Umeno Mitsuru, Morita Nobuaki, Ikeda Tomohiro, Koda Minoru, Abe Yukie, Endo Keiko, Yabe Yohko, Hirai Hideyuki, Takahashi Koji, Aikawa Yuzo, Senoo Eiichi, Nakatani Yoji
Tokyo Metropolitan Matsuzawa Hospital, 2-1-1 Kamikitazawa, Setagaya-ku, Tokyo 156-0057, Japan.
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2009 Dec;44(6):623-35.
Child abuse is known to correlate with drug abuse and interferes with recovery from substance-related disorders. To determine the prevalence and severity of child abuse among drug addicts, we conducted a nationwide cross-sectional survey of residents and outpatients at drug addiction rehabilitation centers (DARC) in Japan. A total of 445 participants gave informed consent and completed a self-reporting questionnaire. Sixty-eight percent of participants had experienced some kind of child abuse by the time they reached junior high school. The kinds of abuse experienced were physical (53.7%), psychological (60.4%), sexual (5.4%) abuse and neglect (24.5%). Comparison of female and male participants revealed that more female than male participants had experienced psychological (76.9% vs. 58.2%) and sexual (17.5% vs. 4.0%) abuse. Comparison of participants who had experienced some kind of child abuse ("Abused" group 68.3%) and those who had not experienced abuse ("Non-abused" group 24.3%) revealed that the "Abused" group was younger than the "Non-abused" group (35.7 SD9.0 vs. 39.7 SD10.8). Participants in the "Abused" group were found to have more severe psychological difficulties than those in the "Non-abused" group for the following: anxiety (73.0% vs. 61.1%), delusional atmosphere (48.0% vs. 28.7%), lack of energy (53.9% vs. 40.7%), ideas of persecution (48.7% vs. 29.6%), depression (62.2% vs. 43.5%) and suicidal ideation in the previous year (50.7% vs. 24.3%). The present results suggest that additional program that prepared to care the drug addicts who experienced child abuse and are experiencing suicidal ideation is needed. Furthermore, intervention for families with risk factors for child abuse should be developed in order to prevent the victim from suffering not only from post traumatic stress disorder but also from substance related disorders.
众所周知，虐待儿童与药物滥用相关，且会干扰物质相关障碍的康复。为确定吸毒成瘾者中虐待儿童的患病率和严重程度，我们在日本对戒毒康复中心（DARC）的住院患者和门诊患者进行了一项全国性横断面调查。共有445名参与者签署了知情同意书并完成了一份自我报告问卷。68%的参与者在初中毕业前曾遭受过某种形式的儿童虐待。所经历的虐待类型包括身体虐待（53.7%）、心理虐待（60.4%）、性虐待（5.4%）和忽视（24.5%）。对女性和男性参与者的比较显示，经历心理虐待（76.9%对58.2%）和性虐待（17.5%对4.0%）的女性参与者多于男性参与者。对经历过某种形式虐待的参与者（“受虐”组68.3%）和未经历过虐待的参与者（“未受虐”组24.3%）进行比较，发现“受虐”组比“未受虐”组更年轻（35.7±9.0对39.7±10.8）。结果发现，“受虐”组参与者在以下方面比“未受虐”组有更严重的心理困扰：焦虑（73.0%对61.1%）、妄想氛围（48.0%对28.7%）、缺乏精力（53.9%对40.7%）、迫害观念（48.7%对29.6%）、抑郁（62.2%对43.5%）以及前一年的自杀意念（50.7%对24.3%）。目前的结果表明，需要制定额外的项目来照顾那些曾遭受儿童虐待且有自杀意念的吸毒成瘾者。此外，应针对有虐待儿童风险因素的家庭开展干预措施，以防止受害者不仅遭受创伤后应激障碍，还遭受与物质相关的障碍。
