“high risk” spectrum.Ī score from 0-3 puts an individual at low risk for the health concerns associated with adverse childhood experiences. Rather than framing the scores as “normal” or “abnormal,” it may be helpful to think of them as “low risk” vs. But the questions and answers below can help you understand the scoring system for the original ACE questionnaire, which consists of 10 questions. Since Psych Central’s ACE quiz consists of 22 questions, we’ve curated a different scoring system. This free quiz was adapted from the Adverse Childhood Experiences Questionnaire for Adults, the Trauma History Questionnaire, and the Childhood Trauma Questionnaire. Having a trusted grandparent, godparent, teacher, or another community member who creates a safe environment for the child can help mitigate the negative effects of toxic stress. While there’s a connection between a high ACE score and negative health outcomes, the ACE test shouldn’t be used as a definitive measure of future health.Īnother shortcoming of the ACE test is that it doesn’t factor in positive experiences in a child’s life that work to buffer the effects of toxic stress. It’s also important to note that people who score lower on the ACE test can experience a multitude of both physical and mental health issues. For that reason, the ACE test is considered a screening tool rather than a diagnostic tool. But people who have a high ACE score may have a higher predisposition to certain health outcomes. It’s important to know that even people who score very high on the ACE test can and do lead healthy, fulfilling lives. Other factors that stem from outside a child’s home, such as racism and community violence, are also known to cause toxic stress. This isn’t a complete list of factors that contribute to toxic stress. The list of adverse childhood experiences known to foster toxic stress (ACEs) are: The ACE test originates from a 1995 study conducted by the Centers for Disease Control (CDC) and the Kaiser Permanente healthcare organization. The cardiovascular system, immune system, metabolic regulatory system, and the developing brain are all known to be at particular risk from ongoing toxic stress. Researchers have found a correlation between people who sustained high levels of toxic stress in their formative years with having certain mental and physical ailments later in life. Toxic stress creates a near-constant activation of the stress response system, which has a negative impact on other bodily systems.
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