TY  - JOUR
PY  - 2019//
TI  - Psychometric evaluation of the Adverse Childhood Experience International Questionnaire (ACE-IQ) in Malawian adolescents
JO  - Child abuse and neglect
A1  - Kidman, Rachel
A1  - Smith, Dylan
A1  - Piccolo, Luciane R.
A1  - Kohler, Hans-Peter
SP  - 139
EP  - 145
VL  - 92
IS  - 
N2  - BACKGROUND: Adverse 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). <br><br>OBJECTIVE: In 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 SETTING: Four hundred and ten adolescents (age 10-16 years old) from Malawi. <br><br>METHODS: The adolescents answered an adapted version of ACE-IQ and Beck Depression Inventory (BDI). <br><br>RESULTS: Taken 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<sup>2</sup> = .12 to.15, p < .001); and (d) additional HIV-related questions showed low endorsement and a modest correlation with BDI (r = .25, p < 0,01). <br><br>CONCLUSION: Our findings suggest that the ACE-IQ is appropriate for use among adolescents from a low-income context.<br><br>Copyright © 2019 Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2019.03.015
ID  - ref1
ER  -