Associations between Adverse Childhood Experiences, Major Depressive Episode and Chronic Physical Health in Adolescents: Moderation of Race/Ethnicity.

Adverse childhood experiences (ACE) are associated with health problems in adolescence. However, the moderating role of race/ethnicity is not well understood. The current study examines direct and indirect effects of ACE on major depressive episodes and chronic health outcomes, and the moderating role of race/ethnicity among adolescents who participated in the National Comorbidity Survey-Adolescent Supplement. Results show an association between ACE and both health outcomes. Race/ethnicity was associated with differential outcomes and indicated moderation. Results underscore the importance of examining associations between ACE and adolescent well-being by race/ethnicity. The need for trauma-informed and culturally responsive services for adolescents is discussed.