Perceived Discrimination as a Mediator of ACEs and Psychological Distress

Abstract

The authors investigated the role of perceived discrimination in the association between adverse childhood experiences and psychological distress in adulthood in a sample of individuals (n ¼ 125) at a university-based couple and family therapy clinic. Results showed that a majority had experienced four or more adverse experiences, indicating a high risk of negative health outcomes. A significant indirect effect of adverse experiences through perceived discrimination on psychological distress, even with gender, race/ethnicity, and household income as covariates, was noted. Findings underscore the importance of incorporating assessment of perceived discrimination in therapy with clients presenting with childhood adversity and psychological distress.

Collaborating with Families for Innovative School Mental Health

“…Over 60% of children in the U.S. have reported exposure to ACEs [4], which may include exposure to violence, having a loved one attempt or die by suicide, or growing up in a context of substance abuse, mental health issues, or instability [5]. Other factors potentially contributing to ACEs include persistent discrimination based on identity [6,7] and experiencing homelessness or other economic hardships [8].…”