History of sexual, emotional or physical abuse and psychiatric comorbidity in substance-dependent patients

Daigre, Constanza; Rodríguez-Cintas, Laia; Tarifa, N.; Rodríguez-Martos, Lola; Grau-López, Lara; Berenguer, Marta; Casas, Miguel; Roncero, Carlos

doi:10.1016/j.psychres.2015.08.008

Cited by 60 publications

(26 citation statements)

References 55 publications

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“…More than 50% of females in the SUD group reported two to five different moderate to severe CMTs, and approximately 25% reported four or five different traumas. This finding is in line with previous research illustrating the traumatic load experienced by substance abusers, females in particular (Daigre et al, 2015). …”

Section: Discussionsupporting

confidence: 93%

Childhood maltreatment trauma: a comparison between patients in treatment for substance use disorders and patients in mental health treatment

Rasmussen¹,

Arefjord

Winje

et al. 2018

European Journal of Psychotraumatology

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Background: While previous research has found strong associations between childhood maltreatment trauma and substance use disorders (SUDs), the role of possible moderating effects of gender and mediating effects of psychopathology and SUD is unclear.Objective: The objective of this study was to investigate differences in self-reported childhood maltreatment trauma, general psychological distress, and post-traumatic stress symptoms between 112 patients in treatment for substance use disorders (SUD group) and 112 matched controls with mild to moderate mental health disorders (comparison group).Methods: Childhood maltreatment trauma was measured by the Childhood Trauma Questionnaire – Short Form (CTQ-SF). General psychological distress was measured by the Symptom Checklist-90 – Revised (SCL-90-R), and post-traumatic stress symptoms were measured by the Impact of Event Scale – Revised (IES-R).Results: The SUD group reported more severe childhood maltreatment trauma than the comparison group. Females in the SUD group reported more severe and various forms of trauma compared to males. The SUD group reported higher mean scores on the SCL-90-R, but the proportions of people with caseness scores on the IES-R and the SCL-90-R were similar in the two samples. The SUD group reported more avoidance symptoms than the comparison group.Conclusion: This study adds further evidence to the repeatedly found strong associations between childhood maltreatment trauma and SUD, implying that the prevention of childhood maltreatment trauma may reduce the occurrence of SUD. Furthermore, patients with SUD should be screened for childhood maltreatment trauma, and the results should be applied in trauma-informed as well as trauma-focused interventions aimed to help this population. The association appears to be particularly strong for female substance users.

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Section: Discussionsupporting

confidence: 93%

Childhood maltreatment trauma: a comparison between patients in treatment for substance use disorders and patients in mental health treatment

Rasmussen¹,

Arefjord

Winje

et al. 2018

European Journal of Psychotraumatology

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“…This is in line with prospective studies suggesting that different types of abuse and neglect are equivalently harmful on psychopathological outcomes37. Our results also suggest that emotional abuse is most independently associated with EDs, similar to the results found for other psychiatric disorders such as bipolar disorder or addiction3839. The nature of the mechanism underlying this association might be the specific impact of this type of abuse on emotional regulation.…”

Section: Discussionsupporting

confidence: 92%

Associations between adverse childhood experiences and clinical characteristics of eating disorders

Guillaume

Jaussent

Maı̈moun

et al. 2016

Sci Rep

106

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Patients with eating disorders (EDs) frequently report a history of childhood trauma (CT). We investigated whether certain subtypes of CT are associated with more severe features of EDs, independently of psychiatric comorbidity, and whether they act additively. One hundred and ninety-two patients with DSM-V-defined EDs were consecutively recruited. Five clinical characteristics were assessed: restraint, eating, shape and weight concerns on the EDE-Q, and daily functioning. CT was assessed by the childhood traumatism questionnaire. The clinical features were associated with at least one CT subtype (emotional, sexual or physical abuse, emotional neglect). Multivariate analyses adjusted for lifetime comorbid psychiatric disorders revealed that emotional abuse independently predicted higher eating, shape and weight concerns and lower daily functioning, whereas sexual and physical abuse independently predicted higher eating concern. A dose-effect relationship characterised the number of CT subtypes and the severity of the clinical features, suggesting a consistent and partly independent association between CT and more severe clinical and functional characteristics in EDs. Emotional abuse seems to have the most specific impact on ED symptoms. Last, not all CT subtypes have the same impact but they do act additively.

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“…People who use opioids, including misusing prescription opioids and heroin, often report extensive histories of childhood maltreatment (Daigre et al, 2015; Kessler et al, 2010). The severity of such maltreatment is correlated to the severity of substance use broadly and substance use related problems (SRP) specifically (Conroy et al, 2009; Heffernan et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

The intervening role of urgency on the association between childhood maltreatment, PTSD, and substance-related problems

Mirhashem

Allen

Adams

et al. 2017

Addictive Behaviors

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A range of risk factors lead to opioid use and substance-related problems (SRP) including childhood maltreatment, elevated impulsivity, and psychopathology. These constructs are highly interrelated such that childhood maltreatment is associated with elevated impulsivity and traumarelated psychopathology such as posttraumatic stress disorder (PTSD), and impulsivity—particularly urgency—and PTSD are related. Prior work has examined the association between these constructs and substance-related problems independently and it is unclear how these multifaceted constructs (i.e., maltreatment types and positive and negative urgency) are associated with one another and SRP. The current study used structural equation modeling (SEM) to examine the relations among childhood maltreatment, trait urgency, PTSD symptoms, and SRP in a sample of individuals with a history of opioid use. An initial model that included paths from each type of childhood maltreatment, positive and negative urgency, PTSD and SRP did not fit the data well. A pruned model with excellent fit was identified that suggested emotional abuse, positive urgency, and negative urgency were directly related to PTSD symptoms and only PTSD symptoms were directly related to SRP. Furthermore, significant indirect effects suggested that emotional abuse and negative urgency were related to SRP via PTSD symptom severity. These results suggest that PTSD plays an important role in the severity of SRP.

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History of sexual, emotional or physical abuse and psychiatric comorbidity in substance-dependent patients

Cited by 60 publications

References 55 publications

Childhood maltreatment trauma: a comparison between patients in treatment for substance use disorders and patients in mental health treatment

Childhood maltreatment trauma: a comparison between patients in treatment for substance use disorders and patients in mental health treatment

Associations between adverse childhood experiences and clinical characteristics of eating disorders

The intervening role of urgency on the association between childhood maltreatment, PTSD, and substance-related problems

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