The need for flexible, co-developed Adverse Childhood Experiences (ACEs) assessment: response to Chang & Su, Adverse Childhood Experiences (ACEs) in the Digital Era: An Urgent Call for Precision Assessment

Citation

Caes L, Christogianni A, Hales TG & Colvin L (2026) The need for flexible, co-developed Adverse Childhood Experiences (ACEs) assessment: response to Chang & Su, Adverse Childhood Experiences (ACEs) in the Digital Era: An Urgent Call for Precision Assessment. Psychotherapy and Psychosomatics. https://doi.org/10.1159/000551662

Abstract
First paragraph: We thank Chang & Su [1] for their eloquent and fascinating reflections on our systematic review of validated adverse childhood experience (ACE) questionnaires [2]. As Chang & Su [1] highlight, the findings of our review identified mixed evidence with respect to existing ACEs questionnaires, demonstrating moderate to poor psychometrical quality. Furthermore, the content validity of the included questionnaires, conducted by people with lived experiences (PWLE), identified how existing ACEs questionnaires do not appropriately assess the diversity and real-life impact of ACEs

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