Family Disclosure of Adverse Childhood Experiences: Motivations, Tendencies, Communication Accommodation, and Adult Well-Being

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Authors: Leslie Rose Nelson, Anuraj Dhillon, Eden Peterson, Andrew Gilmore
Cited by: 1
References: 27

Abstract

The present study contributes to family communication research by examining disclosure motivations, disclosure tendencies, (over)accommodation in everyday talk, and mental and physical well-being among adults with reported adverse childhood experiences (ACEs). Drawing on social penetration theory (SPT) and communication accommodation theory (CAT), trauma disclosure is conceptualized as an interactional process embedded within family communication contexts. 150 U.S. adults completed an anonymous survey. Results indicated that disclosure motivations were differentially associated with disclosure tendencies. Disclosure extent and disclosure difficulty were most consistently associated with health outcomes, such that greater extent and difficulty were linked to higher anxiety and depression and poorer physical health. Mediation analyses indicated that perceptions of family members’ perceived overaccommodation in everyday talk indirectly shaped disclosure processes through distinct motivational pathways involving urge and reluctance to disclose. Overall, the findings highlight the complexity of trauma disclosure in families and offer implications for trauma-informed disclosure and responses to ACEs.

Fields of Study & Subjects

Attachment and Relationship Dynamics Child Abuse and Trauma Family and Patient Care in Intensive Care Units

Publication details

Journal / source
Journal of Family Communication
Publisher
Informa UK Limited
Volume
26
Issue
4
Pages
467–484
Publication date
25 August 2026
Language
EN