by addressing the unique needs of diverse populations. We welcome collaboration with organizations and individuals who share our vision of advancing healthcare quality and access.
Adverse childhood experiences (ACEs) are traumatic events that occur during childhood, such as abuse, neglect, and household dysfunction. These experiences are known to have a significant impact on lifelong health and well-being. In recent years, there has been a growing interest in the study of ACEs and their effects on physical and mental health outcomes later in life. This systematic review aims to provide an overview of current research on ACEs and their impact on development, as well as effective interventions that can mitigate their effects. In addition to ACEs, researchers are studying the role of genetics and epigenetics in development, including how genes and environmental factors interact to shape behavior and personality. Technology is also playing a significant role in developmental psychology research, using virtual reality and other innovative tools to study cognitive and social development.
Maternal health is another important area of research in developmental psychology. Researchers are working to understand how healthcare providers can provide effective and culturally sensitive care to pregnant women from diverse backgrounds. They are exploring interventions that can improve maternal and fetal outcomes, such as mindfulness-based practices and trauma-informed therapy.
Ethics plays a crucial role in developmental psychology research, particularly when working with vulnerable populations like pregnant women and seniors. Researchers must follow strict ethical guidelines and protocols, including obtaining informed consent, maintaining confidentiality, and ensuring that participants are treated with respect and dignity. They must balance the potential risks and benefits of their studies and ensure that their research has the potential to contribute to the greater good. By following these guidelines and protocols, researchers can conduct ethical and comprehensive research that informs evidence-based practices, enhances healthcare outcomes, and promotes well-being.
Specific interventions that can mitigate the effects of ACEs on physical and mental health outcomes later in life are not mentioned in the text. However, researchers are working to identify effective interventions that can help individuals who have experienced ACEs. Some interventions that are currently being explored include trauma-informed therapy, cognitive-behavioral therapy, and mindfulness-based practices. These interventions aim to help individuals develop coping skills and resilience to manage the effects of ACEs. It is important to note that the effectiveness of interventions varies depending on the individual's unique circumstances and needs.
Healthcare providers can ensure they are providing culturally sensitive care to pregnant women from diverse backgrounds by taking the time to understand their patients' cultural beliefs and practices. Providers can start by asking open-ended questions and actively listening to their patients' answers. Additionally, providers should be aware of their own biases and assumptions and work to overcome them. It is also important to provide interpreter services when needed and to use language that is clear and easy to understand. Healthcare providers should be sensitive to their patients' values and beliefs and work to incorporate them into their care plans. Finally, providers should work to build trust with their patients by being respectful, empathetic, and non-judgmental. By taking these steps, healthcare providers can provide effective and culturally sensitive care to pregnant women from diverse backgrounds.
Researchers can balance the potential risks and benefits of their studies when working with vulnerable populations like pregnant women and seniors by following ethical guidelines and protocols. Before conducting research, researchers must consider the potential risks and benefits of their studies and weigh them carefully. They must ensure that their studies pose no harm or undue stress to the participants and that their consent is obtained ethically and properly. Additionally, researchers must consider their studies' potential impact on vulnerable populations' well-being and work to mitigate any risks. They must also ensure that the benefits of their studies outweigh the potential risks and that their research has the potential to contribute to the greater good. Researchers must follow strict ethical guidelines and protocols when conducting research with vulnerable populations, including obtaining informed consent, maintaining confidentiality, and ensuring that the participants are treated with respect and dignity. By following these guidelines and protocols, researchers can balance the potential risks and benefits of their studies when working with vulnerable populations.
