{"id":26905,"date":"2024-02-06T16:12:43","date_gmt":"2024-02-07T00:12:43","guid":{"rendered":"https:\/\/marylandefc.org\/?page_id=26905"},"modified":"2026-02-12T15:35:28","modified_gmt":"2026-02-12T23:35:28","slug":"aces","status":"publish","type":"page","link":"https:\/\/marylandefc.org\/pt\/grownups\/aces\/","title":{"rendered":"Lidando com experi\u00eancias adversas na inf\u00e2ncia (ACEs)"},"content":{"rendered":"<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/marylandefc.org\/wp-content\/uploads\/2024\/02\/mom-comforting-daughter-during-adversity-scaled.jpg\" alt=\"mom comforting daughter during adversity\" height=\"1707\" width=\"2560\" title=\"Traseira, Vista, Traseira, Preto, M\u00e3e, E, Filha, Abra\u00e7o, Sentada, Em\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t<h1>Ases<\/h1>\n\t<h2>Ajudando crian\u00e7as com adversidade<\/h2>\n<p>Adverse childhood experiences and environments (ACEs) are common. If children don&#8217;t get support when facing adversity, it can cause long-lasting harm. There are things we can all do together to buffer the impact of adversity.\u00a0<\/p>\n<p><b>O fator mais importante \u00e9 ter um adulto seguro, est\u00e1vel e acolhedor em casa e na comunidade em quem a crian\u00e7a possa se apoiar.\u00a0<\/b><\/p>\n<p>H\u00e1 v\u00e1rias maneiras de criar experi\u00eancias positivas na inf\u00e2ncia e, juntos, promover a sa\u00fade e o bem-estar de nossas crian\u00e7as.\u00a0<\/p>\n\t<h2>O que s\u00e3o ACEs<\/h2>\n<p>The original ACE Study examined 10 childhood adversities: forms of child abuse and neglect &#8211; physical abuse, physical neglect, emotional abuse, emotional neglect and sexual abuse, as well as household challenges &#8211; domestic violence, divorce, serious mental illness, substance use disorder or incarceration of a household member.<\/p>\n<p>Experi\u00eancias adversas na inf\u00e2ncia e na comunidade (ACEs) podem ocorrer na fam\u00edlia\/lar, comunidade ou ambiente. Lembre-se de que podemos trabalhar juntos como pais e adultos, formuladores de pol\u00edticas e parceiros da comunidade para fazer a diferen\u00e7a!\u00a0<\/p>\n<figure data-animation-delay=\"0\" data-animation-duration=\"1\" itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/marylandefc.org\/wp-content\/uploads\/2024\/02\/Maryland-Community-members-talking-about-ACEs-.jpg\" alt=\"Maryland community members talking about ACEs\" height=\"800\" width=\"1200\" title=\"Membros da comunidade de Maryland falando sobre ACEs\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/marylandefc.org\/wp-content\/uploads\/2024\/02\/Dr.-Anda-ACE-Study-talking-at-ACE-Interface-Policy-Maker-Reception-5.jpg\" alt=\"Dr. Anda of ACE Interface Study talking at Policy Maker Reception\" height=\"930\" width=\"620\" title=\"Dr. Anda ACE Study falando na recep\u00e7\u00e3o do ACE Interface Policy Maker 5\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t\t<figcaption>Dr. Robert Anda, CDC&#8217;s principal investigator on ACE Study at EFC ACE &amp; The Family Tree&#8217;s Interface Policy Maker Reception<\/figcaption>\n\t<\/figure>\n\t<h2>O que o Estudo ACE original nos disse?<\/h2>\n<p>In the mid-1990&#8217;s Dr. Robert Anda at the CDC and Dr. Vincent Felitti at Kaiser Permanente in San Diego, California were co-investigators of the groundbreaking ACE Study. \u00a0It was one of the largest studies of childhood adversity and its connection to life-long health and well-being of its kind, involving 17,000 participants.<\/p>\n<p>H\u00e1 3 descobertas do Estudo ACE:\u00a0\u00a0<\/p>\n<ol>\n<li> ACEs s\u00e3o comuns.