ArticleAmerican journal of preventive medicine2017
Development and Evaluation of a Short Adverse Childhood Experiences Measure.
Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 62 citations in OpenAlex.
- Adverse childhood experiences and adult stress eating: A secondary analysis of the Southern Community Cohort Study.Research square · 2026Article
- Associations of adverse and positive childhood experiences with self-reported difficulty sleeping among urban caregivers in Philadelphia, Pennsylvania.Preventive medicine reports · 2026Article
- Delays in diagnosis and treatment of depressive disorder among young adults: A national online survey-based cross-sectional study.PloS one · 2026Article
- Adverse childhood experiences and adult stress eating.Research square · 2025Article
- Greater tolerance of uncertainty facilitates thriving in doctors entering postgraduate training.BMC medical education · 2025Article
- Exploring the link between adverse childhood experiences and cancer development - insights and intervention recommendations from a scoping review.Npj mental health research · 2025Article
- A mixed methods descriptive study of a diverse cohort of African American/Black and Latine young and emerging adults living with HIV: Sociodemographic, background, and contextual factors.BMC public health · 2025Article
- Changes in Stress Following Wage Increases for Early Childhood Educators.Early childhood education journal · 2025Article
- Data From Early Childhood Educators' Work and Stress Study.Journal of open psychology data · 2025Article
- Psychological and Physiological Stress and Stressors in Early Childhood Educators: An Observational Pilot Study.Psychology in the schools · 2024Article
- Maternal adverse childhood experiences (ACEs) and DNA methylation of newborns in cord blood.Clinical epigenetics · 2023Article
- Ecological Momentary Assessment of Midlife Adults' Daily Stress: Protocol for the Stress Reports in Variable Environments (STRIVE) App Study.JMIR research protocols · 2023Article
- Development and validation of a shortened version of the Child Abuse Self Report Scale (CASRS-12) in the Arabic language.Child and adolescent psychiatry and mental health · 2022Article
- Evidence for Revising the Adverse Childhood Experiences Screening Tool: a Scoping Review.Journal of child & adolescent trauma · 2022Article
- Adverse Childhood Experiences in Patients With Neurologic Disease.Neurology. Clinical practice · 2022Article
- Separate Lives, Uncertain Futures: Does Covid-19 Align or Differentiate the Lives of Low- and Higher-Wage Young Workers?Applied research in quality of life · 2022Article
- Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center.Frontiers in public health · 2022Article
- Breaking the cycle of Adverse Childhood Experiences (ACEs): Economic position moderates the relationship between mother and child ACE scores among Black and Hispanic families.Children and youth services review · 2021Article
- Adverse childhood experiences and adult diet quality.Journal of nutritional science · 2021Article
- Prevalence and correlates of transactional sex among women of low socioeconomic status in Portland, OR.BMC women's health · 2020Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
introductionClinicians require tools to rapidly identify individuals with significant childhood adversity as part of routine primary care. The goal of this study was to shorten the 11-item Behavioral Risk Factor Surveillance System Adverse Childhood Experiences (ACEs) measure and evaluate the feasibility and validity of this shortened measure as a screener to identify adults who have experienced significant childhood adversity.
methodsStatistical analysis was conducted in 2015. ACE item responses obtained from 2011-2012 Behavioral Risk Factor Surveillance System data were combined to form a sample of 71,413 adults aged ≥18 years. The 11-item Behavioral Risk Factor Surveillance System ACE measure was subsequently reduced to a two-item screener by maintaining the two dimensions of abuse and household stressors and selecting the most prevalent item within each dimension.
resultsThe screener included household alcohol and childhood emotional abuse items. Overall, 42% of respondents and at least 75% of the individuals with four or more ACEs endorsed one or both of these experiences. Using the 11-item ACE measure as the standard, a cut off of one or more ACEs yielded a sensitivity of 99%, but specificity was low (66%). Specificity improved to 94% when using a cut off of two ACEs, but sensitivity diminished (70%). There was no substantive difference between the 11-and two-item ACE measures in their strength of association with an array of health outcomes.
conclusionsA two-item ACE screener appropriate for rapid identification of adults who have experienced significant childhood adversity was developed.
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