@article{ref1,
title="Validity and reliability of the 10-Item Adverse Childhood Experiences Questionnaire (ACE-10) among adolescents in the child welfare system",
journal="Frontiers in public health",
year="2023",
author="Oláh, Barnabás and Fekete, Zita and Kuritárné Szabó, Ildikó and Kovács-Tóth, Beáta",
volume="11",
number="",
pages="e1258798-e1258798",
abstract="INTRODUCTION: Multiple evidence suggests that the vast majority of children in the Child Welfare System (CWS) are victims of early, chronic, and multiple adverse childhood experiences. However, the 10-item version of the Adverse Childhood Experiences Questionnaire (ACE-10) has never been tested in such a particularly vulnerable population as adolescents living in the CWS. We aimed to assess the psychometric properties of the ACE-10 in a community sample of 240 Hungarian adolescents placed in family style group care (FGC) setting. <br><br>METHODS: Demographic data, the 10-item version of the Adverse Childhood Experiences Questionnaire (ACE-10), the Strengths and Difficulties Questionnaire (SDQ), and the HBSC Bullying Measure were used. <br><br>RESULTS: Our results showed acceptable internal consistency (α = 0.701) and item-total correlations (r(pb) = 0.25-0.65, p < 0.001). However, our results also reflect that item 6 (&quot;Parental separation/divorce&quot;) is weakly correlated with both the cumulative ACE score and the rest of the questionnaire items. When item 6 is removed, the 9-item version of the ACE produces more favorable consistency results (α = 0.729). Strong and significant associations of the cumulative ACE score with emotional and behavioral symptoms and bully victimization confirm the concurrent criterion validity of both versions of the instrument. <br><br>DISCUSSION: Our findings suggest that ACE-9 and ACE-10 are viable screening tools for adverse childhood experiences in the CWS contributing to the advancement of trauma-informed care. We recommend considering the use of either the 9-item or the 10- item version in the light of the characteristics of the surveyed population. The implications and limitations are discussed.<p /> <p>Language: en</p>",
language="en",
issn="2296-2565",
doi="10.3389/fpubh.2023.1258798",
url="http://dx.doi.org/10.3389/fpubh.2023.1258798"
}