ACE scores show a graded positive association with externalizing behavior trajectories, the strongest of the three outcomes¶
Claim · All claims
Evidence · 1 study · associationalr3·q3
Currency · newest study 2021 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
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q3 i? Children with more ACEs showed higher externalizing scores at age 3, with adjusted coefficients of 0.142 (1 ACE), 0.299 (2 ACEs), and 0.415 (3+ ACEs), persisting through age 14. → Leonardo Bevilacqua 2021
Evidence¶
Leonardo Bevilacqua 2021¶
Leonardo Bevilacqua, Yvonne Kelly, Anja Heilmann, Naomi Priest, Rebecca E. Lacey. (2021). Adverse childhood experiences and trajectories of internalizing, externalizing, and prosocial behaviors from childhood to adolescence. Child Abuse & Neglect 112 (2021) 104890. https://doi.org/10.1016/j.chiabu.2020.104890
q3 · i? · associational · r3
Linear mixed effects models on 8,823 MCS children (N= 8,823 in Table 2) tested ACE scores against log-transformed SDQ externalizing trajectories across ages 3-14, adjusted for gender, ethnicity, and poverty. The article reports "a graded association between the number of ACEs reported and externalizing symptoms at age 3" that "remained through to age 14".
"externalizing (ACE score of 1: β= 0.142; ACE score of 2: β= 0.299; ACE score of 3: β= 0.415)"
Discussion¶
Related Claims¶
- ACE scores show a graded positive association with internalizing behavior trajectories from age 3 to 14
- ACE scores show a graded negative association with prosocial behavior trajectories from age 3 to 14
- Harsh parenting and physical punishment show the strongest individual-ACE associations with externalizing behavior
- Latent class analysis failed to discriminate ACE clusters in the Millennium Cohort Study data
- ACE-outcome associations did not differ between girls and boys
- Parental discord and parental depression show the strongest individual-ACE associations with internalizing behavior
- ACE exposure is unevenly distributed: children below 400% FPL and Black and Hispanic children have higher prevalence of two or more ACEs — related
Page metadata
| Field | Value |
|---|---|
type |
claim |
id |
ace-score-graded-externalizing-trajectories |
title |
ACE scores show a graded positive association with externalizing behavior trajectories, the strongest of the three outcomes |
description |
ACE scores show a graded positive association with externalizing behavior trajectories, the strongest of the three outcomes |
status |
review |
evidence_strength |
moderate |
newest_evidence |
2021 |
generated |
by process:wiki-ingest on 2026-10-16 |
trust |
unverified — no one has confirmed this page's content |
sources |
1 — leonardo-bevilacqua-2021 |
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