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<p>This scoping review synthesizes psychometric and epidemiological research on Adverse Childhood Experiences (ACEs), with a focus on factor structures, measurement invariance, and assessment tools across diverse populations. Through an analysis of factor-analytic studies and conceptual frameworks, the review examines the progression from unidimensional cumulative ACE scoring approaches to multidimensional and culturally responsive models. The reviewers evaluate the ACE Questionnaire (ACE-Q) and the World Health Organization’s ACE-International Questionnaire (ACE-IQ), including their use in clinical and global counseling contexts. Emerging adults, particularly college students, represent a population with elevated rates of ACE exposure and corresponding needs for trauma-informed interventions. Recommendations include the integration of quantitative and qualitative assessment methods, the use of culturally responsive practices, and refinements to scoring approaches that account for adversity severity, timing, and cultural context. Areas for future research include longitudinal investigations, cross-cultural validation studies, and the incorporation of social determinants into ACE frameworks. The findings contribute to an evidence-informed foundation for trauma-informed counseling practice, counselor education, and clinical supervision.</p>

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Advancing Trauma-Informed Mental Health Counseling: A Global and Multidimensional Perspective on Adverse Childhood Experiences

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月28日

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  • Tony Michael,
  • Mark Loftis,
  • Brittney Phillips,
  • Mason Hale

摘要

This scoping review synthesizes psychometric and epidemiological research on Adverse Childhood Experiences (ACEs), with a focus on factor structures, measurement invariance, and assessment tools across diverse populations. Through an analysis of factor-analytic studies and conceptual frameworks, the review examines the progression from unidimensional cumulative ACE scoring approaches to multidimensional and culturally responsive models. The reviewers evaluate the ACE Questionnaire (ACE-Q) and the World Health Organization’s ACE-International Questionnaire (ACE-IQ), including their use in clinical and global counseling contexts. Emerging adults, particularly college students, represent a population with elevated rates of ACE exposure and corresponding needs for trauma-informed interventions. Recommendations include the integration of quantitative and qualitative assessment methods, the use of culturally responsive practices, and refinements to scoring approaches that account for adversity severity, timing, and cultural context. Areas for future research include longitudinal investigations, cross-cultural validation studies, and the incorporation of social determinants into ACE frameworks. The findings contribute to an evidence-informed foundation for trauma-informed counseling practice, counselor education, and clinical supervision.