Evidence map›Paper›PMID 42576338›Full record

ArticleThe Journal of school health2026

Cumulative Adverse Childhood Experiences (ACEs) and School Outcomes During Adolescence: A Scoping Review.

Sarah A Stoddard, Chelsea R Moore, Carri S Polick, Joshua M Moss

Abstract readScoping Review
In one paragraph

Article in The Journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Sarah A StoddardSchool of Nursing, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-5825-4159
Chelsea R MooreSchool of Nursing, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-4942-9970
Carri S PolickSchool of Nursing, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-0555-5190
Joshua M MossSchool of Literature, Arts, and Sciences, University of Michigan, Ann Arbor, Michigan, USA.

Funding

Complexity: Innovations in Promoting Health through Team ScienceT32NR016914 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARJORIE E MCCULLAGH · 2017 to 2026
$3.5M
Childhood socioeconomic disadvantage, cumulative Adverse Childhood Experiences, and adolescent depression and anxiety symptomsF31NR020838 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MOORE, CHELSEA · 2023 to 2024
$91k
NIH HHS F31NR020838NIH HHS T32NR016914NINR NIH HHS F31 NR020838NINR NIH HHS T32 NR016914
6 · The paper itself

Abstract

backgroundEmerging literature suggests cumulative adverse childhood experiences (ACEs), potentially traumatic experiences before age 18, are associated with poor school outcomes. This scoping review assessed the state of the literature on the association between cumulative ACEs and adolescent school outcomes.

methodsFollowing PRISMA-ScR guidelines, four databases were searched. Two independent reviewers screened 7188 titles and abstracts, then 112 articles in full. Twenty-four articles met eligibility criteria.

findingsFindings overwhelmingly supported a negative association between cumulative ACEs and school outcomes. Cumulative ACEs were associated with reduced likelihood of high school completion (n = 8), poor academic performance (n = 7), and school disengagement (n = 8). Nine studies identified mediational pathways between ACEs and school outcomes via biopsychosocial processes, mental/behavioral health, and school processes. IMPLICATIONS FOR SCHOOL HEALTH, POLICY, PRACTICE, AND EQUITY: Findings underscore the importance of early identification strategies and preventive school health approaches that address trauma exposure to improve academic trajectories and reduce downstream educational disengagement.

conclusionsACEs are negatively associated with school outcomes. Although additional research is needed, this review indicates that intervening on behavioral health and factors like school engagement, absenteeism, and academic achievement could result in improved school outcomes.

Indexed as

Academic PerformanceAdverse Childhood ExperiencesAdolescentAdolescent BehaviorChildHumansSchoolsadolescenceadverse childhood experiencesreviewschool

Identifiers

PMID42576338
PMCPMC13457977

What OpenQuestion holds

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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.