Eames Sarah F, Businelle Michael S, Suris Alina, Walker Robrina, Rao Uma, North Carol S, Xiao Hong, Adinoff Bryon
Centre for Neuro Skills.
University of Texas School of Public Health.
J Consult Clin Psychol. 2014 Jun;82(3):441-7. doi: 10.1037/a0036291. Epub 2014 Mar 17.
This study sought to clarify the relationship between childhood trauma and adversity with later alcohol consumption and the moderating effects of adult psychosocial stress.
Seventy-seven recently abstinent alcohol-dependent men attending residential treatment programs were assessed. Childhood trauma/adversity was assessed with the Childhood Trauma Questionnaire (CTQ), drinks per drinking day (DDD) with the Timeline Follow Back, and chronic psychosocial stress with the UCLA Stress Interview. Drinking and stress were retrospectively assessed for 6 months prior to the present treatment episode. Direct associations between childhood trauma/adversity and alcohol consumption and the moderating effects of recent psychosocial stress were assessed. All measures were considered as continuous variables.
Pretreatment drinking severity (DDD) was associated with CTQ Total score (p = .009) and the Emotional Abuse (p < .001) and Physical Abuse (p < .01) subscales. UCLA Total Stress significantly moderated the effects of CTQ Total score on drinking severity (p = .04). Whereas higher CTQ scores were significantly associated with a greater amount of pretreatment drinking in participants with high UCLA stress scores (p = .01), CTQ scores were not associated with the amount of drinking in those with low UCLA stress scores (p = .63).
Childhood trauma predicts drinking severity in alcohol-dependent men, and this effect is stronger in participants with ongoing stress in adult life. These findings suggest that early childhood trauma/adversity may sensitize stress-response systems.
本研究旨在阐明童年创伤与逆境与后期饮酒之间的关系以及成人心理社会压力的调节作用。
对77名参加住院治疗项目的近期戒酒的酒精依赖男性进行评估。使用儿童创伤问卷（CTQ）评估童年创伤/逆境，使用时间线追溯法评估每日饮酒量（DDD），使用加州大学洛杉矶分校压力访谈评估慢性心理社会压力。回顾性评估本次治疗前6个月的饮酒和压力情况。评估童年创伤/逆境与饮酒之间的直接关联以及近期心理社会压力的调节作用。所有测量指标均视为连续变量。
治疗前饮酒严重程度（DDD）与CTQ总分（p = .009）以及情感虐待（p < .001）和身体虐待（p < .01）子量表相关。加州大学洛杉矶分校总压力显著调节了CTQ总分对饮酒严重程度的影响（p = .04）。在加州大学洛杉矶分校压力得分高的参与者中，较高的CTQ得分与更多的治疗前饮酒量显著相关（p = .01），而在加州大学洛杉矶分校压力得分低的参与者中，CTQ得分与饮酒量无关（p = .63）。
童年创伤可预测酒精依赖男性的饮酒严重程度，并且在成年生活中持续有压力的参与者中这种影响更强。这些发现表明儿童早期创伤/逆境可能会使应激反应系统敏感化。
