Gender differences in patients with substance use disorder and physical/sexual abuse: a preliminary study

• Begoña Haro ^[1] ; Javier Fernández-Montalvo ^[1] ; Alfonso Arteaga ^[1] ; José J López-Goñi ^[1]
  1. [1] Gobierno de Navarra

     Gobierno de Navarra

     Pamplona, España

     
• Localización: Clínica y salud: Investigación Empírica en Psicología, ISSN 1130-5274, Vol. 34, Nº. 3, 2023, págs. 123-130
• Idioma: inglés
• DOI: 10.5093/clysa2023a12
• Títulos paralelos:
  • Las diferencias de género en pacientes con trastorno por consumo de sustancias y abuso físico/sexual: un estudio preliminar
• Enlaces
  • Texto completo
• Resumen
  • español

    RESUMEN Objetivo: Explorar las diferencias de género en distintas variables (sociodemográficas, gravedad del consumo, sintomatología psicopatológica, inadaptación a la vida cotidiana, características del trauma y sintomatología de estrés postraumático) en pacientes que acuden a tratamiento por trastorno por consumo de sustancias (TCS) y han sufrido abuso físico y/o sexual. Método: La muestra estuvo compuesta por 26 mujeres y 31 hombres que habían sufrido abuso físico y/o sexual y buscaban tratamiento para TCS. Resultados: Las mujeres habían sido víctimas de abuso sexual en un porcentaje significativamente mayor que los hombres. Además presentaban una frecuencia significativamente mayor de revictimización a otro evento traumático y una presencia significativamente mayor de síntomas de evitación que los hombres. Conclusiones: El estudio confirma la existencia de un perfil más grave en las mujeres que en los hombres con TCS que han sufrido abuso físico y/o sexual a lo largo de la vida. En consecuencia, se debe promover la atención informada sobre el trauma con perspectiva de género en los programas de tratamiento del TCS. Dada la naturaleza preliminar de este estudio, se necesita más investigación en este campo.

  • English

    ABSTRACT Aim: To explore the differential characteristics in sociodemographic variables, severity of consumption, psychopathological symptomatology, life maladjustment, trauma characteristics, and post-traumatic stress symptomatology between women and men who seek treatment for substance use disorder (SUD) and have experienced lifetime physical and/or sexual abuse. Method: The sample consisted of 26 women and 31 men who had experienced physical/sexual abuse and sought treatment for SUD. Results: Women had been victims of sexual abuse in a significantly higher percentage than men. Women presented a significantly higher frequency of revictimization to another traumatic event and a significantly higher presence of avoidance symptoms than men. Conclusions: This study supports the existence of a more severe profile in women than in men with SUD who have experienced lifetime physical and/or sexual abuse. Consequently, gender-related trauma-informed practice in SUD treatment programmes should be promoted. More research in this field is needed, as this is a preliminary study.

