Cumulative exposure to psychosocial adversity in the early years of life can have an adverse effect on early child development (ECD).  Focus on ECD is growing globally, yet to date, the bulk of research on adverse psychosocial experiences and child development has taken place in high-income, Western countries, despite a large burden in developing countries. This month, we meet Early Career Investigator Dr. Annie Berens, a pediatric resident at the University of California San Francisco. She created the Childhood Psychosocial Adversity Scale, a novel measure of cumulative risk which has had its first application in Bangladesh. 

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