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了解童年期虐待和忽视作为药物滥用的原因及后果所起的作用:德国CANSAS网络。

Understanding the role of childhood abuse and neglect as a cause and consequence of substance abuse: the German CANSAS network.

作者信息

Schäfer Ingo, Pawils Silke, Driessen Martin, Härter Martin, Hillemacher Thomas, Klein Michael, Muehlhan Markus, Ravens-Sieberer Ulrike, Schäfer Martin, Scherbaum Norbert, Schneider Barbara, Thomasius Rainer, Wiedemann Klaus, Wegscheider Karl, Barnow Sven

机构信息

Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Center for Interdisciplinary Addiction Research, University of Hamburg, Hamburg, Germany.

出版信息

Eur J Psychotraumatol. 2017 Mar 31;8(1):1304114. doi: 10.1080/20008198.2017.1304114. eCollection 2017.

Abstract

: Substance use disorders (SUD) belong to the most frequent behavioural consequences of childhood abuse and neglect (CAN). If parents are concerned, SUD are also an important risk factor for CAN. The relationship between CAN and SUD remains poorly understood. There is a need of adequate treatments for SUD patients suffering from the consequences of CAN, as well as for approaches to prevent CAN by parents with SUD. : To describe the aims and the structure of a German research network on relationships between CAN and SUD (CANSAS network). : Descriptive overview of the aims, and the different project clusters of the network. : The aims of the CANSAS network are: (1) to examine relationships between SUD and CAN; (2) to examine the effects of an evidence-based treatment for SUD patients with posttraumatic disorders; and (3) to provide SUD services with tools to diagnose CAN, and to assess the risk of maltreatment among parents with SUD. The aims of the network are addressed by six projects in three different project clusters (mediators and risk factors, evidence-based treatment, and improvement of services). : It is expected that the CANSAS network will advance the understanding of relationships between early adversity and substance use disorders. It will bring forward the discussion about promising treatments for SUD patients with experiences of CAN. Finally it will provide services with measures to identify patients with CAN, and with tools to break the trans-generational cycle of adversity.

摘要

物质使用障碍(SUD)是儿童期虐待和忽视(CAN)最常见的行为后果之一。如果父母患有物质使用障碍,这也是导致儿童期虐待和忽视的一个重要风险因素。目前对儿童期虐待和忽视与物质使用障碍之间的关系仍知之甚少。对于患有儿童期虐待和忽视后果的物质使用障碍患者,需要有适当的治疗方法,同时也需要为患有物质使用障碍的父母提供预防儿童期虐待和忽视的方法。

描述一个关于儿童期虐待和忽视与物质使用障碍之间关系的德国研究网络(CANSAS网络)的目标和结构。

对该网络的目标和不同项目集群进行描述性概述。

CANSAS网络的目标是:(1)研究物质使用障碍与儿童期虐待和忽视之间的关系;(2)研究基于证据的治疗方法对患有创伤后障碍的物质使用障碍患者的效果;(3)为物质使用障碍服务机构提供诊断儿童期虐待和忽视的工具,并评估患有物质使用障碍的父母中虐待行为的风险。该网络的目标通过三个不同项目集群(中介因素和风险因素、基于证据的治疗、以及服务改进)中的六个项目来实现。

预计CANSAS网络将增进对早期逆境与物质使用障碍之间关系的理解。它将推动关于对有儿童期虐待和忽视经历的物质使用障碍患者有前景的治疗方法的讨论。最后,它将为服务机构提供识别患有儿童期虐待和忽视的患者的措施,以及打破逆境跨代循环的工具。

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