Are experiences of sexual violence related to special needs in patients with substance use disorders? A study in opioid-dependent patients

Schäfer, Ingo; Gromus, Lil; Atabaki, Armita; Pawils, Silke; Verthein, Uwe; Reimer, Jens; Schulte, Bernd; Martens, Marcus-Sebastian

doi:10.1016/j.addbeh.2014.07.008

Cited by 14 publications

(23 citation statements)

References 17 publications

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“…Mental health conditions, such as depression and post-traumatic stress disorder (PTSD), are a common consequence of IPT [14][15][16][17] and one of the most well established risk factors for opioid misuse [18,19]. Studies have shown that individuals with a history of IPT, who are currently prescribed opioids or are opioid dependent, have higher rates of mental health conditions [20,21]. Balousek and colleagues [20] found that among primary care patients currently prescribed opioids, those reporting higher psychiatric symptoms (i.e., depression, anxiety, hallucinations,concentration/memory, violent behavior, and suicide) were 5 times more likely to report any abuse in the past 30 days and twice as likely to report lifetime abuse for each half point increase on the Addiction Severity Index Psychiatric Scale.…”

Section: Introductionmentioning

confidence: 99%

“…Balousek and colleagues [20] found that among primary care patients currently prescribed opioids, those reporting higher psychiatric symptoms (i.e., depression, anxiety, hallucinations,concentration/memory, violent behavior, and suicide) were 5 times more likely to report any abuse in the past 30 days and twice as likely to report lifetime abuse for each half point increase on the Addiction Severity Index Psychiatric Scale. Schäfer et al [21] showed that among individuals receiving outpatient treatment for opioid dependence, victims of sexual violence were more likely to suffer from severe to extreme psychological distress (females: 66.3% vs. 46.7%, OR = 2.5, 95%-CI = 1.7-3.3; males: 60.7% vs. 40.8%, OR = 2.5, 95%-CI = 1.7-3.3).…”

Section: Introductionmentioning

confidence: 99%

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Exploring stress, cognitive, and affective mechanisms of the relationship between interpersonal trauma and opioid misuse

et al. 2020

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Background People with a history of interpersonal trauma, including intimate partner violence, sexual assault, and adverse childhood experiences, are disproportionately affected by the current opioid epidemic. Interpersonal trauma has been shown to increase risk for chronic pain conditions, prescription opioid use, and opioid misuse. Stress, cognition, and affective function have been examined as potential mechanisms that may influence opioid misuse among individuals with a history of interpersonal trauma. However, no studies have examined these factors simultaneously, despite their interrelatedness. Objective The purpose of this study was to 1) examine perceived stress, perceived cognitive function, depressive symptoms, and PTSD symptoms as potential mechanisms of opioid misuse among individuals with a history of interpersonal trauma, 2) examine the types of interpersonal trauma that are associated with opioid misuse, and 3) assess the mediating role of pain and opioid prescription. Methods A cross-sectional, observational study design was conducted. Data were collected through a confidential self-report online survey using validated instruments (n = 230). A series of regression analyses were conducted to identify mechanistic factors and interpersonal trauma types associated with opioid misuse, opioid prescription, and pain intensity. Structural equation modeling was used to examine mediating effects of pain intensity and opioid prescription. Results Opioid prescription, depressive symptoms, and intimate partner violence increased the odds of reporting opioid misuse. Pain intensity and adverse childhood experiences

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring stress, cognitive, and affective mechanisms of the relationship between interpersonal trauma and opioid misuse

et al. 2020

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“…There is a well-established link between trauma, such as sexual or physical abuse (Cohen et al, 2010), and SUDs. For example, a German study found self-reported sexual abuse rates of 66% and 35% among women diagnosed with opioid dependence and alcohol dependence respectively (Schäfer et al, 2014;Schäfer et al, 2009). Substance use is commonly used as a maladaptive approach to coping with past traumas (Ullman, Relyea, Peter-Hagene, & Vasquez, 2013).…”

Section: Introductionmentioning

confidence: 99%

Exploring the Relationships Between Eating Disorders and Mental Health in Women Attending Residential Substance Use Treatment

