Boles Sharon M, Joshi Vandana, Grella Christine, Wellisch Jean
UCLA Integrated Substance Abuse Program, Los Angeles, CA, USA.
J Child Sex Abus. 2005;14(1):39-55. doi: 10.1300/J070v14n01_03.
This study reports on the effects of having a history of childhood sexual abuse (CSA) on treatment outcomes among substance abusing men and women (N = 2,434) in a national, multisite study of drug treatment outcomes. A history of CSA was reported by 27.2% of the women and 9.2% of the men. Controlling for gender, compared to patients without CSA, patients reporting CSA were younger at entry into the current drug treatment, were more likely to be White, were more likely to have a comorbid mental disorder, be alcohol or cocaine dependent, had higher levels of criminal activities, had a higher level of problem recognition, and had a more negative peer influence. Controlling for these correlates, a history of abuse was related to a lower likelihood of posttreatment abstinence.
在一项关于药物治疗效果的全国性多地点研究中，本研究报告了童年期性虐待（CSA）史对药物滥用男性和女性（N = 2434）治疗结果的影响。27.2%的女性和9.2%的男性报告有CSA史。在控制性别因素后，与无CSA史的患者相比，报告有CSA史的患者在进入当前药物治疗时年龄更小，更可能是白人，更可能患有共病精神障碍、酒精或可卡因依赖，有更高水平的犯罪活动，有更高水平的问题认知，并且有更负面的同伴影响。在控制这些相关因素后，虐待史与治疗后戒酒的可能性较低有关。
