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The QUIC-SP: A Spanish language tool assessing unpredictability in early life is linked to physical and mental health

Accumulating evidence indicates that unpredictable signals in early life represent a unique form of adverse childhood experiences (ACEs) associated with disrupted neurodevelopmental trajectories in children and adolescents. The Questionnaire of Unpredictability in Childhood (QUIC) was developed to a...

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Published in:PloS one 2025, Vol.20 (1), p.e0298296
Main Authors: Liu, Sabrina R, Bailey, Natasha A, Romero-González, Sara, Moors, Amy, Campos, Belinda, Davis, Elysia Poggi, Glynn, Laura M
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Glynn, Laura M
description Accumulating evidence indicates that unpredictable signals in early life represent a unique form of adverse childhood experiences (ACEs) associated with disrupted neurodevelopmental trajectories in children and adolescents. The Questionnaire of Unpredictability in Childhood (QUIC) was developed to assess early life unpredictability [1], encompassing social, emotional, and physical unpredictability in a child's environment, and has been validated in three independent cohorts. However, the importance of identifying ACEs in diverse populations, including non-English speaking groups, necessitates translation of the QUIC. The current study aims to translate and validate a Spanish language version of the QUIC (QUIC-SP) and assess its associations with mental and physical health. Spanish-speaking participants (N = 285) were recruited via the online market crowdsourcing platform, Amazon Mechanical Turk (MTurk), and completed an online survey that included the QUIC-SP and validated Spanish language assessments of physical and mental health. The QUIC-SP demonstrated excellent psychometric properties and similar mean scores, endorsement rates, and internal reliability to the English language version, thus establishing its validity among Spanish-speaking adults. Higher QUIC-SP scores, indicating greater unpredictability in early life, predicted increased symptoms of anxiety, anhedonia, depression, and poorer physical health. Given significant racial and ethnic disparities in health, the QUIC-SP may serve as a valuable tool to address the public health consequences of ACEs among Spanish-speaking populations.
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The Questionnaire of Unpredictability in Childhood (QUIC) was developed to assess early life unpredictability [1], encompassing social, emotional, and physical unpredictability in a child's environment, and has been validated in three independent cohorts. However, the importance of identifying ACEs in diverse populations, including non-English speaking groups, necessitates translation of the QUIC. The current study aims to translate and validate a Spanish language version of the QUIC (QUIC-SP) and assess its associations with mental and physical health. Spanish-speaking participants (N = 285) were recruited via the online market crowdsourcing platform, Amazon Mechanical Turk (MTurk), and completed an online survey that included the QUIC-SP and validated Spanish language assessments of physical and mental health. 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subjects Adolescence
Adolescent
Adolescents
Adult
Adverse Childhood Experiences
Anxiety
Anxiety - psychology
Bilingualism
Child
Child development
Children
English language
Female
Hedonic response
Hispanic Americans
Humans
Language
Male
Mental depression
Mental Health
Middle Aged
Polls & surveys
Populations
Psychometrics - methods
Public health
Questionnaires
Reproducibility of Results
Spanish language
Surveys and Questionnaires
Young Adult
title The QUIC-SP: A Spanish language tool assessing unpredictability in early life is linked to physical and mental health
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