Exposure to Childhood Abuse and Later Substance Use: Indirect Effects of Emotion Dysregulation and Exposure to Trauma
Little is known about how emotion dysregulation (ED) and trauma exposure differentially affect the relationship between abuse in childhood and adult substance use. We examined associations between child abuse, trauma exposure, ED, and current substance use in an already existing dataset. Participant...
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| Published in: | Journal of traumatic stress Vol. 29; no. 5; pp. 422 - 429 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Blackwell Publishing Ltd
01-10-2016
Wiley Subscription Services, Inc John Wiley and Sons Inc |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Little is known about how emotion dysregulation (ED) and trauma exposure differentially affect the relationship between abuse in childhood and adult substance use. We examined associations between child abuse, trauma exposure, ED, and current substance use in an already existing dataset. Participants (N = 2,014 adults, 90% African American) had been recruited from an urban hospital for a parent study. Analyses showed that drug and alcohol use was significantly positively correlated with child abuse (emotional, physical, and sexual), later trauma exposure, and ED (all ps < .001). Linear regression showed that exposure to abuse when older than a child was significantly associated with drug and alcohol use independent of child abuse and demographic variables (R2Δ = .08, p < .001; R2Δ = .04, p < .001). ED was significantly associated with drug and alcohol use independently of child abuse, nonabuse trauma, and demographic variables (R2Δ = .02, p < .001; R2Δ = .04, p < .001). Multiple mediation analyses showed that ED and later trauma exposure accounted for variance in the association between emotional abuse and substance use (p < .001). A better understanding of vulnerabilities to additional traumatization and emotion‐regulation deficits in individuals who have been exposed to child abuse and in addition have comorbid substance use problems may inform treatments that lead to improved outcomes.
Resumen
Spanish s by the Asociación Chilena de Estrés Traumático (ACET)
Regulación Emocional como mediador de la niñez
Poco se sabe acerca de cómo la disregulación emocional (DE) y el trauma afectan diferencialmente la relación entre el maltrato en la infancia y el consumo de sustancias en la adultez. Se examinaron las asociaciones entre el maltrato infantil, la exposición al trauma, la disregulación emocional y el uso de sustancias actual en un conjunto de datos ya existente. Los participantes (N = 2.014 adultos, 90% afroamericanos) habían sido reclutados en un hospital urbano para un estudio parental. Los resultados fueron que las drogas y el alcohol se correlacionaron significativamente con el maltrato infantil (emocional, físico y sexual), exposición a trauma posterior y disregulación emocional (todos los p < .001). La regresión lineal mostró que la exposición al maltrato cuando se es mayor, más que cuando se es niño, se asoció significativamente con uso de drogas y alcohol independiente del maltrato infantil y de las variables demográficas (R2Δ = .08, p < .001; R2Δ = .04, p < .001). La disregulación emocional se asoció significativamente con el consumo de drogas y alcohol, independientemente del maltrato infantil, el trauma no causado por maltrato y las variables demográficas (R2Δ = .02, p < .001; R2Δ = .04, p < .001). Los análisis de mediación múltiples mostraron que la disregulación emocional y la exposición a trauma posterior contribuyeron a la varianza en la relación entre el maltrato emocional y el consumo de sustancias (p < .001). Una mejor comprensión de ambas vulnerabilidades, a la traumatización adicional y al déficit de regulación emocional, pueden dar mejor información a los tratamientos que tienen mejores resultados en los individuos que han estado expuestos a maltrato infantil y, que además, tienen problemas de consumo de sustancias comórbidos.
抽象
Traditional and Simplified Chinese s by AsianSTSS
標題: 兒時受虐和後期濫用藥物༚情緒失調和創傷經歷的間接影響
撮要: 對於情緒失調(ED)和創傷經歷如何有差別地影響兒時受虐和成年時濫藥之間的關係༌我們仍缺乏了解。本研究透過現有的數據樣本༌檢視兒時受虐、創傷經歷、ED和當前濫用藥物狀況之間的關連。本研究樣本取自一家都市醫院的家長研究(N = 2,014 名成人, 90.0% 為非裔美國人)。研究發現༌濫用藥物和酒精跟兒時受虐༈情緒、身體及性虐待༉、後來的創傷經歷、和ED有顯著關連(全部 ps < .001)。線性迴歸法反映༌在童年過後受虐跟濫用藥物和酒精有顯著關連༌並不受兒時受虐情況和人口變量影響(R2Δ = .08, p < .001; R2Δ = .04, p < .001)༛ED跟濫用藥物和酒精有顯著關連༌並不受兒時受虐情況、非受虐創傷和人口變量影響(R2Δ = .02, p < .001; R2Δ = .04, p < .001)。多重中介分析顯示༌ED和後來創傷經歷能解釋情緒虐待和濫藥之間關連的方差(p < .001)。若我們能多加了解兒時受虐及有共病濫藥問題的人士༌其對額外創傷及情緒調節障礙的脆弱度༌可能有助提升治療效果。
标题: 儿时受虐和后期滥用药物༚情绪失调和创伤经历的间接影响
撮要: 对于情绪失调(ED)和创伤经历如何有差别地影响儿时受虐和成年时滥药之间的关系༌我们仍缺乏了解。本研究透过现有的数据样本༌检视儿时受虐、创伤经历、ED和当前滥用药物状况之间的关连。本研究样本取自一家都市医院的家长研究(N = 2,014 名成人, 90.0% 为非裔美国人)。研究发现༌滥用药物和酒精跟儿时受虐༈情绪、身体及性虐待༉、后来的创伤经历、和ED有显著关连(全部 ps < .001)。线性回归法反映༌在童年过后受虐跟滥用药物和酒精有显著关连༌并不受儿时受虐情况和人口变量影响(R2Δ = .08, p < .001; R2Δ = .04, p < .001)༛ED跟滥用药物和酒精有显著关连༌并不受儿时受虐情况、非受虐创伤和人口变量影响(R2Δ = .02, p < .001; R2Δ = .04, p < .001)。多重中介分析显示༌ED和后来创伤经历能解释情绪虐待和滥药之间关连的方差(p < .001)。若我们能多加了解儿时受虐及有共病滥药问题的人士༌其对额外创伤及情绪调节障碍的脆弱度༌可能有助提升治疗效果。 |
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| Bibliography: | ArticleID:JTS22131 ark:/67375/WNG-31C538XQ-K NIH National Centers for Research Resources - No. M01 RR00039 istex:CC30652E30C5CACD4E4EDD618E2A027263ECDE40 National Institute of Mental Health - No. MH071537; No. MH100122 National Institute of Child Health and Human Development - No. HD071982 Emory and Grady Memorial Hospital General Clinical Research Center This work was primarily supported by the National Institute of Mental Health (MH071537; MH100122) and the National Institute of Child Health and Human Development (HD071982). Support also included Emory and Grady Memorial Hospital General Clinical Research Center, NIH National Centers for Research Resources (M01 RR00039). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Additionally, the contents of this report do not represent the views of the Department of Veterans Affairs or the United States Government. Amar Mandavia and Gabriella G. N. Robinson contributed equally to the work and are co‐first authors. |
| ISSN: | 0894-9867 1573-6598 |
| DOI: | 10.1002/jts.22131 |