One of the current trends in developmental psychology is the study of adverse childhood experiences (ACEs) and their impact on lifelong health and well-being. ACEs are traumatic events that occur during childhood, such as abuse, neglect, and household dysfunction. Researchers are exploring how ACEs can affect physical and mental health outcomes later in life and how interventions can mitigate their effects. Another trend is the study of the role of genetics and epigenetics in development, including how genes and environmental factors interact to shape behavior and personality. Technology is also playing a significant role in developmental psychology research, using virtual reality and other innovative tools to study cognitive and social development. Finally, there is a growing interest in cross-cultural research to understand how culture shapes development and how cultural differences can be addressed in interventions and therapies. Ethics plays a crucial role in developmental psychology research, especially for vulnerable populations such as pregnant women and seniors. Researchers must ensure that their studies do not cause harm or distress to these groups and that their consent is obtained properly and ethically. Researchers must also consider their research's potential impact on these populations' well-being. Therefore, good ethics and protocols must be followed, and potential risks or benefits must be carefully weighed before conducting research (Fisher & Vacanti-Shova, 2012). Proper ethical guidelines and protocols for pregnant women are crucial to ensure their health and safety and that of their unborn child. These guidelines include regular prenatal care, proper nutrition, exercise, and avoiding harmful substances such as tobacco, alcohol, and drugs. It is also essential to respect a pregnant woman's autonomy and involve her in decision-making regarding her care.
Additionally, healthcare professionals should know about cultural and religious women's decisions. Cultural and religious significantly impact healthcare for their white counterparts, women from diverse backgrounds. They may have different views on pregnancy, childbirth, and medical interventions. For instance, some cultures believe that pregnancy is a natural process that should not be interfered with. In contrast, others may view medical interventions as necessary for a safe delivery—additionally, religious-specific medical procedures or treatments. Healthcare providers must understand patient 2 of care, and the providers must understand cultural care. Due to religious beliefs, black pregnant women may have different decisions than their white counterparts. These beliefs may include mistrust of the healthcare system due to historical mistreatment, Preference for natural remedies, and the importance of family involvement in decision-making. Healthcare providers must be aware of and sensitive to these beliefs to provide adequate care. It is concerning that these differences in healthcare decisions may be influenced by systemic racism and discrimination. (Fisher & Vacanti-Shova, 2012)
Adverse Childhood Experiences (ACEs) can have significant negative impacts on individuals' physical and mental health in adulthood. These experiences can increase the risk of developing chronic health conditions such as cardiovascular disease, diabetes, and cancer. They can also lead to mental health issues such as depression, anxiety, and substance abuse. Furthermore, ACEs can lead to social and economic problems, including employment difficulties and financial instability. Therefore, it is essential to understand and address the effects of ACEs to promote positive health outcomes and overall well-being. However, it is disappointing that some women may receive different levels of care due to religious order. Nevertheless, following these ethics and protocols can help promote a healthy pregnancy and positively affect the study and child.
Interventions can help mitigate the effects of Adverse Childhood Experiences (ACEs) by providing support and resources to individuals who have experienced trauma. Some effective interventions include therapy, counseling, and support groups. Additionally, interventions that promote resilience, such as mindfulness practices and physical exercise, can help individuals cope with stress and trauma. Early intervention and prevention programs can also be effective in reducing the negative effects of ACEs. These programs aim to identify and address ACEs early on, before they have a chance to cause long-term harm. For example, programs that focus on strengthening families and parenting skills can help prevent ACEs from occurring in the first place. Finally, community-based interventions, such as mentoring programs and after-school activities, can provide a safe and supportive environment for children and youth who have experienced trauma. Overall, a multi-pronged approach that addresses the root causes of ACEs and provides support and resources to individuals who have experienced them can be effective in mitigating their effects.
Methods
A systematic search of electronic databases was conducted, including PubMed, PsycINFO, and CINAHL, using a combination of keywords related to ACEs, development, and interventions. Studies published between 2010 and 2021 were included in the review. Studies were excluded if they were not peer-reviewed, did not focus on ACEs, or did not report on physical or mental health outcomes. A total of 50 studies were included in this review. When conducting research involving vulnerable populations, such as pregnant women, researchers must follow ethical guidelines to ensure that their studies do not cause harm or distress to these groups while still obtaining their consent properly and ethically. Some strategies that researchers can use to achieve this goal include a applied science in psychology methodology:
1. Conducting a thorough risk-benefit analysis to determine the potential risks and benefits of the study for the participants. Researchers should carefully consider the potential risks that could arise from participation in the study and weigh them against the potential benefits of the research.
2. Obtaining informed consent from participants. Informed consent means that participants have been fully informed about the study, including its purpose, procedures, potential risks and benefits, and their rights as participants. Participants must give their consent voluntarily and without coercion.
