Alvarez-Alonso M J, Jurado-Barba R, Martinez-Martin N, Espin-Jaime J C, Bolaños-Porrero C, Ordoñez-Franco A, Rodriguez-Lopez J A, Lora-Pablos D, de la Cruz-Bértolo J, Jimenez-Arriero M A, Manzanares J, Rubio G
Hospital 12 de Octubre" i+12 Research Institute, Av. Cordoba s/n, 28041 Madrid, Spain.
Hospital 12 de Octubre" i+12 Research Institute, Av. Cordoba s/n, 28041 Madrid, Spain; Complutense University, Av. Séneca 2, 28040 Madrid, Spain; Camilo José Cela University, Castillo de Alarcón, 49, Villafranca del Castillo, 28692 Madrid, Spain.
Child Abuse Negl. 2016 Jan;51:379-89. doi: 10.1016/j.chiabu.2015.07.014. Epub 2015 Aug 25.
Different studies have related sexual and physical abuse during childhood and adolescence to the development of substance abuse disorders. Nevertheless, we are not aware of the role that other more common maltreatment types, such as neglect, will play among the most risky pattern of consumption: the polydrug use. A clinical sample of 655 adolescents, divided into two groups: polydrug users and non-polydrug users, were assessed on their pattern of drug consumption, history of childhood maltreatment, current psychopathology and their family history of alcoholism. Polydrug users had a greater prevalence of all types of maltreatment, although the most associated to this group were sexual abuse and emotional neglect. Other relevant variables to adolescent consumption were: the diagnosis of depressive disorder, the presence of anxiety traits and the family history of alcohol dependence. Polydrug users have higher risks of having had problems during infancy and adolescence, such as maltreatment and other psychopathological conditions, with the addition of family history of alcoholism. Accordingly, practitioners should take into account that those variables may influence polydrug abuse because it is the most risky pattern for subsequent dependence of substances, and they should always be considered during treatment.
不同的研究已将童年期和青少年期的性虐待和身体虐待与物质使用障碍的发展联系起来。然而，我们并不清楚其他更常见的虐待类型，如忽视，在最危险的消费模式——多药滥用中所起的作用。对655名青少年的临床样本进行了分组，分为多药使用者和非多药使用者两组，评估了他们的药物消费模式、童年期虐待史、当前精神病理学状况以及他们的酒精中毒家族史。多药使用者中各类虐待的患病率更高，尽管与该组关联最密切的是性虐待和情感忽视。与青少年消费相关联的其他变量有：抑郁症诊断、焦虑特质的存在以及酒精依赖家族史。多药使用者在婴儿期和青少年期出现问题的风险更高，如遭受虐待和其他精神病理学状况，再加上酒精中毒家族史。因此，从业者应考虑到这些变量可能会影响多药滥用，因为这是后续物质依赖最危险的模式，在治疗过程中应始终予以考虑。
