[Abstract previously posted on Nov. 12, 2012. Full text is now available.]
"Objective To test and improve upon the list of adverse childhood experiences from the Adverse Childhood Experiences (ACE) Study scale by examining the ability of a broader range to correlate with mental health symptoms….
"Results The adversities from the original ACE scale items were associated with mental health symptoms among the participants, but the association was significantly improved (from R2 = 0.21 to R2 = 0.34) by removing some of the original ACE scale items and adding others in the domains of peer rejection, peer victimization, community violence exposure, school performance, and socioeconomic status.
"Conclusions Our understanding of the most harmful childhood adversities is still incomplete because of complex interrelationships among them, but we know enough to proceed to interventional studies to determine whether prevention and remediation can improve long-term outcomes."
http://archpedi.jamanetwork.com/article.aspx?articleid=1393429
Full text: http://www.unh.edu/ccrc/pdf/CV272.pdf
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