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Adverse Childhood Experiences (ACEs): Impact on brain, body and behaviour

IHDCYH Talks | Entretiens de l'IDSEA · 789 words · 4 min read

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0:11A child's experiences early in life are important building blocks for the developing brain.

0:17Genes - nature - are like the blueprint.

0:20They provide the basic framework for brain development.

0:23However, genes do not design the brain completely.

0:27Environmental influences - nurture - fine tune how the brain works by shaping which

0:32brain connections get used.

0:35Connections that are used more grow stronger and more permanent, whereas ones that do not

0:39get much use fade away.

0:41Together, genes and the environment build the foundation for all future development.

0:48Safe, stable and nurturing relationships early in life lead to healthy development.

0:54But children's brains capture other experiences as well: stressful events.

0:59However, not all stress is bad.

1:01Positive stress involves normal childhood experiences, like starting daycare, or meeting

1:07a new person for the first time.

1:09This stress is essential for healthy development, because it helps children develop coping skills

1:14and confidence.

1:15But when stress is frequent, chronic, and uncontrolled, it is toxic to children, especially

1:21when they do not have a caregiver to provide support or buffer the stress.

1:27Adverse childhood experiences – ACEs - such as abuse, neglect, exposure to intimate partner

1:33violence, parental depression or addiction, and poverty are toxic stressors which could

1:39lead to lifelong changes in learning and behavior.

1:42ACEs early in development can impact social, emotional, and cognitive functioning, increased

1:49risk-taking behaviors such as drinking and substance use, and increased risk of disease,

1:54disability, and social problems later in life.

1:58The question is - how do adverse childhood experiences impact a lifelong development.

2:04One of the most important systems in our body is our stress system.

2:09It's activated when we experience stress.

2:11We become alert, our heart rate increases, and so do our stress hormone levels - cortisol

2:16and adrenaline.

2:18Our body is ready to react - what is known as fight or flight.

2:23A short period of time after the stress is over - or if a child receives support from

2:28a caregiver - the stress response turns off and the body returns to a normal state.

2:34Adverse childhood experiences create stress responses that stay active, and without the

2:39support of a caregiver, the system has difficulty shutting off completely.

2:44This constant and prolonged activation can affect immune system functioning and increase

2:49the chances of sickness, infection, and disease.

2:54Prolonged activation of stress hormones is also toxic to the brain.

2:58Certain areas of the brain are more vulnerable to toxic stress, including the executive centre,

3:04or the brain’s control centre, an area important for solving complex problems, attention, reasoning,

3:11impulsivity, inhibition, and learning.

3:13A second area is the emotional centre - the brain's alarm system - which is involved in

3:20processing and interpreting emotions, and the ability to control impulses.

3:25The third area is the memory and learning centre - the brain's filing cabinet - which

3:30plays a major role in learning and the formation and retrieval of memories.

3:35Science shows that adverse childhood experiences impact all of these brain centres.

3:40Behaviourally, what we begin to see is emotional distress, poor emotion regulation, greater

3:46impulsivity, learning difficulties, and physical and mental health problems.

3:52More recently, science has begun to look at how ACEs cause changes in gene expression

3:57through a process called epigenetics which helps us understand how nature and nurture

4:02interact.

4:04Epigenetics causes changes in the way genes work, without changing the DNA code itself.

4:09This occurs through chemical changes influencing how the code is used.

4:14In other words, genes are like the hardware in a computer: they determine the boundaries

4:19of what is possible.

4:20However, we need an operating system to tell the hardware what to do.

4:26Epigenetics is like the operating system directing the function of a gene’s DNA hardware.

4:32The genes we are born with are the genes that we have for life, but experiences like nutrition,

4:37exercise, smoking, stressors, and relationships all affect our biology.

4:44Adverse childhood experiences are associated with epigenetic changes related to stress,

4:49brain development, cognition, and systems associated with mental and physical health.

4:55Changes that happen early in brain development are more likely to be enduring, and are possibly

4:59passed down to future generations as well.

5:03The good news is that positive, supportive relationships at any stage in life can make

5:09a difference.

5:10However, supporting families and children early on will help prevent many of these negative

5:15outcomes.

5:16One of the key ingredients for healthy development is having warm, loving, and actively engaged

5:22caregivers.

5:23This involves promoting serve and return interactions, where caregivers actively and warmly engage

5:28with the child: making eye contact, responding to sounds, words, gestures, emotional needs,

5:35and sharing experiences like reading and play.

5:41Providing programs that support caregivers to strengthen these abilities are the blocks

5:45that build healthy foundations for life.

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