Profiles of Childhood Trauma in Patients with Alcohol Dependence and Their Associations with Addiction-Related Problems

Lotzin, Annett; Haupt, Lena; Schönfels, Julia von; Wingenfeld, Katja; Schäfer, Ingo

doi:10.1111/acer.12990

Cited by 45 publications

(42 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moderate or severe physical abuse was reported by five out of ten women. Compared to a predominantly male SUD sample (22), the prevalence of childhood physical abuse was lower in our female sample used in this study. This gender difference in the type of experienced trauma emphasizes the need of gender specific treatment programs.…”

Section: Discussioncontrasting

confidence: 65%

“…This profile was characterized by low physical abuse. In an earlier study among primarily male patients with SUD (22), a small subgroup of the sample was best described by a profile of severe sexual abuse, severe emotional neglect and moderate to severe emotional abuse, but no physical abuse. This profile was most often reported by women.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…So far, childhood trauma profiles have been predominantly examined in male patients with SUD (22–24). Among patients with alcohol dependence, six childhood trauma profiles could be distinguished that comprised different types and severities of trauma (22). The patients’ trauma profiles were differently associated with current severity of addiction-related problems in the domains of drug use, psychiatric symptoms, family relationships and social relationships.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Profiles of Childhood Trauma in Women With Substance Use Disorders and Comorbid Posttraumatic Stress Disorders

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background: It is increasingly becoming accepted that substance use disorders, including substance abuse and substance dependence, are closely related to childhood trauma and posttraumatic stress disorders. Among women with substance use disorders, the majority report sexual, physical or emotional abuse, or neglect. However, it is poorly understood which types of childhood trauma co-occur in women with substance use disorders and how combinations of different types and severities of childhood trauma are related to clinical characteristics. This information is important to inform treatment of substance use disorders. Aim: The first aim of this research was to investigate profiles of childhood trauma in female patients with substance use disorders and posttraumatic stress disorders. The second aim was to examine relationships between these childhood trauma profiles and addiction characteristics or current clinical symptoms. Methods: We includeda 343 treatment-seeking women with substance use disorders and comorbid posttraumatic stress disorders according to DSM-IV. Five types of childhood trauma (sexual abuse, physical abuse, emotional abuse) were measured using the Childhood Trauma Questionnaire. Addiction characteristics were assessed by using the Addiction Severity Index-lite. Current severity of clinical symptoms was determined by the Symptom-Checklist-27. Latent profile analysis was conducted to distinguish profiles of childhood trauma. Analysis of variance was applied to examine the relationship between childhood trauma profiles and addiction characteristics or severity of clinical symptoms. Results: Nine out of ten women reported at least one type of childhood abuse or neglect. Four different childhood trauma profiles could be distinguished that characterized different types and severities of childhood trauma: ‘Low trauma’; ‘Moderate sexual abuse and emotional abuse’; ‘Severe sexual abuse and emotional abuse’; and ‘Severe levels of all types of trauma’. Profiles with more severe levels of childhood trauma showed an earlier age at initiation and escalation of substance use. Furthermore, childhood trauma profiles were related to current severity of depressive symptoms, dysthymic symptoms, sociophobic symptoms, and distrust. Conclusion: In women with substance use disorders and posttraumatic stress disorders, childhood trauma profiles can inform about addiction characteristics and severity of a wide range of clinical symptoms. This information is essential to understand current treatment needs and should be systematically assessed in women with substance use disorders and trauma exposure.

show abstract

Section: Discussioncontrasting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Profiles of Childhood Trauma in Women With Substance Use Disorders and Comorbid Posttraumatic Stress Disorders

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…Childhood trauma experiences are also associated with the co-occurrence of AUD and dissociative experiences[ 15 ] or ADHD. [ 37 ] Although these are common disorders in populations with AUD, generally, there is an underassessment or underrecognition of ADHD,[ 38 39 ] childhood trauma,[ 40 ] and dissociative experiences[ 15 ] by clinicians among patients in an AUD treatment program. Thus, in this study, we wanted to evaluate the relationship of ADHD symptoms and dissociative experiences, and the mediating role of childhood trauma on this relationship among male inpatients with AUD.…”

Section: Introductionmentioning

confidence: 99%

Partial mediator role of physical abuse on the relationship between attention-deficit/hyperactivity disorder symptoms and severity of dissociative experiences in a sample of inpatients with alcohol use disorder

Evren

Umut

Bozkurt

et al. 2017

Indian J Psychiatry

View full text Add to dashboard Cite

Aim:This study aimed to evaluate the relationship of attention-deficit/hyperactivity disorder (ADHD) symptoms with dissociative experiences, and the mediator role of childhood traumas on this relationship, while controlling the effect of depression in alcohol use disorder (AUD).Settings and Design:It was a hospital-based, cross-sectional study.Materials and Methods:One hundred and ninety inpatients with AUD were evaluated with the Beck Depression Inventory, the Adult ADHD Self-Report Scale (ASRS), Childhood Trauma Qestionnaire, and Dissociative Experiences Scale (DES).Statistical Analysis:One-way ANOVA, Chi-squared test, and hierarchical linear regression model were performed.Results:The ratio of those who receive 10 points or less from DES was 26.8%, those who receive points between 11 and 30 was 45.3%, and those who receive more than 30 points was 27.9%. The latter group that was considered as a group with high risk of dissociative disorder had higher scores from depression, childhood trauma, and ADHD scores than the other groups. Rate of those with high probability of ADHD was higher among this group. ASRS total score and inattentive subscale scores were moderately (r = 0.552 and r = 0.547, respectively) and hyperactive/impulsive subscale was mildly (r = 0.430) correlated with DES score. Severity of ADHD was related with the severity of dissociative symptoms, and physical abuse had partial mediator effect on this relationship, even after controlling the depressive symptoms.Conclusions:These findings demonstrate that the presence of severe IN symptoms is an important factor related with dissociative tendency in AUD population with a history of physical abuse.

show abstract

A Systemic Understanding of Addiction Formation and the Recovery Process

Kimball¹,

Shumway²,

Bradshaw³

et al. 2020

The Handbook of Systemic Family Therapy

View full text Add to dashboard Cite

Profiles of Childhood Trauma in Patients with Alcohol Dependence and Their Associations with Addiction-Related Problems

Abstract: Childhood trauma profiles may provide more useful information about the patient's risk of current addiction-related problems than the common distinction between traumatized versus nontraumatized patients.

Cited by 45 publications

References 55 publications

Profiles of Childhood Trauma in Women With Substance Use Disorders and Comorbid Posttraumatic Stress Disorders

Profiles of Childhood Trauma in Women With Substance Use Disorders and Comorbid Posttraumatic Stress Disorders

Partial mediator role of physical abuse on the relationship between attention-deficit/hyperactivity disorder symptoms and severity of dissociative experiences in a sample of inpatients with alcohol use disorder

A Systemic Understanding of Addiction Formation and the Recovery Process

Contact Info

Product

Resources

About