Childhood abuse and intake severity in alcohol disorder patients.

Childhood abuse and intake severity in alcohol disorder patients.
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酒精障碍患者的童年虐待和摄入严重程度。

DOI:
10.1002/jts.20177
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发表时间:
2006
影响因子:
3.3
通讯作者:
Schneider,RobertJ
Schneider,RobertJ
中科院分区:
医学3区
文献类型:
--
作者:
Zlotnick,Caron;Johnson,DawnM;Stout,RobertL;Zywiak,WilliamH;Johnson,JenniferE;Schneider,RobertJ

文献摘要

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In a sample of 336 patients with an alcohol use disorder, this study examined, whether patients with histories of childhood sexual abuse (CSA) and childhood physical abuse (CPA) compared to those without such histories have a greater severity of alcohol and other clinical difficulties. Whether lifetime posttraumatic stress disorder (PTSD) mediates the relationship between childhood abuse and clinical outcomes was explored. Results were that CSA was associated with earlier age of onset for alcohol disorder, greater Axis I comorbidity as defined by theDiagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM‐IV; American Psychiatric Association, 1994), more social and psychiatric problems, but lower drinking frequency. Childhood physical abuse was related to greater drinking consequences, social and psychiatric dysfunction, and Axis I comorbidity, but also lower drinking frequency. Posttraumatic stress disorder partially mediated the effect of both CSA and CPA on severity of psychiatric problems.