“…Exposure to either type of abuse has been strongly associated with alcohol and drug abuse and/or dependency in adulthood, in both clinical and population-based samples (Afifi et al, 2006;Dube et al, 2003;Fenton et al, 2013;Kendler et al, 2000;Kendler et al, 2015;Kristman-Valente & Wells, 2013;MacMillan et al, 2001;Menard et al, 2015;Molnar et al, 2001;Widom & White, 1997;Widom et al, 2007;Wilson & Widom, 2009). Several studies have also linked less direct forms of victimization, such as exposure to parental domestic violence, to adult substance abuse or dependence (Anda et al, 2002;Dube et al, 2003;Menard et al, 2015). However, because ACEs are highly cooccurring (Dong et al, 2004), the relationship may be confounded by exposure to other direct forms of violence, such as physical and/or sexual abuse.…”