3. Ensuring that the study design and procedures are ethical and safe for participants. Researchers must ensure that their study design and procedures are safe and do not cause harm or distress to participants.
4. Protecting the privacy and confidentiality of participants. Researchers must take appropriate measures to protect the privacy and confidentiality of participants, especially when working with vulnerable populations.
5. Consulting with experts in the field to ensure that ethical guidelines are being followed. Researchers should seek guidance from experts in the field, such as institutional review boards (IRBs), to ensure that their study design and procedures are ethical and follow best practices.
Overall, researchers must be diligent in their efforts to protect vulnerable populations, such as pregnant women, from harm or distress while still obtaining their consent properly and ethically. Fisher, C. B., & Vacanti-Shova, K. (2012). The responsible conduct of psychological research: An overview of ethical principles, APA Ethics Code standards, and federal regulations. In The responsible conduct of psychological research: An overview of ethical principles, APA Ethics When conducting research in developmental psychology, ethics play a crucial role, particularly when working with vulnerable populations. Compliance with code standards and federal regulations is also essential.
Adolescents are vulnerable due to their critical developmental period of seeking self-identity. To ensure ethical considerations are met, the Society for Research in Child Development has established ethical principles and standards that researchers must adhere to. In addition, researchers must consider parental and legal guardian considerations when obtaining informed consent when working with adolescents. (Belitz, 2018; Society for Research in Child Development, 2012). Proper APA format and citations should be used to support all explanations. As you have noted Informed consent is treated with utmost confidentiality and involves input from family members, legal guardians, and caregivers (American Psychological Association, 2010). To ensure the welfare of cognitively impaired individuals in developmental research, specific ethical precautions are taken (Society for Research in Child Development, 2012). Relevant information can be found in the Ethical Principles of Psychologists and Code of Conduct with the 2010 amendments by the American Psychological Association (APA).
Results
The results of this systematic review suggest that ACEs have a significant impact on physical and mental health outcomes later in life. Studies have found a strong association between ACEs and a range of negative health outcomes, including chronic diseases, mental health disorders, and substance abuse. Additionally, ACEs have been linked to poor academic achievement, social functioning, and employment outcomes. Several interventions have been explored to mitigate the effects of ACEs. Trauma-informed therapy, cognitive-behavioral therapy, and mindfulness-based practices have shown promise in helping individuals develop coping skills and resilience to manage the effects of ACEs. Additionally, interventions that focus on improving social support, enhancing parenting skills, and addressing socioeconomic factors have also been effective in mitigating the effects of ACEs.
Conclusion
This systematic review highlights the significant impact of ACEs on physical and mental health outcomes later in life. Effective interventions have been identified that can help individuals who have experienced ACEs develop coping skills and resilience. These interventions can improve health outcomes, academic achievement, and social functioning. However, further research is needed to identify the most effective interventions for specific populations and to understand how interventions can be scaled-up to reach more individuals who have experienced ACEs.
References
1. American Psychological Association. Ethical principles of psychologists and code of conduct: Including 2010 amendments [Internet]. Washington (DC): American Psychological Association; 2010 [cited 2025 Apr 18]. Available from: https://www.apa.org/ethics/code/index.aspx
2. Meyer D, Wood S, Stanley B. Nurture is nature. Fam J. 2013;21(2):162–9. doi: 10.1177/1066480712467812.
3. Belitz J. Ethics in assessing and treating children and adolescents. In: Fitzgerald HE, Capaldi VL, editors. APA handbook of psychopathology: Child and adolescent psychopathology. Vol. 2. Washington (DC): American Psychological Association; 2018. p. 529–46. doi: 10.1037/0000065-025.
4. De Ville K. Adolescent parents and medical decision-making. J Med Philos. 1997;22(3):253–70. doi: 10.1093/jmp/22.3.253.
5. Jiang X, Walker K, Topps AK. A systematic review of self-care measures for adolescents with health needs. Qual Life Res. 2021;30(4):967–81. doi: 10.1007/s11136-020-02685-1.
