“…Further, ACEs have been consistently associated with depressed affect (Afifi et al, 2006(Afifi et al, , 2014Atzl et al, 2019;Negriff, 2020), suicide attempts (Afifi et al, 2014(Afifi et al, , 2017Duke et al, 2010), anxiety (Afifi et al, 2006(Afifi et al, , 2014Negriff, 2020), post-traumatic stress disorder (Afifi et al, 2014;Atzl et al, 2019;Dvir et al, 2014), and substance use (Afifi et al, 2006(Afifi et al, , 2012(Afifi et al, , 2020bDube et al, 2006;Moss et al, 2020). More broadly, ACEs have also been associated with a range of behavioral addictions including food addiction and binge eating (Imperatori et al, 2016), internet addiction (Arslan, 2017;Dalbudak et al, 2014), and sex addiction (Kotera & Rhodes, 2019). ACEs are highly prevalent in North America, with many individuals reporting experiencing at least one ACE (69.1-75.1%; Afifi et al, 2020b;Poole et al, 2017Poole et al, , 2018 and, commonly, people report experiencing up to four or more ACEs (5.9-20.7%; Cronholm et al, 2015;Dong et al, 2004;Dube et al, 2003;Poole et al, 2018).…”