• Referencias bibliográficas
  • Afifi, T. O,A Henriksen, C,Asmundson, G. J. G,Sareen, J.. (2012). Childhood maltreatment and substance use disorders among men and women in...
  • (2013). American Psychiatric Association Diagnostic and statistical manual of mental disorders. American Psychiatric Press.
  • Armstrong, J. L,Ronzitti, S,Hoff, R. A,Potenza, M. N.. (2018). Gender moderates the relationship between stressful life events and psychopathology:...
  • Bailey, K,Trevillion, K,Gilchrist, G.. (2019). What works for whom and why: A narrative systematic review of interventions for reducing post-traumatic...
  • Bailey, K,Trevillion, K,Gilchrist, G.. (2020). We have to put the fire out first before we start rebuilding the house”: practitioners'...
  • Bobes, J,Bascarán, M. T,Bobes-Bascarán, M. T,Carballo, J. L,Díaz, E. M,Flórez, G,García-Portilla, M. P,Sáiz, P. A.. (2008). Valoración de...
  • Bobes, J,Gónzález, M. P,Sáiz, P. A,Bousoño, M.. (1996). Actas de La IV Reunión Interregional de Psiquiatría. Índice europeo de severidad...
  • Brems, C,Johnson, M. E,Neal, D,Freemon, M.. (2004). Childhood abuse history and substance use among men and women receiving detoxification...
  • Campbell, J. A,Walker, R. J,Egede, L. E.. (2016). Associations between adverse childhood experiences, high-risk behaviors, and morbidity in...
  • Christiansen, D. M,Hansen, M.. (2015). Accounting for sex differences in PTSD: A multi-variable mediation model. European Journal of Psychotraumatology....
  • Cohen, J.. (1988). Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates.
  • Cunradi, C. B,Caetano, R,Alter, H. J,Ponicki, W. R.. (2020). Adverse childhood experiences are associated with at-risk drinking, cannabis...
  • Daigre, C,Rodríguez-Cintas, L,Tarifa, N,Rodríguez-Martos, L,Grau-López, L,Berenguer, M,Casas, M,Roncero, C.. (2015). History of sexual, emotional...
  • Danielson, C. K,Amstadter, A. B,Dangelmaier, R. E,Resnick, H. S,Saunders, B. E,Kilpatrick, D. G.. (2009). Trauma-related risk factors for...
  • Derogatis, L. R.. (1992). The SCL-90-R.. Clinical Psychometric Research.
  • Echeburúa, E,Amor, P. J,Sarasua, B,Zubizarreta, I,Holgado-Tello, F. P,Muñoz, J. M.. (2016). Escala de Gravedad de Síntomas Revisada (EGS-R)...
  • Echeburúa, E,Corral, P,Fernández-Montalvo, J.. (2000). Escala de Inadaptación (EI): Propiedades psicométricas en contextos clínicos. [Maladjustment...
  • Estancial, C. S,Soares, R. C,Goldbaum, M,De Azevedo, M. B.. (2018). Psychotropic use patterns: Are there differences between men and women?....
  • Faul, F,Erdfelder, E,Lang, A. G,Buchner, A.. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral,...
  • Fernández-Montalvo, J,López-Goñi, J. J,Arteaga, A.. (2015). Psychological, physical, and sexual abuse in addicted patients who undergo treatment....
  • Fernández-Montalvo, J,López-Goñi, J. J,Arteaga, A,Cacho, R,Azanza, P.. (2017). Therapeutic progression in abused women following a drug-addiction...
  • Fernández-Montalvo, J,López-Goñi, J. J,Azanza, P,Cacho, R.. (2014). Gender differences in drug-addicted patients in a clinical treatment center...
  • Filipas, H. H,Ullman, S. E.. (2006). Child sexual abuse, coping responses, self-blame, posttraumatic stress disorder, and adult sexual revictimization....
  • Glass, G. V,Stanley, J. C.. (1970). Statistical methods in education and psychology. Prentice Hall.
  • Grundmann, J,Lincoln, T. M,Lüdecke, D,Bong, S,Schulte, B,Verthein, U,Schäfer, I.. (2018). Traumatic experiences, revictimization and posttraumatic...
  • Haller, M,Chassin, L.. (2014). Risk pathways among traumatic stress, posttraumatic stress disorder symptoms, and alcohol and drug problems:...
  • Haro, B,López-Goñi, J. J,Fernández-Montalvo, J,Arteaga, A.. (2021). Prevalence and differential profile of patients with substance use disorder...
  • Hosmer, D. W.,Lemeshow, S.. (2013). Applied Logistic Regression. Wiley.
  • Khantzian, E. J.. (1997). The self-medication hypothesis of substance use disorders: A reconsideration and recent applications. Harvard Review...
  • Klanecky, A. K,Harrington, J,McChargue, D. E.. (2008). Child sexual abuse, dissociation, and alcohol: Implications of chemical dissociation...
  • Kok, T,de Haan, H,van der Meer, M,Najavits, L,de Jong, C.. (2015). Assessing traumatic experiences in screening for PTSD in substance use...
  • Kokkevi, A,Hartgers, C.. (1995). European adaptation of a multidimensional assessment instrument for drug and alcohol dependence. European...
  • Lipschitz, D. S,Grilo, C. M,Fehon, D,McGlashan, T. M,Southwick, S. M.. (2000). Gender differences in the associations between posttraumatic...