\u00a0\u00a0<\/li>\n<li> ACEs are rarely found in isolation&#8212; where you find one, you are likely to find others.\u00a0\u00a0<\/li>\n<li> Os ACEs t\u00eam um forte efeito na sa\u00fade e no bem-estar futuros.<\/li>\n<\/ol>\n<p>No estudo ACE original:<\/p>\n<ul>\n<li aria-level=\"2\">67% dos participantes do estudo relataram ter pelo menos um ACE.\u00a0<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"2\">26% relatou ter tr\u00eas ou mais ACEs.\u00a0<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"2\">24% relatou ter tr\u00eas ou mais ACEs.<\/li>\n<\/ul>\n<h3>In Maryland&#8230;<\/h3>\n<p>aproximadamente 60% dos participantes da pesquisa relataram pelo menos um ACE. <a href=\"https:\/\/marylandefc.org\/pt\/partners\/meetings-reports\/\">Revise os relat\u00f3rios anuais do SCCAN<\/a> para mais dados espec\u00edficos de Maryland sobre ACEs.\u00a0<\/p>\n<p>&nbsp;<\/p>\n\t\t<h3>Ampliando o conhecimento dos ACEs<\/h3>\n<p>Pesquisas ACE subsequentes e avan\u00e7os nas ci\u00eancias expandiram nosso conhecimento.<\/p>\n<ol>\n<li>O Estudo ACE e pesquisas ACE subsequentes descobriram que os ACEs s\u00e3o comuns e impactam a sa\u00fade e o bem-estar ao longo da vida (epidemiologia).<\/li>\n<li>Toxic stress from ACEs can damage children&#8217;s developing brains and affect our short- and long-term health (neurobiology or brain science).<\/li>\n<li>Podemos transmitir ACEs de gera\u00e7\u00e3o em gera\u00e7\u00e3o atrav\u00e9s de nossos genes (epigen\u00e9tica).<\/li>\n<li>Our brains are &#8220;plastic&#8221; &#8211; can reorganize their structure, functions, and connections &#8211; and our bodies can heal through implementing protective factors and resilience-building practices based on ACEs science. (neuroplasticity and resilience)<\/li>\n<\/ol>\n<p>Pesquisas ACE expandidas como a <a href=\"https:\/\/www.philadelphiaaces.org\/philadelphia-ace-survey\" target=\"_blank\" rel=\"noopener\">Pesquisa ACE da Filad\u00e9lfia<\/a> investigou experi\u00eancias adversas adicionais na inf\u00e2ncia e na comunidade, como bullying, viol\u00eancia comunit\u00e1ria, viver em lares adotivos, sofrer racismo e seguran\u00e7a no bairro.<\/p>\n<p>Aprenda como condi\u00e7\u00f5es comunit\u00e1rias como pobreza, racismo e viol\u00eancia afetam as crian\u00e7as.\u00a0<\/p>\n\t\t<iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/114595623?h=0cae101bc0&amp;color=b44d0f&amp;byline=0&amp;portrait=0\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>\t\n\t\t<h3>Trabalhando juntos para prevenir ACEs<\/h3><p>Podemos trabalhar juntos como pais e adultos, formuladores de pol\u00edticas e parceiros comunit\u00e1rios para fazer a diferen\u00e7a! Maryland Essentials for Childhood (EFC) est\u00e1 trabalhando com The Family Tree e nossos parceiros comunit\u00e1rios para treinar pessoas em todo o estado sobre ACEs e as maneiras pelas quais podemos trabalhar juntos para diminu\u00ed-los.<\/p>\n<p><a href=\"https:\/\/marylandefc.org\/pt\/get-involved\/ace-science\/#training\" target=\"_blank\" rel=\"noopener\">Leve um treinamento ACE para sua comunidade<\/a>.<\/p>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/marylandefc.org\/wp-content\/uploads\/2024\/02\/ACE-Instructor-Training.jpg\" alt=\"ACE Instructor Training\" height=\"800\" width=\"1200\" title=\"Treinamento de instrutor ACE\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h2>\n\t\t\tAjudando crian\u00e7as e adolescentes a lidar com estresse severo\t<\/h2>\n\t\t<h3>POSITIVO<\/h3><p>Aumentos breves na frequ\u00eancia card\u00edaca, eleva\u00e7\u00f5es leves nos n\u00edveis de horm\u00f4nio do estresse.