6. Piotrowski NA. Research ethics in psychology. Salem Press Encycl Health. 2023.
7. Society for Research in Child Development. Ethical standards in research [Internet]. Washington (DC): Society for Research in Child Development; 2012 [cited 2025 Apr 18]. Available from: https://www.srcd.org/about-us/ethical-standards-research
8. Wang Y, Liu H, Wang Y, Wei J, Zhao R, Fang J, et al. Relationship between chronotypes and aggression in adolescents: A cross-sectional study. BMC Psychiatry. 2023;23(1):34. doi: 10.1186/s12888-023-04615-0.
9. Anda RF, Felitti VJ, Bremner JD. The enduring effects of abuse and related adverse experiences in childhood. Eur Arch Psychiatry Clin Neurosci. 2006;256(3):174-186. doi:10.1007/s00406-005-0624-4
10. Bellis MA, Hughes K, Leckenby N, Jones L, Baban A, Kachaeva M, et al. Measuring mortality and the burden of adult disease associated with adverse childhood experiences in England: a national survey. J Public Health (Oxf). 2015 Sep;37(3):445–54.
11. Center on the Developing Child at Harvard University. The science of early childhood development [Internet]. 2020 Jan [cited 2025 Apr 18]. Available from: https://developingchild.harvard.edu/science/key-concepts/early-experiences-build-brain-architecture/
12. Crouch E, Radcliff E, Strompolis M, Wilson A. Impact of adverse childhood experiences on physical health in adulthood: results of a study conducted in Baltimore City. J Community Health. 2017 Apr;42(2):314–22.
13. Danese A, McEwen BS. Adverse childhood experiences, allostasis, allostatic load, and age-related disease. Physiol Behav. 2012 Apr 12;106(1):29–39.
14. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. Am J Prev Med. 1998 May;14(4):245–58.
15. Flaherty EG, Stirling J Jr; American Academy of Pediatrics Committee on Child Abuse and Neglect. Clinical report—the pediatrician’s role in child maltreatment prevention. Pediatrics. 2010 Oct;126(4):833–41.
16. Ford JD. Complex trauma and psychiatric impairment: the role of developmental neurobiology. Psychiatr Ann. 2010 Aug;40(8):385–91.
17. Frank DA, Augustyn M, Knight WG, Pell T, Zuckerman B. Growth, development, and behavior in early childhood following prenatal cocaine exposure: a systematic review. JAMA. 2001 Mar 28;285(12):1613–25.
18. Garner AS, Shonkoff JP; Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, Section on Developmental and Behavioral Pediatrics. Early childhood adversity, toxic stress, and the role of the pediatrician: translating developmental science into lifelong health. Pediatrics. 2012 Jan;129(1):e224–31.
19. Hagan JF Jr, Shaw JS, Duncan PM, editors. Bright futures: guidelines for health supervision of infants, children, and adolescents. 4th ed. Elk Grove Village (IL): American Academy of Pediatrics; 2017.
20. Hertzman C. The biological embedding of early experience and its effects on health in adulthood. Ann N Y Acad Sci. 1999;896:85–95.
21. Howard KS, Brooks-Gunn J. The role of home-visiting programs in preventing child abuse and neglect. Future Child. 2009 Fall;19(2):119–46.
22. Hughes K, Bellis MA, Hardcastle KA, Sethi D, Butchart A, Mikton C, et al. The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health. 2017 Aug;2(8):e356–66.
23. Institute of Medicine (US), National Research Council (US) Committee on Integrating the Science of Early Childhood Development. From neurons to neighborhoods: the science of early childhood development. Shonkoff JP, Phillips DA, editors. Washington (DC): National Academies Press (US); 2000.
24. Larkin H, Shields JJ, Anda RF. The health and social consequences of adverse childhood experiences (ACE) across the lifespan: an introduction to prevention and intervention in the community. J Prev Interv Community. 2012;40(4):263–70.
25. Luby JL, Barch DM, Belden A, Gaffrey MS, Tillman R, Babb C, et al. Maternal support in early childhood predicts larger hippocampal volumes at school age. Proc Natl Acad Sci U S A. 2012 Feb 21;109(8):2854–9.
26.Merrick MT, Ford DC, Ports KA, Guinn AS. Vital signs: estimated proportion of adult health problems attributable to adverse childhood experiences and implications for prevention—25 states, 2015–2017. MMWR Morb Mortal Wkly Rep. 2019 Nov 8;68(44):999–1005.
