Banducci Anne N, Hoffman Elana M, Lejuez C W, Koenen Karestan C
Center for Addictions, Personality, and Emotion Research, University of Maryland College Park, Department of Psychology, 1147 Biology Psychology Building, College Park, MD 20742, USA.
Center for Addictions, Personality, and Emotion Research, University of Maryland College Park, Department of Psychology, 1147 Biology Psychology Building, College Park, MD 20742, USA.
Child Abuse Negl. 2014 May;38(5):928-38. doi: 10.1016/j.chiabu.2013.12.007. Epub 2014 Feb 9.
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 substance users may be informative in treatment planning and relapse prevention.
患有物质使用障碍（SUDs）的成年人报告童年期受虐的比例很高。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；但尚不清楚这种模式是否适用于患有物质使用障碍的成年人。我们假设，特定类型的虐待与物质使用者的特定行为和情绪结果相关。也就是说，童年期性虐待与危险的性行为相关，童年期身体虐待与攻击性相关，童年期情感虐待与情绪调节障碍相关。280名接受物质使用治疗的住院患者（平均年龄=43.3岁；69.7%为男性；88.4%为非裔美国人）完成了儿童创伤问卷（CTQ）、HIV风险行为量表、成瘾严重程度指数、情绪调节困难量表（DERS）、痛苦耐受力量表（DTS）以及情感强度和归属动机维度（AIM）。与我们的假设一致，CTQ性虐待分量表独特地预测了用性交换可卡因和海洛因的行为、因卖淫被捕的次数、前一年与临时伴侣发生无保护性行为的情况，以及清醒时性唤起程度低的情况。身体虐待分量表独特地预测了因攻击和武器犯罪被捕的次数。情感虐待分量表独特地预测了DERS总分、AIM得分和DTS得分。在物质使用者中，不同类型的虐待与特定的负面影响独特相关。评估物质使用者中的特定虐待类型可能对治疗计划和预防复发具有指导意义。
