Evaluating the effects of adverse childhood experiences (ACEs) on the socio-emotional, behavioral, and adaptive functioning in diverse and marginalized pediatric patients experiencing chronic pain

• Marginalized youth report higher adverse childhood events than national averages. • Discrimination was the most endorsed adverse childhood event. • More adverse childhood events lead to poorer socio-emotional and behavioral functioning. • Results indicate need for culturally-inclusive adverse childhood event screening. • Trauma-informed care in clinical settings is indicated for marginalized patients.