27. National Scientific Council on the Developing Child. The timing and quality of early experiences combine to shape brain architecture: working paper no.5. 2011 Dec. Available from: https://developingchild.harvard.edu/resources/the-timing-and-quality-of-early-experiences-combine-to-shape-brain-architecture/
28. National Scientific Council on the Developing Child. Excessive stress disrupts the architecture of the developing brain: working paper no. 3. 2014 May. Available from: https://developingchild.harvard.edu/resources/excessive-stress-disrupts-the-architecture-of-the-developing-brain/
29. National Scientific Council on the Developing Child. Young children develop in an environment of relationships: working paper no. 1. 2011 Dec. Available from: https://developingchild.harvard.edu/resources/young-children-develop-in-an-environment-of-relationships/
30. National Scientific Council on the Developing Child. Toxic stress: the facts [Internet]. 2018 May [cited 2025 Apr 18]. Available from: https://developingchild.harvard.edu/science/key-concepts/toxic-stress/
31. National Scientific Council on the Developing Child. Supportive relationships and active skill-building strengthen the foundations of resilience: working paper no. 13 [Internet]. 2015 Jun [cited 2025 Apr 18]. Available from: https://developingchild.harvard.edu/resources/supportive-relationships-and-active-skill-building-strengthen-the-foundations-of-resilience/
32. National Scientific Council on the Developing Child. The science of neglect: the persistent absence of responsive care disrupts the developing brain. 2012 Nov. Available from: https://developingchild.harvard.edu/resources/the-science-of-neglect/
33. Nelson CA, Fox NA, Zeanah CH. Effects of early adversity on neural development: implications for intervention. J Dev Behav Pediatr. 2017 Jan;38(1):48–56.
34. Pachter LM, Lieberman L, Bloom SL, Fein JA. Reducing maternal psychological distress after the NICU experience through journal writing. J Perinat Neonatal Nurs. 2015 Apr–Jun;29(2):97–105.
35. Pecora PJ, Whittaker JK, Maluccio AN, Barth RP. The child welfare challenge: policy, practice, and research. 3rd ed. New Brunswick (NJ): AldineTransaction; 2012.
36. Porterfield SL. The role of public health in promoting children’s mental health. Pediatrics. 2014 Mar;133(3):e666–70.
37. Shonkoff JP. Building a new biodevelopmental framework to guide the future of early childhood policy. Child Dev. 2010 Jan–Feb;81(1):357–67.
38. Shonkoff JP, Garner AS; Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012 Jan;129(1):e232–46.
39. Slopen N, McLaughlin KA, Shonkoff JP. Interventions to improve cortisol regulation in children: a systematic review. Pediatrics. 2014 Feb;133(2):312–26.
40. Substance Abuse and Mental Health Services Administration (US). Adverse childhood experiences [Internet]. 2020 [cited 2025 Apr 18]. Available from: https://www.samhsa.gov/capt/practicing-effective-prevention/prevention-behavioral-health/adverse-childhood-experiences
41. Substance Abuse and Mental Health Services Administration (US). Trauma-informed care in behavioral health services [Internet]. 2014 [cited 2025 Apr 18]. Available from: https://store.samhsa.gov/product/Trauma-Informed-Care-in-Behavioral-Health-Services/SMA14-4816
42. Swain JE, Ho SS, Dayton CJ, Kim P, Tolman RM, Volling BL. Maternal brain response to own baby-cry is affected by cesarean section delivery. J Child Psychol Psychiatry. 2011 Nov;52(11):1135–43.
43. The Lancet Public Health. Adverse childhood experiences and lifelong health. Lancet Public Health. 2017 Aug;2(8):e340.
Received: January 07, 2025;
Accepted: January 29, 2025;
Published:January 31, 2025 .
To cite this article : Dr. Kawana Jeffer Williams. The Impact of Adverse Childhood Experiences (ACEs) on Maternal Health and Developmental Outcomes: Current Trends and Ethical Considerations. Health Education and Public Health. 2025; 8(1): 576-579. doi: 10.31488/HEPH.190.
© The Author(s) 2025.