Relationship between childhood abuse and substance misuse problems is mediated by substance use coping motives, in school attending South African adolescents

Hogarth, Lee; Martin, Lindi; Seedat, Soraya

doi:10.1016/j.drugalcdep.2018.10.009

Cited by 44 publications

(35 citation statements)

References 64 publications

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“…Mood induced drug choice was more replicably associated with coping motives than with dependence severity or psychiatric symptoms, suggesting that coping motives is the most proximal determinant of this sensitivity. A related conclusion can be drawn from mediation analyses of survey data (Reviewed in [ 22 ] and [ 83 ]). These mediation studies show that multiple adverse states (including, stress, depression, anxiety, financial strain, antisocial behavior, bullying, intimate partner violence, intimate partner sexual coercion, childhood physical/sexual/emotional abuse, childhood trauma and adult trauma) are all associated with dependence severity, and this relationship is mediated by self-reported use of drugs to cope with negative affect.…”

Section: Relative Value Of Drugs Versus Alternative Rewards Underpinsmentioning

confidence: 92%

“…show greater baseline drug choice) and should be more sensitive to acute negative mood induced increases in drug choice (because these individuals have learned, and verbally report, that the drug mitigates negative affect) [ 22 ]. Although self-reported substance use to cope with negative affect is closely associated with psychiatric symptoms, coping motives are thought to proximally mediate drug consumption decisions [ 82 , 83 ]. If this is true, we would expect coping motives to be more reliably associated with drug choice, and negative mood induced drug choice, than psychiatric symptoms.…”

Section: Relative Value Of Drugs Versus Alternative Rewards Underpinsmentioning

confidence: 99%

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Relative expected value of drugs versus competing rewards underpins vulnerability to and recovery from addiction

Hogarth

Field

2020

Behavioural Brain Research

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Behavioural economic theories of addiction contend that greater expected value of drug relative to alternative non-drug rewards is the core mechanism underpinning vulnerability to and recovery from addiction. To evaluate this claim, we exhaustively review studies with human drug users that have measured concurrent choice between drugs vs. alternative rewards, and explored individual differences. These studies show that drug choice can be modulated by drug cues, drug devaluation, imposition of costs/punishment and negative mood induction. Regarding individual differences, dependence severity was reliably associated with overall drug preference, and self-reported drug use to cope with negative affect was reliably associated with greater sensitivity to mood induced increases in drug choice. By contrast, there were no reliable individual differences in sensitivity to the effect of drug cues, drug devaluation or punishment on drug choice. These findings provide insight into the mechanisms that underpin vulnerability to dependence: vulnerability is conferred by greater relative value ascribed to drugs, and relative drug value is further augmented by negative affective states in those who report drug use coping motives. However, dependence does not appear to be characterised by abnormal cue-reactivity, habit learning or compulsion. We then briefly review emerging literature which demonstrates that therapeutic interventions and recovery from addiction might be attributed to changes in the expected relative value of drug versus alternative rewards. Finally, we outline a speculative computational account of the distortions in decision-making that precede action selection in addiction, and we explain how this account provides a blueprint for future research on the determinants of drug choice, and mechanisms of treatment and recovery from addiction. We conclude that a unified economic decision-making account of addiction has great promise in reconciling diverse addiction theories, and neuropsychological evaluation of the underlying decision mechanisms is a fruitful area for future research and treatment.

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Section: Relative Value Of Drugs Versus Alternative Rewards Underpinsmentioning

confidence: 92%

Section: Relative Value Of Drugs Versus Alternative Rewards Underpinsmentioning

confidence: 99%

Relative expected value of drugs versus competing rewards underpins vulnerability to and recovery from addiction

Hogarth

Field

2020

Behavioural Brain Research

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“…During disaster situations, some authors suggest that substance use could be a dysfunctional coping strategy in vulnerable populations ( Hogarth, Martin & Seedat, 2019 ). Evidence from the severe acute respiratory syndrome (SARS) outbreak showed that people used alcohol as a coping method ( Wu et al, 2008 ).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with alcohol and tobacco consumption as a coping strategy to deal with the coronavirus disease (COVID-19) pandemic and lockdown in Spain