<\/p>\n\t\t<h3>TOLER\u00c1VEL<\/h3><p>Respostas s\u00e9rias e tempor\u00e1rias ao estresse, amenizadas por relacionamentos de apoio.<\/p>\n\t\t<h3>T\u00d3XICO<\/h3><p>Ativa\u00e7\u00e3o prolongada de sistemas de resposta ao estresse na aus\u00eancia de relacionamentos protetores.<\/p>\n\t<p>When children are exposed to ACEs and other adversities like racism, poverty, bullying and other forms of violence, and adults aren&#8217;t there to help them cope, their stress systems can over-activate. Their developing bodies and brains are flooded with harmful levels of stress hormones. <\/p>\n<p>This excessive activation of the stress response system produces wear and tear on the child&#8217;s developing body and brain. This &#8220;toxic stress response&#8221; is similar to revving a car engine for days and weeks at a time and can increase the risk of later health problems. \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n<p>No entanto, <strong>children can tolerate even severe stress &#8212; if safe, stable, and nurturing adult relationships are in place<\/strong> para amortecer o impacto negativo.<\/p>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/marylandefc.org\/wp-content\/uploads\/2024\/01\/MEC-Icons_idea.svg\" alt=\"Light bulb icon for information\" height=\"300\" width=\"300\" title=\"MEC-\u00cdcones_ideia\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t<h3><a href=\"https:\/\/developingchild.harvard.edu\/resources\/aces-and-toxic-stress-frequently-asked-questions\/\" target=\"_blank\" rel=\"noopener\">ACEs literally &#8220;get under the skin&#8221;<\/a><\/h3><p>Assista a este v\u00eddeo sobre como eles podem impactar o c\u00e9rebro, o corpo e o comportamento.<\/p>\n<p><iframe loading=\"lazy\" title=\"Experi\u00eancias Adversas na Inf\u00e2ncia (EAIs): Impacto no c\u00e9rebro, corpo e comportamento\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/W-8jTTIsJ7Q?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>Veja este infogr\u00e1fico e leia mais sobre ACEs e estresse t\u00f3xico no The Center on the Developing Child.<\/p>\n\t\t\t<a href=\"https:\/\/developingchild.harvard.edu\/resources\/aces-and-toxic-stress-frequently-asked-questions\/\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t\tContinue lendo\n\t\t\t\t\t<\/a>\n<figure data-animation-delay=\"0\" data-animation-duration=\"1\" itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/marylandefc.org\/wp-content\/uploads\/2024\/02\/Child-receiving-asthma-treatment-with-breathing-mask.jpg\" alt=\"Child receiving asthma treatment with breathing mask\" height=\"800\" width=\"1200\" title=\"Crian\u00e7a recebendo tratamento para asma com m\u00e1scara respirat\u00f3ria\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t<h2>How do ACEs impact health &#8211; physical, mental, social and behavioral?<\/h2>\n<p><strong>Os ACEs podem ter um forte efeito na sa\u00fade e no bem-estar futuros.\u00a0\u00a0<\/strong><\/p>\n<p>Experi\u00eancias adversas mais graves ou mais frequentes na inf\u00e2ncia aumentam a probabilidade de as pessoas apresentarem problemas de sa\u00fade f\u00edsica, mental e comportamental na adolesc\u00eancia ou na idade adulta.\u00a0<\/p>\n<p>\u00c0 medida que o n\u00famero de ACEs aumenta, o risco de algumas doen\u00e7as, problemas cr\u00f4nicos de sa\u00fade e comportamentos menos saud\u00e1veis tamb\u00e9m aumenta.\u00a0<\/p>\n<h2>\n\t\t\tACEs podem aumentar o risco de resultados sociais ruins, doen\u00e7as e morte\t<\/h2>\n\t<p>Pesquisas mostram que experimentar um n\u00famero maior de ACEs est\u00e1 associado a muitas das principais causas de morte, como doen\u00e7as card\u00edacas e c\u00e2ncer.