A comparison of trauma profiles among individuals with prescription opioid, nicotine, or cocaine dependence.
A comparison of trauma profiles among individuals with prescription opioid, nicotine, or cocaine dependence.
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DOI：
10.1111/j.1521-0391.2013.00319.x
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发表时间：
2013-03
期刊：
影响因子：
--
通讯作者：
Brady KT
中科院分区：
文献类型：
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作者：
Lawson KM;Back SE;Hartwell KJ;Moran-Santa Maria M;Brady KT
在患有药物滥用障碍的个体中，遭受创伤性事件很常见。然而，人们对各种成瘾者的创伤史知之甚少。本研究比较了依赖处方阿片类药物 (n=41)、尼古丁 (n=87) 或可卡因 (n=73) 的非治疗寻求门诊患者的创伤史（一般、性、身体和情感）。参与者填写了生活压力源检查表修订版 (LSC-R)，以评估儿童和成人创伤。研究结果显示，所有三个群体都认可高水平的创伤暴露，整个样本中 96.5% 的人一生中至少经历过一次创伤事件。处方鸦片组比尼古丁组经历了更多的全身和总体创伤。然而，没有发现情感、身体或性创伤数量上的群体差异。处方阿片组报告的首次创伤事件的年龄比可卡因组更年轻，并且比可卡因组和尼古丁组报告儿童期创伤事件的可能性明显更高。研究结果提供了临床相关信息，可能有助于改善筛查、干预和预防工作。
Exposure to traumatic events is common among individuals with substance use disorders. Little is known, however, about the trauma histories among individuals with various types of addiction. The present study compared the trauma histories (general, sexual, physical and emotional) of non-treatment seeking outpatients dependent on prescription opioids (n=41), nicotine (n=87) or cocaine (n=73). The Life Stressor Checklist-Revised (LSC-R) was completed by participants to assess childhood and adult trauma. The findings revealed that all three groups endorsed high levels of trauma exposure, with 96.5% of the entire sample experiencing at least one traumatic event in their lifetime. The prescription opiate group experienced a greater number of general and total traumas than the nicotine group. However, no group differences in the number of emotional, physical, or sexual traumas were revealed. The prescription opiate group reported a younger age of first traumatic event than the cocaine group, and was significantly more likely to report childhood traumatic events than both the cocaine and nicotine groups. The findings provide clinically relevant information that may help improve screening, interventions, and preventative efforts.