Martínez-Cao

Fuente-Tomás

Menéndez-Miranda

et al. 2021

Addictive Behaviors

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Aim To provide a population-based characterization of sociodemographic and clinical risk and protective factors associated with consumption of alcohol, tobacco, or both as a coping strategy in a sample of the Spanish general population during the early phase of the COVID-19 pandemic. Methods Cross-sectional study based on an online snowball recruiting questionnaire. The survey consisted of an ad hoc questionnaire comprising clinical and sociodemographic information and the Spanish versions of the Depression, Anxiety, and Stress Scale (DASS-21) and the Impact of Event Scale (IES). Results The final sample included 21,207 individuals [mean age (SD) = 39.7 (14.0); females: 14,768 (69.6%)]. Up to 2,867 (13.5%) of participants reported using alcohol, 2,545 (12%) tobacco and 1,384 (6.5%) both substances as a strategy to cope with the pandemic. Sex-related factors were associated with alcohol consumption as a coping strategy [female, OR=0.600, p<0.001]. However, education level, work status, and income played different roles depending on the substance used to cope. Having a current mental disorder was associated only with tobacco consumption as a coping strategy [OR=1.391, p<0.001]. Finally, sex differences were also identified. Conclusions Sociodemographic, clinical, and psychological factors were associated with consumption of alcohol, tobacco, or both as a coping method for the COVID-19 pandemic and lockdown. Our findings may help develop specific intervention programs reflecting sex differences, which could minimize negative long-term outcomes of substance use after this pandemic.

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“…The SSADDA, similar to the SSAGA, includes detailed questions on the onset and recency of criteria for individual substances and evaluates the criteria’s temporal clustering [4]. In contrast to the SSAGA, the SSADDA also includes sections on attention deficit hyperactivity disorder, gambling disorder, and childhood experiences [4], which have been shown to affect the risk of alcohol and drug use [8, 9].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Reliability and Validity of the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA) Chinese Version

et al. 2020

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The Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA) is a polydiagnostic instrument for substance use and psychiatric disorders. We translated the SSADDA English version into Chinese (SSADDA-Chinese) and report here our examination of the diagnostic reliability and validity of DSM-IV substance dependence (SD) diagnoses in a Mandarin-speaking sample in Taiwan. We recruited 125 subjects who underwent an assessment of lifetime SD diagnoses using both the SSADDA-Chinese and the Structured Clinical Interview for DSM-IV, Clinician Version (SCID-Chinese). Thirty-one subjects were retested with the SSADDA-Chinese. Cohen’s κ statistic, which measures chance-corrected agreement, was used to measure the test-retest reliability and concurrent validity of the individual SD diagnoses. There was a high degree of concordance between SD diagnoses made using the SSADDA-Chinese and the SCID-Chinese, including those for dependence on alcohol (κ = 0.83), ketamine (κ = 0.97), methamphetamine (κ = 0.93), and opioids (κ = 0.95). The test-retest reliability of dependence diagnoses for ketamine (κ = 0.95), methamphetamine (κ = 0.80), and opioids (κ = 1.00) obtained using the SSADDA-Chinese was excellent, while that for alcohol dependence (κ = 0.63) and nicotine dependence (κ = 0.65) was good. We conclude that the SSADDA-Chinese is a reliable and valid instrument for the diagnosis of major SD traits in Mandarin-speaking populations.

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Relationship between childhood abuse and substance misuse problems is mediated by substance use coping motives, in school attending South African adolescents

Abstract: HighlightsChild abuse linked to drug problems in South African school attending adolescents.Drug use coping motives mediated this relationship.Prevention programs should target drug use coping motives.

Cited by 44 publications

References 64 publications

Relative expected value of drugs versus competing rewards underpins vulnerability to and recovery from addiction

Relative expected value of drugs versus competing rewards underpins vulnerability to and recovery from addiction

Factors associated with alcohol and tobacco consumption as a coping strategy to deal with the coronavirus disease (COVID-19) pandemic and lockdown in Spain

Diagnostic Reliability and Validity of the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA) Chinese Version

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