Childhood trauma as a correlate of lifetime opiate use in psychiatric patients

Heffernan, Karen; Cloitre, Marylène; Tardiff, Kenneth; Marzuk, Peter M.; Portera, Laura; Leon, Andrew C.

doi:10.1016/s0306-4603(00)00066-6

Cited by 117 publications

(84 citation statements)

References 23 publications

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“…Rates of physical and mental abuse, as well as behavioral health issues are relatively high in patients suffering with OUD [26][27][28][29][30]. It is rare to observe that someone addicted to opioids is only struggling with the drug itself.…”

Section: Is Sustainable Long-term Recovery Possible Without Addressinmentioning

confidence: 99%

Individualizing Opioid Use Disorder (OUD) Treatment: Time to Fully Embrace a Chronic Disease Model

Gustin¹,

Nichols²,

Martin³

2015

J Reward Defic Syndr

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The current opioid epidemic in the United States is changing our perceptions of the face of addiction. Opioid Use Disorder (OUD) has become pervasive and is affecting all ethnicities, races, socioeconomic classes, the young and the old. In 2015, 46 people will lose their life each day to a chronic brain disease that is going unnoticed and undertreated. Over the last five decades, numerous scientific and clinical breakthroughs have allowed for a better understanding of the mechanisms underlying addiction, and the development of medications that can help support a patient's long-term recovery. All of those that have contributed to these advancements have aided in redefining addiction as a primary, chronic disease of the brain reward, motivation, memory and related circuitry; however, our treatment strategies have not necessarily advanced to the same extent as our current understanding of the disease. This commentary will explore how personal philosophies can bias treatments strategies and definitions of treatment success, and prevent adoption of chronic disease treatment models that would significantly improve the quality of life of those suffering with OUD. This is a challenge to consider how our views and stigma can impact a patient's recovery. We are currently losing a battle with a disease that is taking the lives of 46 individuals daily; it is time to fully embrace a chronic disease model which comprises an integrated pharmacopsychosocial approach for treating the biopsychosocial disorder that is addiction to reverse these trends.

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Section: Is Sustainable Long-term Recovery Possible Without Addressinmentioning

confidence: 99%

Individualizing Opioid Use Disorder (OUD) Treatment: Time to Fully Embrace a Chronic Disease Model

Gustin¹,

Nichols²,

Martin³

2015

J Reward Defic Syndr

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show abstract

“…Studies examining the long-term effects of childhood abuse and related stressors have found increased risk for outcomes such as substance use and misuse, psychiatric disorders, suicide, and numerous other health and social problems. [1][2][3][4][5][6] Investigations of childhood sexual abuse (CSA), in particular, have received a large amount of attention. However, most studies of CSA have focused on female survivors, [7][8][9][10][11] leaving a relative scarcity of information about the characteristics and long-term impact of CSA on male survivors.…”

mentioning

confidence: 99%

“…11,16 Whereas the perpetrators of CSA among young girls are predominately male, there is increasing evidence that a notable proportion of CSA among young boys is perpetrated by females. 17 Studies of CSA have demonstrated strong relationships to several negative health, behavioral, and social outcomes among male and female survivors that are currently public health priorities, which include HIV risk behaviors, 18 psychiatric disorders, 19,20 substance abuse, 1,21,22 and suicidality. 23,24 While some of these studies have used population-based samples, many have been limited to the examination of CSA among clinical samples, such as individuals in substance abuse recovery and psychiatric patients.…”

mentioning

confidence: 99%

Long-Term Consequences of Childhood Sexual Abuse by Gender of Victim

Dube¹,

Anda²,

Whitfield³

et al. 2005

American Journal of Preventive Medicine

725

448

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“…Studies validate the deleterious effects of accumulative CT or ACE on future life outcomes, including mental and physical health, social problems, sexually offensive behaviors, and death (Felitti, et al, 1998;Heffernan et al, 2000;Jung, Herrenkohl, Klika, Olivia-Lee, & Brown, 2014;Levenson, 2016). Research in the area of mental health indicates high correlations between ACE or CT and SUDs (Banducci, Hoffman, Lejuez, & Koenen, 2014a).…”

Section: The Link Between Substance Use Disorders and Childhood Traumamentioning

confidence: 91%

Contemporary Trauma Theory and Trauma-Informed Care in Substance Use Disorders: A Conceptual Model for Integrating Coping and Resilience

Goodman¹

2017

ASW

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Childhood trauma as a correlate of lifetime opiate use in psychiatric patients

Cited by 117 publications

References 23 publications

Individualizing Opioid Use Disorder (OUD) Treatment: Time to Fully Embrace a Chronic Disease Model

Individualizing Opioid Use Disorder (OUD) Treatment: Time to Fully Embrace a Chronic Disease Model

Long-Term Consequences of Childhood Sexual Abuse by Gender of Victim

Contemporary Trauma Theory and Trauma-Informed Care in Substance Use Disorders: A Conceptual Model for Integrating Coping and Resilience

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