Which of the following is often a result of an ACE score of four or more?

An ACE score of four or more indicates a significant history of adverse childhood experiences, which can profoundly impact an individual's overall well-being. Research has shown that individuals with higher ACE scores are at a greater risk for various mental health challenges, including anxiety, depression, and PTSD. This correlation arises because the stress and trauma associated with these experiences can disrupt normal brain development and emotional regulation, leading to long-term psychological issues. Hence, recognizing the implication of a high ACE score is crucial for understanding the increased vulnerability these individuals may have towards mental health disorders.

In contrast, educational success, social skills, and substance use rates typically do not improve with a higher ACE score; rather, they tend to be negatively influenced. Educational challenges, social struggles, and higher rates of substance use are often linked to those with higher ACE scores, reinforcing the importance of addressing these psychological impacts through support and intervention strategies.