Kansas State University.
J Marital Fam Ther. 2019 Jul;45(3):508-520. doi: 10.1111/jmft.12348. Epub 2018 Jul 15.
The vast majority of adults in the United States experience at least one traumatic event during childhood. According to the self-medication hypothesis of substance use disorders, adult survivors of childhood trauma may cope with trauma-related symptoms via alcohol or drug use. The purpose of this study is to identify through which specific PTSD symptom clusters childhood trauma exposure are associated with adult substance use. Participants of this study (N = 627) were not recruited based on substance use or traumatic exposure. Results of this study demonstrate that arousal/reactivity partially mediates the association between childhood trauma and current substance use. Implications for treatment include recommendations for trauma-informed approaches that aim to decrease arousal/reactivity and subsequently substance use.
在美国，绝大多数成年人在童年时期至少经历过一次创伤性事件。根据物质使用障碍的自我治疗假说，童年创伤的成年幸存者可能通过饮酒或吸毒来应对与创伤相关的症状。本研究的目的是通过特定的 PTSD 症状群来确定童年创伤暴露与成年物质使用之间的关系。本研究的参与者（N=627）并非是基于物质使用或创伤暴露而招募的。研究结果表明，唤起/反应部分介导了童年创伤与当前物质使用之间的关联。这对治疗的启示包括建议采用以减少唤起/反应继而减少物质使用为目标的创伤知情方法。