<\/p>\n\t\t<h3><a href=\"https:\/\/vetoviolence.cdc.gov\/apps\/aces-infographic\/\" target=\"_blank\" rel=\"noopener\">Condi\u00e7\u00f5es cr\u00f4nicas de sa\u00fade<\/a><\/h3><ul>\n<li>Doen\u00e7a card\u00edaca coron\u00e1ria<\/li>\n<li>AVC<\/li>\n<li>Asma<\/li>\n<li>Doen\u00e7a pulmonar obstrutiva cr\u00f4nica (DPOC)<\/li>\n<li>C\u00e2ncer<\/li>\n<li>Doen\u00e7a renal<\/li>\n<li>Diabetes<\/li>\n<li>Obesidade<\/li>\n<\/ul>\n\t\t<h3><a href=\"https:\/\/vetoviolence.cdc.gov\/apps\/aces-infographic\/\" target=\"_blank\" rel=\"noopener\">Comportamentos de risco \u00e0 sa\u00fade<\/a><\/h3><ul>\n<li>Fumar<\/li>\n<li>Uso excessivo de \u00e1lcool<\/li>\n<li>Abuso de subst\u00e2ncias<\/li>\n<li>Inatividade f\u00edsica<\/li>\n<li>Comportamentos sexuais de risco<\/li>\n<li>Pensamentos e comportamento suicida<\/li>\n<\/ul>\n\t\t<h3><a href=\"https:\/\/vetoviolence.cdc.gov\/apps\/aces-infographic\/\" target=\"_blank\" rel=\"noopener\">Resultados sociais<\/a><\/h3><ul>\n<li>Falta de seguro de sa\u00fade<\/li>\n<li>Desemprego<\/li>\n<li>Menos que o diploma do ensino m\u00e9dio ou educa\u00e7\u00e3o equivalente<\/li>\n<\/ul>\n\t\t<h3><a href=\"https:\/\/vetoviolence.cdc.gov\/apps\/aces-infographic\/\" target=\"_blank\" rel=\"noopener\">Condi\u00e7\u00f5es de sa\u00fade mental e transtornos por uso de subst\u00e2ncias<\/a><\/h3><ul>\n<li>Depress\u00e3o<\/li>\n<li>Transtorno por uso de subst\u00e2ncias, incluindo \u00e1lcool, opioides e tabaco<\/li>\n<\/ul>\n\t\t\t<a href=\"https:\/\/vetoviolence.cdc.gov\/apps\/aces-infographic\/\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t\tVer mais\n\t\t\t<\/a>\n\t<h2>Como as comunidades podem ajudar a prevenir ACEs<\/h2>\n<p>To nurture children&#8217;s potential, it is important that we work together to prevent serious adversity through good <a href=\"\/pt\/policy\/policies-matter\/\">pol\u00edticas e programas<\/a>. \u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n<p>Tamb\u00e9m podemos garantir que cada comunidade esteja equipada para apoiar pessoas que enfrentaram adversidades severas, tornando-as <a href=\"\/pt\/grownups\/resilience\/\">resili\u00eancia<\/a> uma possibilidade real.<\/p>\n<figure data-animation-delay=\"0\" data-animation-duration=\"1\" itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/marylandefc.org\/wp-content\/uploads\/2024\/02\/Maryland-15-minimum-wage-rally.jpg\" alt=\"Maryland $15 minimum wage rally\" height=\"800\" width=\"1200\" title=\"Maryland $15 aumento do sal\u00e1rio m\u00ednimo\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n<h2>\n\t\t\tO que TODOS N\u00d3S podemos fazer para prevenir ACEs?\t<\/h2>\n\t<p>TODOS n\u00f3s temos as ferramentas que precisamos para prevenir o impacto dos ACEs em uma crian\u00e7a. Quando trabalhamos juntos nesses fatores, podemos fazer a diferen\u00e7a! Os adultos podem garantir que:<\/p>\n\t\t<p><strong>Proporcionar relacionamentos seguros, est\u00e1veis e enriquecedores em casa e na comunidade.<\/strong><\/p>\n<p>It&#8217;s the <a href=\"\/pt\/grownups\/protective-factors\/#stable-nurturing-relationships\">fator mais importante<\/a> na preven\u00e7\u00e3o de ACEs e na mitiga\u00e7\u00e3o de seu impacto.<\/p>\n\t\t<p><strong>Atenda \u00e0s necessidades essenciais de uma crian\u00e7a. Se precisar de ajuda, <\/strong><strong>conectar-se aos recursos da comunidade.<\/strong> <\/p>\n<p>Ligando para 2-1-1 ou <a href=\"http:\/\/search.marylandefc.org\" target=\"_blank\" rel=\"noopener\">procurar suporte local<\/a>.