Evidence map›Paper›PMID 30974257›Full record

ArticleChild abuse & neglect2019

Psychometric evaluation of the Adverse Childhood Experience International Questionnaire (ACE-IQ) in Malawian adolescents.

Rachel Kidman, Dylan Smith, Luciane R Piccolo, Hans-Peter Kohler

Open access · greenAbstract readEvaluation StudyValidation Study
In one paragraph

Article in Child abuse & neglect, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Comparing childhood, chronic, and recent adversity on internalizing symptoms and hypothalamic-pituitary-adrenal axis functioning.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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  11. Adverse childhood experiences and post-traumatic stress impacts on brain connectivity and alcohol use in adolescence.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2025
    Article
  12. Psychometric Properties of the Adverse Childhood Experiences Abuse Short Form (ACE-ASF) for Ecuadorian Youth.European journal of investigation in health, psychology and education · 2025
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  19. Trauma as a mediator of childhood adversity and mental illness in South Africa: A path analysis.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
    Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Rachel KidmanProgram in Public Health and Department of Family, Population and Preventive Medicine, HSC Level 3, Stony Brook University (State University of New York), Stony Brook, NY 11794, United States. Electronic address: rachel.kidman@stonybrookmedicine.edu.
Dylan SmithProgram in Public Health and Department of Family, Population and Preventive Medicine, HSC Level 3, Stony Brook University (State University of New York), Stony Brook, NY 11794, United States.
Luciane R PiccoloProgram in Public Health, HSC Level 3, Stony Brook University (State University of New York), Stony Brook, NY 11794, United States.
Hans-Peter KohlerDepartment of Sociology and Population Studies Center, University of Pennsylvania, 3718 Locust Walk (272 McNeil Building), Philadelphia, PA 19104-6298, United States.
Stony Brook University · USState University of New York · USUniversity of Pennsylvania · US

Funding

Surviving an Epidemic: Families and Well-Being, Malawi 1998-2020R01HD087391 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI ANGLEWICZ, PHILIP ANTHONY, KOHLER, HANS-PETER · 2017 to 2022
$2.9M
Consequences of High Morbidity and Mortality in a Low-Income CountryR01HD053781 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 2007 to 2011
$2.9M
Adverse childhood experiences and adolescent HIV risk: Causal inferences from a high HIV prevalence contextR01HD090988 · NICHD · STATE UNIVERSITY NEW YORK STONY BROOK · PI KIDMAN, RACHEL, KOHLER, HANS-PETER · 2016 to 2021
$2.7M
Gender, Conversationsal Networks and Dealing with STD'sR01HD041713 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI WATKINS, SUSAN C · 2001 to 2005
$2.1M
AIDS/HIV RISK, Marriage and Sexual Relations in MalawiR01HD044228 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 2003 to 2006
$1.6M
Imaging and therapy of intrauterine inflammation induced perinatal brain injuryK08HD050652 · NICHD · WAYNE STATE UNIVERSITY · PI KANNAN, SUJATHA · 2007 to 2010
$510k
Migration and Health in MalawiR21HD071471 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI ANGLEWICZ, PHILIP ANTHONY, KOHLER, HANS-PETER · 2012 to 2013
$408k
Subjective Expectations and Health-Related Behavior R03HD058976 · NICHD · RAND CORPORATION · PI DELAVANDE, ADELINE · 2009 to 2010
$190k
NICHD NIH HHS K08 HD050652NICHD NIH HHS R01 HD041713NICHD NIH HHS R01 HD044228NICHD NIH HHS R01 HD053781NICHD NIH HHS R01 HD087391NICHD NIH HHS R01 HD090988NICHD NIH HHS R03 HD058976NICHD NIH HHS R21 HD071471
6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) can have lifelong adverse impacts on health and behavior. While this relationship has been extensively documented in high-income countries, evidence from lower-income contexts is largely missing. In order to stimulate greater research on the prevalence and consequences of ACEs in low-income countries, the World Health Organization (WHO) developed the ACE-International Questionnaire (ACE-IQ).

objectiveIn this paper, we explore the factor structure, validity and reliability of the original ACE-IQ, and evaluate whether potential adaptations improve its predictive validity. PARTICIPANTS AND

settingFour hundred and ten adolescents (age 10-16 years old) from Malawi.

methodsThe adolescents answered an adapted version of ACE-IQ and Beck Depression Inventory (BDI).

resultsTaken together, our results suggest that (a) the ACE-IQ is structured in three dimensions: household disruption, abuse, and neglect; (b) there is support for the validity of the scale evidenced by the correlation between subdimensions (average across 13 correlations, phi = .20, p < 0,01; across subdomains (phi = .10, p < 0,01); partial agreement among children with the same caregiver (ICC = .43, p < .001) and correlation between ACE and depression (predictive validity; r = .35, p < .001); (c) information on the timing of the adversities ("last year" in addition to "ever") modestly improved the predictive value of the ACE-IQ in models of depression (from R

conclusionOur findings suggest that the ACE-IQ is appropriate for use among adolescents from a low-income context.

Indexed as

Adverse Childhood ExperiencesAdolescentAdultChildChild AbuseDepressive DisorderFamily CharacteristicsFemaleHumansIncomeMalawiMaleMiddle AgedPrevalencePsychometricsReproducibility of ResultsACEAdolescenceAdverse childhood experiencesHIVPsychometric evaluation

Identifiers

PMID30974257
PMCPMC6513701
OpenAlexW2939264277

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.