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Adult self-reported childhood maltreatment types are associated with treatment satisfaction and alcohol relapse in patients with comorbid substance use and mental health disorders.
Luciani, Karling R; Johal, Priya K; Chao, Thomas; Thiessen, Karina A; Schütz, Christian G.
Afiliação
  • Luciani KR; Institute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
  • Johal PK; Institute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
  • Chao T; Institute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
  • Thiessen KA; Institute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
  • Schütz CG; Institute of Mental Health, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Am J Addict ; 33(5): 516-524, 2024 Sep.
Article em En | MEDLINE | ID: mdl-38504581
ABSTRACT
BACKGROUND AND

OBJECTIVES:

Individuals with comorbid substance use and mental health disorders (concurrent disorders; CD) report poor treatment outcomes, high prevalence of childhood maltreatment, and mostly negative experiences with treatment. No studies to date have examined childhood maltreatment and treatment outcomes in CD. This study investigated self-reported childhood maltreatment as it relates to treatment satisfaction and substance use relapse among CD patients.

METHODS:

The 258 CD inpatients completed a self-report questionnaire package, comprising the Childhood Trauma Questionnaire and the Inpatient Consumer Survey (ICS). Childhood maltreatment was assessed according to five subtypes and self-perceived treatment satisfaction was rated across six ICS domains. Psychiatric diagnoses, substance use status and relapse data were retrieved via patient medical charts.

RESULTS:

Emotional neglect was associated with lower ratings across all ICS domains and physical neglect was associated with a lower rating for 'outcome of care'. Childhood sexual abuse was associated with a greater likelihood of alcohol relapse. No other relationships were statistically significant. DISCUSSION AND

CONCLUSIONS:

The presence of childhood neglect (but not abuse) was more associated with overall treatment dissatisfaction, and sexual abuse alone increased the likelihood of alcohol relapse. These findings suggest some early adverse experiences in CD patients may increase negative experiences in treatment while others contribute to the risk of substance use. Broader longitudinal research is needed to examine the trajectory leading to negative outcomes. SCIENTIFIC

SIGNIFICANCE:

This is the first study to report differential patterns of association by type of childhood maltreatment on negative outcomes in treatment among CD patients.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Recidiva / Satisfação do Paciente / Transtornos Relacionados ao Uso de Substâncias / Autorrelato / Transtornos Mentais Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Addict Assunto da revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Canadá País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Recidiva / Satisfação do Paciente / Transtornos Relacionados ao Uso de Substâncias / Autorrelato / Transtornos Mentais Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Addict Assunto da revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Canadá País de publicação: Reino Unido