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Pediatrics

How a Pandemic Could Advance the Science of Early Adversity

Educational Objective
To understand how COVID-19 can open an opportunity for the advantage of adversity management

1 Credit CME

JAMA Pediatrics

Published Online: July 27, 2020

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Article Information and Disclosures

Danielle Roubinov, PhD¹;

Nicole R. Bush, PhD^1,2;

W. Thomas Boyce, MD^1,2

Author Affiliations

¹Department of Psychiatry, University of California, San Francisco, San Francisco
²Department of Pediatrics, University of California, San Francisco, San Francisco

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The reach of the coronavirus disease 2019 (COVID-19) pandemic is global, a health crisis with a ubiquity never before experienced. While the physical health consequences of COVID-19 appear to affect proportionally fewer children compared with adults, its psychosocial consequences may be magnified within families who consistently weather a landscape of severe stressors or adverse childhood experiences (ACEs; eg, domestic violence, abuse, maltreatment, and parent mental health issues). Leveraging the scientific evidence of early childhood research can aid in developing and implementing evidence-based practices that reduce risk and promote resilience within vulnerable families.

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Article Information

Corresponding Author: Danielle Roubinov, PhD, 3333 California Ave, Ste 465, San Francisco, CA 94118 (danielle.roubinov@ucsf.edu).

Published Online: July 27, 2020. doi:10.1001/jamapediatrics.2020.2354

Conflict of Interest Disclosures: None reported.

References

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Roubinov DS , Boyce WT , Bush NR . Informant-specific reports of peer and teacher relationships buffer the effects of harsh parenting on children’s oppositional defiant disorder during kindergarten. Dev Psychopathol. 2020;32(1):163-174. doi:10.1017/S0954579418001499 PubMed Google Scholar Crossref

Dunifon R . The influence of grandparents on the lives of children and adolescents. Child Dev Perspect. 2013;7(1):55-60. doi:10.1111/cdep.12016 Google Scholar Crossref

Shonkoff JP , Boyce WT , McEwen BS . Neuroscience, molecular biology, and the childhood roots of health disparities: building a new framework for health promotion and disease prevention. JAMA. 2009;301(21):2252-2259. doi:10.1001/jama.2009.754 PubMed Google Scholar Crossref

Walker FR , Pfingst K , Carnevali L , Sgoifo A , Nalivaiko E . In the search for integrative biomarker of resilience to psychological stress. Neurosci Biobehav Rev. 2017;74(pt B):310-320. doi:10.1016/j.neubiorev.2016.05.003 PubMed Google Scholar Crossref

Bush NR , Aschbacher K . Immune biomarkers of early-life adversity and exposure to stress and violence-searching outside the streetlight. JAMA Pediatr. 2019;174(1):1-3.PubMed Google Scholar

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 CME points in the American Board of Surgery’s (ABS) Continuing Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.