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For the score's QoL effect [-0.84 (95% CI -0.87 to -0.80, p 0.001)], -0.80 was indirect, and -0.04 was direct. Thus, most of the association of DCQ with QoL occurred via mediators. The results confirmed the DCQ's discriminant and convergent validity and highlight this tool as an empirically supported approach to assess ACEs. Because of its brevity and psychometric strengths, the DCQ is useful for research and likely suited to mental health treatment settings. The results confirmed the DCQ's discriminant and convergent validity and