Nearly ubiquitous agreement exists regarding the potentially negative impact of adverse childhood experiences (ACEs) on health and well-being across the lifespan. This has propelled a movement across the nation for consistent screening of ACEs. Despite agreement regarding the consequences of ACEs, little research related specifically to the administration of the ACE questionnaire exists. Using data from a mixed-methods study of first-time mothers as means of illustration, this paper examines shortcomings of the ACE questionnaire. Participant responses revealed ambiguity with item structure, limited breadth of included events, and failure to capture the gravity of the experience. These shortcomings underscore inadequacies of the measure in accurately understanding individuals' lived experiences and call for the application of trauma-informed (TI) values, both in its content and administration. We apply the main tenets of a TI framework to the ACE questionnaire and make recommendations for its administration, translating theoretical underpinnings of a TI approach into action.

中文翻译：

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“您还有什么想让我知道的吗？”：将创伤知情方法应用于不良童年经历问卷的管理

关于不良童年经历 (ACE) 对整个生命周期的健康和福祉的潜在负面影响，几乎普遍存在共识。这推动了全国范围内一致筛查 ACE 的运动。尽管就 ACE 的后果达成了一致，但很少有专门与 ACE 问卷管理相关的研究。本文使用来自第一次母亲的混合方法研究的数据作为说明手段，检查了 ACE 问卷的缺点。参与者的反应表明项目结构不明确，所包含事件的广度有限，以及未能捕捉到体验的重要性。这些缺点凸显了该措施在准确理解个人的能力方面的不足之处。生活经验，并呼吁在其内容和管理中应用创伤知情 (TI) 价值观。我们将 TI 框架的主要原则应用于 ACE 问卷，并为其管理提出建议，将 TI 方法的理论基础转化为行动。