More than half of substance abusers entering addiction treatment report a history of physical or sexual abuse. It is unclear if such a history impacts treatment outcomes. This one-year follow-up study of 700 substance abusers sought to clarify the relationship between lifetime physical and/or sexual abuse and addiction treatment outcome to help address the specific needs of this population. To achieve this goal, baseline characteristics, no-show for treatment status, post-treatment clinical outcomes, and treatment history were studied for subjects with lifetime history of abuse (47.3%) versus without. Abused subjects, predominantly women, were significantly more impaired at baseline on clinical dimensions including family/social severity and psychiatric severity as measured by the Addiction Severity Index (ASI), and general level of functioning. The two groups endorsed different drugs as primary, with the abused group less frequently endorsing heroin and cocaine in favor of alcohol and polydrug use. Abused subjects reported more prior medical and psychiatric treatments. Abuse history was not a predictor of no-show for treatment. Over the 1-year follow-up, lifetime physical and/or sexual abuse was significantly associated with worse psychiatric status and more psychiatric hospitalizations and outpatient treatment despite receiving similar intensive addiction treatment.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.drugalcdep.2004.09.005 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Substance Use Classes Among YMSM in an HIV Digital Health Intervention Program: Implications for Acceptability, Engagement, and Health Outcomes.
AIDS Behav
January 2025
Institute for Sexual and Gender Minority Health and Wellbeing, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Young men who have sex with men (YMSM) have high rates of substance use, which increases their risk for HIV. Digital Health Interventions (DHI) have the potential to address HIV risk overall and reduce harms in the context of substance use. However, there is limited research on how YMSM with different substance use patterns respond to HIV DHIs and how these programs impact participant outcomes.
View Article and Find Full Text PDFEvidence-based recommendations for partners and friends of adult survivors of child sexual abuse.
Child Abuse Negl
January 2025
Universidad Pontificia Comillas, Facultad de Ciencias Humanas y Sociales, Departamento de Psicología, Madrid, Spain. Electronic address:
Background: Adult disclosure of child sexual abuse (CSA) is often addressed to partners and friends. The risk of negative reactions is high due to the stigma associated with CSA, however receiving social support is a protective factor. Therefore, educating the environment on how to face disclosure becomes crucial.
View Article and Find Full Text PDFIntergenerational transmission of childhood interpersonal trauma in adults entering therapy for intimate partner violence: The role of identity diffusion.
Child Abuse Negl
January 2025
Département de psychologie, Université de Sherbrooke, Canada. Electronic address:
Background: Childhood Interpersonal Trauma (CIT) is a major public health issue that increases the risk of perpetrating and sustaining intimate partner violence (IPV) in adulthood, perpetuating intergenerational cycles of violence. Yet, the explanatory mechanisms behind the intergenerational transmission of trauma warrant further exploration.
Objective: This study explored identity diffusion as an explanatory mechanism linking cumulative and individual CIT (sexual, physical and psychological abuse, physical and psychological neglect, witnessing parental physical or psychological IPV, bullying) to IPV (sexual, physical, psychological, coercive control) and to the next generation's exposure to family violence.
Prevalence estimates and nature of online child sexual exploitation and abuse: a systematic review and meta-analysis.
Lancet Child Adolesc Health
January 2025
The Center for Health Economics and Policy, China Agricultural University, Beijing, China; School of Public Health, Georgia State University, Atlanta, GA, USA. Electronic address:
Background: Online child sexual exploitation and abuse (OCSEA) is a global health issue. The aim of this global systematic review and meta-analysis was to better understand the prevalence and nature of OCSEA on a global scale.
Methods: Comprehensive literature searches were done in six UN languages (Arabic, Chinese, English, French, Russian, and Spanish) and multiple databases, for records published between Jan 1, 2010, and Sept 30, 2023.
Evaluation of social media privacy, internet addiction in adolescents who are victims of sexual abuse and digital awareness in their parents.
J Psychiatr Res
January 2025
Child and Adolescent Psychiatry, Pamukkale University, Denizli, Turkey. Electronic address:
Background: Childhood sexual abuse is the exploitation of a child by an adult for sexual purposes. Many cases go undetected and can occur across all socioeconomic levels, ages, genders, and regions. With the rise of internet use, abuse is increasingly occurring online, with some online relationships escalating to in-person sexual contact between the victim and offender.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!