Doświadczanie w dzieciństwie przemocy fizycznej wśród pacjentów uzależnionych od opioidów leczonych substytucyjnie – doniesienie wstępne

• Published in: Alkoholizm i narkomania Vol. 29; no. 2; pp. 75 - 83
• Main Authors: Sylwia Fudalej, Bartłomiej Gmaj, Aleksandra Krasowska, Piotr Serafin, Anna Klimkiewicz, Marcin Wojnar
• Format: Journal Article
• Language: English
• Published: Termedia Publishing House 01-06-2016
• Subjects: Opioid dependence; Pain; Physical abuse; Suicide attempts
• ISSN: 0867-4361
• DOI: 10.1016/j.alkona.2016.06.003

Introduction: There is growing evidence that childhood physical abuse leads to worse health and social functioning. Among others, physical maltreatment increases risk of developing substance dependence. The aim of the present study was to analyse the association between childhood physical abuse and social and medical conditions in opioid-dependent patients recruited in the methadone maintenance clinic. To the best of our knowledge, there have been no such studies in the Polish population. Method: A sample of 240 opioid-dependent individuals were interviewed using standardised measures, which covered childhood maltreatment, family history, health conditions and social problems. Persons physically abused before 18 years of age were compared with those who had not such experiences. Results: The prevalence of physical abuse in childhood was higher among women (34.3%) than men (19.4%). Physical abuse was associated with more severe symptoms of addiction, suicide attempts, more severe depressive symptoms, worse social functioning and family dysfunction. In addition, physical abuse victims reported greater pain intensity. Discussion: The results of the present study confirm that exposure to childhood maltreatment is related to socio-economic status and psychopathology in opioid-dependent patients. More research is needed to investigate the relationships between physical abuse in childhood and perception of pain in opioid-dependent individuals. Conclusion: The detailed assessment of childhood and adolescence maltreatment in opioid-dependent patients may facilitate and accelerate identification of co-existing dysfunctions and risks.