The relationship between child maltreatment and substance abuse treatment outcomes among emerging adults and adolescents.
The relationship between child maltreatment and substance abuse treatment outcomes among emerging adults and adolescents.
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DOI：
10.1177/1077559514547264
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发表时间：
2014-08
影响因子：
5.1
通讯作者：
Godley MD
中科院分区：
文献类型：
--
作者：
Garner BR;Hunter BD;Smith DC;Smith JE;Godley MD
成年初期是物质使用问题风险最大的时期。本研究的主要目的是检查儿童虐待的广泛衡量标准与大量临床样本（n = 858）和青少年（n = 2,697）的几个关键结果之间的关系。第二个目的是研究儿童虐待与治疗结果之间的关系在成年和青少年之间的差异程度。多层次潜在生长曲线分析显示，经历过儿童虐待的新兴成年人和青少年报告称，随着时间的推移，多种治疗结果（例如物质使用、物质相关问题和情绪问题）显着减少。总体而言，分析并不支持儿童虐待与新兴成人和青少年的物质使用障碍治疗结果随时间的变化之间存在差异关系。一个例外是，尽管随着时间的推移，遭受虐待儿童的新成人确实降低了艾滋病毒风险，但其改善程度不如经历过儿童虐待的青少年所报告的艾滋病毒风险改善程度大。
Emerging adulthood is the period of greatest risk for problematic substance use. The primary aim of the current study was to examine the relationship between a broad measure of child maltreatment and several key outcomes for a large clinical sample of emerging adults (n = 858) and adolescents (n = 2,697). The secondary aim was to examine the extent to which the relationship between child maltreatment and treatment outcomes differed between emerging adults and adolescents. Multilevel latent growth curve analyses revealed emerging adults and adolescents who experienced child maltreatment reported significantly greater reductions over time on several treatment outcomes (e.g., substance use, substance-related problems, and emotional problems). Overall, analyses did not support differential relationships between child maltreatment and changes over time in these substance use disorder treatment outcomes for emerging adults and adolescents. The one exception was that although emerging adults with child maltreatment did reduce their HIV risk over time, their improvements were not as great as were the improvements in HIV risk reported by adolescents who had experienced child maltreatment.