Stress from cumulative adverse childhood experiences (ACEs) can pose a serious risk of experiencing anxiety, depression, and other mood disorders in adolescence. However, there is a paucity of research identifying specific profiles or combinations of exposure to other forms of stressful life events and their impact on adolescent psychopathology. This study attempted a conceptual expansion of the ACE checklist by examining these stressful events. The study used cross-sectional data from a modified version of the CASE Study survey where 864 adolescents (56% female, n = 480), aged from 11 – 18 years were recruited from four post-primary schools in the North-West region of NI. Latent class analysis of the 20-item stressful events checklist revealed 3 distinct risk classes: a low-risk class (53.5%), at-risk class (42.7%), and an immediate-risk class (3.8%). Results showed those at most risk of adolescent psychopathology had the highest probability of encountering interpersonal relationship issues, experiencing family dysfunction, and having close friends experiencing psychological difficulties. Findings indicate that the original ten ACE categories may be too narrow in focus and do not capture the wide range of childhood adversity. Expanding the ACE checklist to include other stressful events is discussed as these may also be antecedents to psychopathologic responses.

累积的不良童年经历 (ACE) 带来的压力可能会导致青春期出现焦虑、抑郁和其他情绪障碍的严重风险。然而，很少有研究确定暴露于其他形式的压力性生活事件的具体概况或组合及其对青少年精神病理学的影响。本研究试图通过检查这些压力事件来扩展 ACE 检查表的概念。该研究使用了 CASE 研究调查的修改版本的横断面数据，其中 864 名青少年（56% 为女性，n = 480），年龄在 11 至 18 岁之间，来自西北地区的四所小学。你。对 20 项压力事件清单的潜在类别分析揭示了 3 个不同的风险类别：低风险类别 (53.5%)、高风险类别 (42.7%) 和即时风险类别 (3. 8%）。结果显示，青少年精神病理学风险最高的人遇到人际关系问题、经历家庭功能障碍和亲密朋友经历心理困难的概率最高。调查结果表明，最初的 10 个 ACE 类别可能过于狭窄，无法涵盖广泛的童年逆境。讨论了扩大 ACE 检查表以包括其他压力事件，因为这些也可能是精神病理学反应的前因。调查结果表明，最初的 10 个 ACE 类别可能过于狭窄，无法涵盖广泛的童年逆境。讨论了扩大 ACE 检查表以包括其他压力事件，因为这些也可能是精神病理学反应的前因。调查结果表明，最初的 10 个 ACE 类别可能过于狭窄，无法涵盖广泛的童年逆境。讨论了扩大 ACE 检查表以包括其他压力事件，因为这些也可能是精神病理学反应的前因。