  • Livingston, N. A,Lee, D. J,Mahoney, C. T,Farmer, S. L,Cole, T,Marx, B. P,Keane, T. M.. (2021). Longitudinal assessment of PTSD and illicit...
  • López-Goñi, J. J,Fernández-Montalvo, J,Arteaga, A.. (2012). Predictive validity of the EuropASI: Clinical diagnosis or composite scoring?....
  • López-Goñi, J. J,Haro, B,Fernández-Montalvo, J,Arteaga, A.. (2021). Impact of a trauma intervention on reducing dropout from substance use...
  • Lotzin, A,Haupt, L,von Schönfels, J,Wingenfeld, K,Schäfer, I.. (2016). Profiles of childhood trauma in patients with alcohol dependence and...
  • McLellan, A,Luborsky, L,Cacciola, J,Griffith, J,Evans, F,Barr, H,O'Brien, C.. (1985). New data from the Addiction Severity Index: Reliability...
  • McLellan, A. T,Luborsky, L,Woody, G. E,O'Brien, C. P.. (1980). An improved diagnostic evaluation instrument for substance abuse patients....
  • Mesa-Gresa, P,Moya-Albiol, L.. (2011). Neurobiologia del maltrato infantil: el “ciclo de la violencia. Revista de Neurologia. 52. 489-503
  • Min, M,Farkas, K,Minnes, S,Singer, L. T.. (2007). Impact of childhood abuse and neglect on substance abuse and psychological distress in adulthood....
  • Mitra, S,Lee, W,Hayashi, K,Boyd, J,Milloy, M. J,Dong, H,Wood, E,Kerr, T.. (2021). A gender comparative analysis of post-traumatic stress disorder...
  • Müller, M,Vandeleur, C,Rodgers, S,Rössler, W,Castelao, E,Preisig, M,Ajdacic-Gross, V.. (2015). Posttraumatic stress avoidance symptoms as...
  • Olaya, B,Alonso, J,Atwoli, L,Kessler, R. C,Vilagut, G,Haro, J. M.. (2015). Association between traumatic events and post-traumatic stress...
  • Ouimette, P.C,Kimerling, R,Shaw, J,Moos, R. H.. (2000). Physical and sexual abuse among women and men with substance use disorders. Alcoholism...
  • Potthast, N,Neuner, F,Catani, C.. (2014). The contribution of emotional maltreatment to alcohol dependence in a treatment-seeking sample....
  • Proctor, L. J,Lewis, T,Roesch, S,Thompson, R,Litrownik, A. J,English, D,Arria, A. M,Isbell, P,Dubowitz, H.. (2017). Child maltreatment and...
  • Rea, L. M,Parker, R. A.. (1992). Designing and conducting survey research.. Jossey-Boss.
  • Roberts, N. P,Roberts, P. A,Jones, N,Bisson, J. I.. (2015). Psychological interventions for post-traumatic stress disorder and comorbid substance...
  • Santos-de Pascual, A,Saura-Garre, P,López-Soler, C.. (2020). Mental health in people with substance use disorder: differential aspects between...
  • Sharif, N,Karasavva, V,Farrell, S.. (2020). One size doesn't fit all: gender differences in trauma, PTSD, substance use and the SMI-PTSD...
  • Shuai, R,Bravo, A. J,Anker, J. J,Kushner, M. G,Hogarth, L.. (2022). The direct effect of drinking to cope on alcohol problems is not mediated...
  • Simoni-Wastila, L.. (2000). The use of abusable prescription drugs: The role of gender. Journal of Women's Health & Gender-Based Medicine....
  • Simpson, T. L,Lehavot, K,Petrakis, I. L.. (2017). No wrong doors: Findings from a critical review of behavioral randomized clinical trials...
  • Smith, K. Z,Smith, P. H,Grekin, E. R.. (2014). Childhood sexual abuse, distress, and alcohol-related problems: Moderation by drinking to cope....
  • (2014). Substance Abuse and Mental Health Services Administration SAMHSA's Concept of trauma and guidance for a tauma-informe approach....
  • Sullivan, T. P,Cavanaugh, C. E,Buckner, J. D.. (2009). Testing posttraumatic stress as a mediator of physical, sexual, and psychological intimate...
  • Taylor, O. D.. (2010). Barriers to treatment for women with substance use disorders. Journal of Human Behavior in the Social Environment....
  • Tolin, D. F,Foa, E. B.. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research....
  • Ullman, S. E,Filipas, H. H,Townsend, S. M,Starzynski, L. L.. (2005). Trauma exposure, posttraumatic stress disorder and problem drinking in...
  • Ullman, S. E,Najdowski, C. J,Filipas, H. H.. (2009). Child sexual abuse, post-traumatic stress disorder, and substance use: Predictors of...
  • Ullman, S. E,Relyea, M,Peter-Hagene, L,Vasquez, A. L.. (2013). Trauma histories, substance use coping, PTSD, and problem substance use among...
  • Ullman, S. E,Sigurvinsdottir, R.. (2015). Intimate partner violence and drinking among victims of adult sexual assault. Journal of Aggression,...
  • Vaszari, J. M,Bradford, S,Callahan O'Leary, C,Ben Abdallah, A,Cottler, L. B.. (2011). Risk factors for suicidal ideation in a population...
  • Zaorska, J,Jakubczyk, A.. (2019). The prevalence and significance of childhood trauma in alcohol-dependent patients. Alcoholism & Drug...