Leza Leire, López-Goñi José J, Arteaga Alfonso, Fernández-Montalvo Javier
Universidad Pública de Navarra, Spain.
Instituto de Investigación Sanitaria de Navarra (IdiSNA), Spain.
Span J Psychol. 2025 Apr 7;28:e7. doi: 10.1017/SJP.2025.6.
Adverse childhood experiences (ACEs) are prevalent in people with substance use disorder (SUD). The aims of this study were to determine the prevalence of ACEs in a specific sample of people with SUD and to analyze the specific characteristics of these patients according to gender. The studied sample consisted of 215 people seeking treatment for SUD in two clinical centers in Spain. Descriptive and comparison analyses were carried out, and a logistic regression analysis was conducted to identify the main variables related to ACEs. The prevalence of at least one ACE was 82.3%. Women reported a higher prevalence of family mental health problems ( .045; 0.14) and sexual abuse ( .001; 0.43) than men. The group with ≥3 ACEs showed a higher severity profile for the addiction severity and psychopathological variables than the groups with 0 ACEs and 1-2 ACEs. Logistic regression showed that problems related to the group with ≥3 ACEs in the total sample were psychiatric and legal problems and lifetime suicidal ideation (in men, family/social problems and lifetime suicidal ideation; in women, employment/support problems). This study supports the high prevalence of ACEs in people with SUD and the cumulative effect of ACEs. In addition, gender is a relevant factor. The implementation of assessments and treatment for ACEs is necessary in SUD treatment programs.
童年不良经历（ACEs）在物质使用障碍（SUD）患者中很常见。本研究的目的是确定特定SUD患者样本中ACEs的患病率，并根据性别分析这些患者的具体特征。研究样本包括在西班牙两个临床中心寻求SUD治疗的215人。进行了描述性和比较分析，并进行了逻辑回归分析以确定与ACEs相关的主要变量。至少有一次ACE的患病率为82.3%。女性报告的家庭心理健康问题（P = 0.045；OR = 0.14）和性虐待（P = 0.001；OR = 0.43）的患病率高于男性。与有0次ACE和1 - 2次ACE的组相比，有≥3次ACE的组在成瘾严重程度和精神病理变量方面表现出更高的严重程度。逻辑回归显示，在总样本中，与有≥3次ACE的组相关的问题是精神和法律问题以及终生自杀意念（在男性中，是家庭/社会问题和终生自杀意念；在女性中，是就业/支持问题）。本研究支持ACEs在SUD患者中的高患病率以及ACEs的累积效应。此外，性别是一个相关因素。在SUD治疗项目中实施ACEs的评估和治疗是必要的。