\u00a0<\/p>\n\t\t<p><strong>Create opportunities for <a href=\"\/pt\/grownups\/protective-factors\/#PCE\">experi\u00eancias positivas da inf\u00e2ncia<\/a> and buffer children from the impact of ACEs. <\/strong><\/p>\n<p>Eles promovem o desenvolvimento saud\u00e1vel e protegem as crian\u00e7as do impacto dos ACEs. <a href=\"\/pt\/grownups\/protective-factors\/#PCE\">Continue aprendendo<\/a>.<\/p>\n\t\t<p><strong>A comunidade tamb\u00e9m desempenha um papel.<\/strong> <\/p>\n<p><a href=\"\/pt\/policy\/policies-matter\/\" target=\"_blank\" rel=\"noopener\">Aprofunde-se nas pol\u00edticas que importam<\/a> para crian\u00e7as, fam\u00edlias e a comunidade.\u00a0<a href=\"\/pt\/grownups\/protective-factors\/\" target=\"_blank\" rel=\"noopener\">Continue lendo sobre outros fatores de prote\u00e7\u00e3o.<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>\n\t\t\tO que os pais podem fazer para prevenir ACEs?\t<\/h2>\n\t\t<p><strong>Procure recursos na sua comunidade.<\/strong> Os ACEs s\u00e3o comuns, a cura \u00e9 poss\u00edvel e voc\u00ea n\u00e3o est\u00e1 sozinho.<\/p>\n\t\t<p><strong>Conecte-se com outros adultos que est\u00e3o criando filhos com PACEs.<\/strong><\/p>\n<p><a href=\"https:\/\/www.pacesconnection.com\/g\/Parenting-with-ACEs\" target=\"_blank\" rel=\"noopener\">Junte-se a esta comunidade online<\/a>.<\/p>\n\t\t<p><strong>Leve um treinamento ACE para sua comunidade.<\/strong><\/p>\n<p><a href=\"https:\/\/marylandefc.org\/pt\/get-involved\/ace-science\/#training\" target=\"_blank\" rel=\"noopener\">Agende um treinamento<\/a>.<\/p>\n\t\t<strong>Converse com seu pediatra.<\/strong><br \/>\nNem todos saber\u00e3o o significado, mas fa\u00e7a todo o esfor\u00e7o para encontrar algu\u00e9m que saiba.\n<p>Use o <a href=\"https:\/\/www.wellvisitplanner.org\/\" target=\"_blank\" rel=\"noopener\">Planejador de visitas de po\u00e7os CAMHI<\/a> to prepare for a conversation with your child&#8217;s pediatrician<\/p>\n\t\t<p><strong>Assista a este pequeno v\u00eddeo para saber mais sobre adversidades e traumas na inf\u00e2ncia.<\/strong><\/p>\n<p>Experi\u00eancias adversas na inf\u00e2ncia <a href=\"https:\/\/youtu.be\/XHgLYI9KZ-A?feature=shared\" target=\"_blank\" rel=\"noopener\">(ACEs)<\/a>, Rede de Sa\u00fade P\u00fablica Cymru<\/p>\n\t\t<p><strong>Descubra seu hist\u00f3rico ACE.<\/strong><\/p>\n<p><a href=\"https:\/\/numberstory.org\/\" target=\"_blank\" rel=\"noopener\">It can impact your child&#8217;s.<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>ACES Helping Children With Adversity Adverse childhood experiences and environments (ACEs) are common. If children don&#8217;t get support when facing adversity, it can cause long-lasting harm. There are things we can all do together to buffer the impact of adversity.\u00a0 The single most important factor is having a safe, stable and nurturing adult in the&hellip;<\/p>","protected":false},"author":1,"featured_media":27077,"parent":26895,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-26905","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/pages\/26905","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/comments?post=26905"}],"version-history":[{"count":0,"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/pages\/26905\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/pages\/26895"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/media\/27077"}],"wp:attachment":[{"href":"https:\/\/marylandefc.org\/pt\/wp-json\/wp\/v2\/media?parent=26905"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}