Childhood trauma subtypes may influence the pattern of substance use and preferential substance in men with alcohol and/or crack-cocaine addiction

Abstract

Objective: To compare the prevalence and subtypes of childhood maltreatment (CM) between individuals with and without substance use disorder (SUD) and investigate the influence of different traumas on the preferential use of substances and the severity of dependence. Methods: The sample consisted of 1,040 men with SUD (alcohol users [n=315], crack-cocaine users [n=406], multiple-substance users [n=319]) and 201 controls. The Childhood Trauma Questionnaire (CTQ) and the Addiction Severity Index-6 (ASI-6) were used to assess CM and drug-use patterns. Results: Individuals with SUD had a higher prevalence of CM than controls (63.4 vs. 28.1%, respectively). Exposure to physical trauma was associated with alcohol use disorder and severity of alcohol use. In contrast, emotional trauma was associated with use of multiple substances and severity of drug use in crack-cocaine users. Conclusions: This study corroborates the association of CM with SUD susceptibility. Our results suggest that the type of CM may influence preferential substance use and addiction severity. In this sense, physical traumas are more associated with alcohol use, while emotional and sexual traumas favor use of multiple drugs, especially crack cocaine. These findings may help the development of tailored prevention and intervention strategies.

Paroxysmal Emotionality in a Group of Adolescents with Behavioral Disorders

“…About the pattern of paroxysmal emotionality made up mainly of anxiety, irritability, anger and impulsivity, there are authors who explain that these disorders are associated with Neurodevelopment and as a consequence, there is a tendency in adolescents to show reckless behavior and not appreciate in their full magnitude the dangers to which they are exposed [15]. Thirteen adolescents (65%) present a mostly regular and bad negativity, but those who were diagnosed with psychological trauma the negativity is much higher, in fact, the most obvious indicator to detect it is when several paroxysmal negative emotions come together in the column that distinguishes the experiences of greater clinical significance; this situation makes them more vulnerable to becoming addicted to drugs [16]. A tendency of these adolescents not to declare all the negative experiences of personal clinical significance was observed, which could be detected in the methodological triangulation when analyzing what was declared in the Completion of sentences and in the interview.…”

دور خبرات الاساءة فى مرحلة الطفولة فى التنبؤ باضطرابات الشخصیة الحدیة لدى مستخدمات• المواد ذات التاثیر النفسى

“…‫وزمالؤه‬ ‫هميلتون‬ ‫بها‬ ‫قام‬ ‫اجعة‬ ‫مر‬ ‫ففى‬ (Hamilton et al, 2015 (Mello et al, 2009 ;Hamilton et al, 2015;Newbury et al, 2018 ;Ellis et al, 2021) ‫النفسى‬ ‫التأثير‬ ‫ذات‬ ‫اد‬ ‫المو‬ ‫و‬ ‫الكحوليات‬ ‫تعاطى‬ ‫اب‬ ‫اضطر‬ ‫و‬ ( Teusch , 2001 ;Liebschutz et al, 2002 ;Hyman et al, 2006 ;Lo & Cheng,2007;Mello et al, 2009 ;Scheidella et al, 2017 ;Hoffmann et al, 2022) ‫أكده‬ ‫ما‬ ‫وهذا‬ ‫وزمالؤه‬ ‫هلبرن‬ (Halpern et al, 2018 (Liebschutz et al, 2002 ;Hyman et al, 2006 ;Lo& Cheng , 2007 ;Meng & D'Arcy ,2016 ;Scheidella et al, 2017 ;Cydersa et al, 2021 ;Hofman et al, (Minzenberg et al, 2006 ;Taillieu et al, 2016 ;Steele et al, 2019) ‫لالساءة‬ ‫فتعرضهن‬ (Harman,2004;Battle et al, 2005;Allen, (Feske et al,2006;Chapman & Cellucci , 2007 ;Di Pierro et al, 2014 ;Kienast et al, 2014 ;Elmquist et al, 2016…”