Robinson

Kelly

Deane

et al. 2019

Journal of Dual Diagnosis

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Objective: Objective: Comorbid eating disorders (EDs) and ED symptoms are highly prevalent among women with substance use disorders and may be a barrier to recovery. Higher rates of psychiatric illness are common when more than one disorder is present. Yet little is known about the rates and risk factors for EDs/ED symptoms in women attending treatment centers in Australia. The primary aim is to examine the prevalence of ED symptoms among women attending treatment centers. This study also examines past physical and sexual abuse and mental health as specific predictors of EDs/ED symptoms. Methods: Methods: Participants were 1,444 women attending residential treatment for substance use issues provided by the Salvation Army in Australia. Measures included the Addiction Severity Index, the Eating Disorder Screen for Primary Care, medication use, hospitalization, mental health, and past abuse. Results: Results: Alcohol was the primary substance of concern for 53.3% of the women, followed by amphetamines (17.5%), and the mean age was 37.83 years (SD = 10.8). Nearly 60% of women screened positive for ED symptoms and 32% reported a previous or current ED. Women with a history of sexual abuse had significantly greater odds (1.96) of positive screening for an ED compared to those without a history of sexual abuse. Similarly, compared to women without a history of physical abuse, those who did have a history had significantly higher odds (1.59) of a positive screen for an ED. These women were also significantly more likely to have had a health care provider recommend they take medications for psychological or emotional problems in the past 30 days, χ2(1) = 8.42, p = .004, and during their lifetime, χ2(1) = 17.89, p < .001. They also had a significantly greater number of overnight hospitalizations for medical problems compared to those who screened negative, t(137) = −2.19, p = .03. Conclusions: Conclusions: Women with comorbid substance use issues and EDs are highly likely to have a history of past abuse. This combination of comorbidities makes treatment and recovery difficult. Increased awareness and research are required to explore integrated approaches to treatment that accommodate these vulnerabilities and improve long-term outcomes.

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“…It is a self-report measure assessing emotion dysregulation on the dimensions of [1] nonacceptance of emotional responses [2] , difficulties engaging in goal-directed behaviour [3] , impulse control difficulties [4] , lack of emotional awareness [5] , limited access to emotion regulation strategies [6] , and lack of emotional clarity. Different research groups supported the adequacy of a 5-factor model of the DERS where the awareness scale is excluded [37,38] , which shows a low correlation with the other factors.…”

Section: Maltreatmentmentioning

confidence: 99%

Does Emotion Dysregulation Mediate the Relationship between Early Maltreatment and Later Substance Dependence? Findings of the CANSAS Study

et al. 2016

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Background/Aims: Maltreatment in childhood and adolescence is a risk factor for substance use disorders (SUDs) in adulthood. This association has rarely been investigated in the light of emotion dysregulation. To fill this gap, this study examines emotion dysregulation and SUDs among adults with a history of early maltreatment. Methods: Comparison of emotion dysregulation in adults with a history of early abuse and neglect who developed either an SUD (n = 105) or no mental disorder (n = 54). Further, a mediation model for the association between the severity of early maltreatment and SUDs was tested. Participants completed research diagnostic interviews for psychopathology, the Difficulties in Emotion Regulation Scale, and the Childhood Trauma Questionnaire. Results: By using hierarchical regression techniques and mediational analyses controlling for age and gender, it was possible to provide evidence for the mediating role of emotion dysregulation between early emotional and physical maltreatment and later SUDs. Conclusions: Emotion dysregulation is a potential mechanism underlying the relationship between early emotional and physical maltreatment and the development of SUDs. In light of these findings, focusing on the early training of adaptive emotion regulation strategies after childhood maltreatment might be of considerable relevance to prevent the development of SUDs.

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Are experiences of sexual violence related to special needs in patients with substance use disorders? A study in opioid-dependent patients

Cited by 14 publications

References 17 publications

Exploring stress, cognitive, and affective mechanisms of the relationship between interpersonal trauma and opioid misuse

Exploring stress, cognitive, and affective mechanisms of the relationship between interpersonal trauma and opioid misuse

Exploring the Relationships Between Eating Disorders and Mental Health in Women Attending Residential Substance Use Treatment

Does Emotion Dysregulation Mediate the Relationship between Early Maltreatment and Later Substance Dependence? Findings of the CANSAS Study

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