This research aimed to explore the usefulness of measuring perceived levels of trauma to distinguish non-traumatic from traumatic adverse childhood experiences (ACEs).
Subject and Methods
This article shares findings from an online questionnaire of 156 graduates and undergraduates which sought to capture and describe the range of ACEs participants were exposed to before the age of 18, including those not associated with the ACE study survey (Felitti et al. 1998). The research built upon the original study with the inclusion of open-ended questions to capture any additional ACEs participants felt they experienced.
This distinction was used to investigate whether the inclusion of additional ACEs and the exclusion of perceived non-traumatic ACEs significantly affected the participants’ overall ACE score. A Wilcoxon signed-rank test revealed a significant difference between ACE scores (z = −5.84, p < .001, r = −.33).
The analysis suggests that the ACE survey did not capture the range of adversities experienced by this sample and suggests that an open-ended approach should be considered for future ACE measures.
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The authors would like to thank Dr. Wendy Thorley (CEL&T, ACE Network North East) for her invaluable insight and expertise that enhanced the quality of the manuscript, and Noah Chisholm for their role as a research assistant.
The University of Sunderland funded this work as part of the interdisciplinary research network Adverse Childhood Experiences.
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The authors declare that they have no conflict of interest.
The research was approved by the University of Sunderland Ethics Committee.
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Martin-Denham, S.L., Donaghue, J.J. The impact and measure of adverse childhood experiences: reflections of undergraduates and graduates in England. J Public Health (Berl.) (2020). https://doi.org/10.1007/s10389-020-01359-z
- Adverse childhood experience
- Measurement tools