Cited by 125Child Abuse and TraumaSubstance Abuse Treatment and OutcomesChild Welfare and Adoption

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The impact of childhood abuse on inpatient substance users: Specific links with risky sex, aggression, and emotion dysregulation

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Banducci, Anne N., Hoffman, Elana M., Lejuez, C.W., Koenen, Karestan C.·2014·Child Abuse & Neglect

DOI 10.1016/j.chiabu.2013.12.007PMC PMC4065225

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Abstract

Adults with substance use disorders (SUDs) report a high prevalence of childhood abuse. Research in the general population suggests specific types of abuse lead to particular negative outcomes; it is not known whether this pattern holds for adults with SUDs. We hypothesized that specific types of abuse would be associated with particular behavioral and emotional outcomes among substance users. That is, childhood sexual abuse would be associated with risky sex behaviors, childhood physical abuse with aggression, and childhood emotional abuse with emotion dysregulation. 280 inpatients (M age=43.3; 69.7% male; 88.4% African American) in substance use treatment completed the Childhood Trauma Questionnaire (CTQ), HIV Risk-Taking Behavior Scale, Addiction Severity Index, Difficulties with Emotion Regulation Scale (DERS), Distress Tolerance Scale (DTS), and Affect Intensity and Dimensions of Affiliation Motivation (AIM). Consistent with our hypotheses, the CTQ sexual abuse subscale uniquely predicted exchanging sex for cocaine and heroin, number of arrests for prostitution, engaging in unprotected sex with a casual partner during the prior year, and experiencing low sexual arousal when sober. The physical abuse subscale uniquely predicted number of arrests for assault and weapons offenses. The emotional abuse subscale uniquely predicted the DERS total score, AIM score, and DTS score. Among substance users, different types of abuse are uniquely associated with specific negative effects. Assessment of specific abuse types among substance users may be informative in treatment planning and relapse prevention.

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Application of the Social Action Theory to Understand Factors Associated with Risky Sexual Behavior among Individuals in Residential Substance Abuse Treatment
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Authors: Banducci, A. N., Hoffman, E. M., Lejuez, C. W., & Koenen, K. C.
Affiliations: University of Maryland, College Park (US)
Columbia University (US)
Corresponding author: Banducci, Anne N.
ORCID: Banducci, Anne N.
Lejuez, C.W.
Koenen, Karestan C.
Venue: Child Abuse & Neglect
Publisher: Elsevier BV
Published: 2014-05
Volume: 38
Issue: 5
Pages: 928-938
ISSN: 0145-2134 (ISSN-L)
DOI: 10.1016/j.chiabu.2013.12.007
PMC: PMC4065225
OpenAlex: W2069126377
Cited by: 125
References: 72
Citations by year: 2026: 4 · 2025: 3 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 8 · 2020: 15 · 2019: 12 · 2018: 15 · 2017: 18 · 2016: 17 · 2015: 13
FWCI: 18.79
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Child Abuse & Neglect (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (1 F31 DA035033-01, R01 DA19405)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Sociology and Political Science › Child Welfare and Adoption
Keywords: childhood abuse, substance use disorders, child sexual abuse, child physical abuse, childhood emotional abuse, sexual risk behavior, aggression, emotional dysregulation, distress tolerance, affect intensity, HIV risk behavior, inpatient substance use treatment, African American adults
MeSH terms: Adult, Affective Symptoms, Aggression, Arousal, Child, Child Abuse, Female, Humans, Male, Substance-Related Disorders, Unsafe Sex

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The impact of childhood abuse on inpatient substance users: Specific links with risky sex, aggression, and emotion dysregulation

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