Teixeira Carla Araujo Bastos, Lasiuk Gerri, Barton Sylvia, Fernandes Maria Neyrian de Fatima, Gherardi-Donato Edilaine Cristina da Silva
Doctoral student, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brasil. Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil.
PhD, Associate Professor, College of Nursing, University of Saskatchewan, Edmonton, Alberta, Canada.
Rev Lat Am Enfermagem. 2017 Oct 5;25:e2939. doi: 10.1590/1518-8345.2026.2939.
to review and synthesize qualitative research on the links between early-life stress and addiction behaviours in adulthood.
metasynthesis to review qualitative research findings based on procedures that outline how to identify themes or constructs across studies in a specific area. Comprehensive searches of multiple electronic databases were performed. The initial search yielded 1050 articles and the titles and abstracts were screened for inclusion based on predetermined criteria. Thirty-eight full text, peer-reviewed articles were retrieved and assessed by three independent reviewers. Twelve articles were eligible for full review and appraised using the Critical Appraisal Skills Programme (CASP) tools.
the findings revealed that clear associations exist between early-life stress and addictive behaviours in adulthood, such as between trauma in childhood, violence, and addictive behaviours. A common theme in the findings indicates that participants turn to addictive substances as a way of strategically coping with stressful childhood experiences, regardless of the harmful side effects or detrimental social outcomes.
it can be inferred that addiction may be viewed as a way to deal with adversity in childhood and that there is an interrelationship between addiction, domestic violence and crime.
回顾并综合关于童年期应激与成年期成瘾行为之间联系的定性研究。
采用元综合法，依据概述如何在特定领域的多项研究中识别主题或构建要素的程序，对定性研究结果进行回顾。对多个电子数据库进行全面检索。初步检索得到1050篇文章，根据预先设定的标准筛选文章标题和摘要以确定纳入研究。检索出38篇全文、经过同行评审的文章，并由三位独立评审员进行评估。12篇文章符合全面评审要求，使用批判性评估技能计划（CASP）工具进行评价。
研究结果表明，童年期应激与成年期成瘾行为之间存在明显关联，例如童年期创伤、暴力与成瘾行为之间的关联。研究结果中的一个共同主题表明，参与者将成瘾物质作为一种策略性应对童年压力经历的方式，而不顾其有害的副作用或不利的社会后果。
可以推断，成瘾可能被视为应对童年逆境的一种方式，并且成瘾、家庭暴力和犯罪之间存在相互关系。
