The impact of childhood abuse on inpatient substance users: specific links with risky sex, aggression, and emotion dysregulation.
The impact of childhood abuse on inpatient substance users: specific links with risky sex, aggression, and emotion dysregulation.
复制标题
DOI：
10.1016/j.chiabu.2013.12.007
复制
发表时间：
2014-05
影响因子：
4.8
通讯作者：
Koenen KC
中科院分区：
文献类型：
--
作者：
Banducci AN;Hoffman EM;Lejuez CW;Koenen KC
患有药物使用障碍的成年人报告儿童期虐待的发生率很高。对普通人群的研究表明，特定类型的虐待会导致特定的负面结果;目前尚不清楚这种模式是否适用于患有SUD的成年人。我们假设特定类型的滥用与物质使用者的特定行为和情感结果有关。也就是说，儿童期性虐待与危险性行为有关，儿童期身体虐待与攻击性有关，儿童期情感虐待与情感失调有关。280名接受药物使用治疗的住院患者（男性年龄= 43.3; 69.7%; 88.4%为非洲裔美国人）完成了儿童期创伤问卷（CTQ）、HIV冒险行为量表、成瘾严重程度指数、情绪调节困难量表（DERS）、痛苦耐受量表（DERS）和情感强度和归属动机维度（AIM）。与我们的假设一致，CTQ性虐待子量表唯一预测交换可卡因和海洛因的性行为，因卖淫而被捕的人数，在前一年与临时伴侣进行无保护的性行为，清醒时经历低性唤起。身体虐待分量表独特地预测了因袭击和武器犯罪而被捕的人数。情绪虐待分量表唯一预测DERS总分，AIM评分和ESTA评分。在药物使用者中，不同类型的滥用与特定的负面影响有着独特的联系。对药物使用者中特定滥用类型的评估可能有助于制定治疗计划和预防复发。
Adults with substance use disorders (SUDs) report a high prevalence of childhood abuse. Research in the general population suggests specific types of abuse lead to particular negative outcomes; it is not known whether this pattern holds for adults with SUDs. We hypothesized that specific types of abuse would be associated with particular behavioral and emotional outcomes among substance users. That is, childhood sexual abuse would be associated with risky sex behaviors, childhood physical abuse with aggression, and childhood emotional abuse with emotion dysregulation. 280 inpatients (M age = 43.3; 69.7% male; 88.4% African American) in substance use treatment completed the Childhood Trauma Questionnaire (CTQ), HIV Risk-Taking Behavior Scale, Addiction Severity Index, Difficulties with Emotion Regulation Scale (DERS), Distress Tolerance Scale (DTS), and Affect Intensity and Dimensions of Affiliation Motivation (AIM). Consistent with our hypotheses, the CTQ Sexual Abuse subscale uniquely predicted exchanging sex for cocaine and heroin, number of arrests for prostitution, engaging in unprotected sex with a casual partner during the prior year, and experiencing low sexual arousal when sober. The Physical Abuse subscale uniquely predicted number of arrests for assault and weapons offenses. The Emotional Abuse subscale uniquely predicted the DERS total score, AIM score, and DTS score. Among substance users, different types of abuse are uniquely associated with specific negative effects. Assessment of specific abuse types among substances users may be informative in treatment planning and relapse prevention.
登录
查看更多内容
影响因子：
4.8
作者：
CAVAIOLA, AA;SCHIFF, M
通讯作者：
SCHIFF, M
DOI：
10.1097/00004583-199703000-00012
发表时间：
1997-03-01
影响因子：
13.3
作者：
Bernstein, DP;Ahluvalia, T;Handelsman, L
通讯作者：
Handelsman, L
影响因子：
56.9
作者：
DODGE, KA;BATES, JE;PETTIT, GS
通讯作者：
PETTIT, GS
影响因子：
4.8
作者：
Bernstein, DP;Stein, JA;Zule, W
通讯作者：
Zule, W
影响因子：
17.7
作者：
Edwards, VJ;Holden, GW;Anda, RF
通讯作者：
Anda, RF