Influences of victimization and comorbid conditions on latency to illicit drug use among adolescents and young adults
Open accessAbstract
Objective Exposure to violent victimization is associated with higher rates of mental health and substance use disorders (SUD). Some youth who experience multiple victimizations and associated characteristics (i.e. poly-victims) are at heightened risk for long term problems. Thus, we conducted the first study to examine how heterogeneity in experiences of victimization vary in terms of latency to illicit drug use following treatment completion. We also examined if victimization profiles vary across gender and if comorbid conditions (e.g., posttraumatic stress disorder and major depressive disorder) differentially predict latentcy to illicit drug use across groups.Methods Adolescents and young adults (N = 5956; M age = 17.5 years; 64.0% male) with SUDs in treatment for illicit drug use completed a battery of measures at baseline. At 3-, 6- and 12-month follow-ups, they reported on the number of days before they used any illicit drug following their last assessment.Results Continuous time survival mixture modeling revealed that, as hypothesized, females who experienced high rates of all victimization and related characteristics had a higher hazard for latency to first illicit drug use as compared to females in the low victimization group. This was not the case for males; rather, those who experienced high rates of sexual abuse were quickest to return to illicit drug use. Finally, comorbid conditions led to a higher hazard rate, but only for certain profiles across females.Discussion Findings emphasize the necessity for professionals to more fully integrate poly-victimization research and theory into their clinical practices and research.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 43 cited sources checked · 0 supported · 0 flagged
- Findingown data
Females who experienced high rates of all victimization and related characteristics had a higher hazard for latency to first illicit drug use than females in the low victimization group.
“Continuous time survival mixture modeling revealed that, as hypothesized, females who experienced high rates of all victimization and related characteristics had a higher hazard for latency to first illicit drug use as compared to females in the low victimization group.”
Quote in the paperSubstantial claim - Findingown data
For males, high rates of sexual abuse were associated with the quickest return to illicit drug use.
“This was not the case for males; rather, those who experienced high rates of sexual abuse were quickest to return to illicit drug use.”
Quote in the paperSubstantial claim - Findingown data
The five-class solution had the lowest BIC, aBIC, and AIC, indicating best fit for both male and female participants.
“The lowest BIC, aBIC, and AIC were found for the five-class solution, suggesting the five-class model fit the data best for both male and female participants.”
Quote in the paperSubstantial claim - Findingown data
8.5% (n=180) of female participants were in the high physical abuse class, characterized by high physical abuse, moderate emotional abuse, and low-moderate chronic abuse, trusted perpetrator, and life threat.
“Finally, 8.5% (n = 180) were classified into the profile representing high rates of physical abuse, with moderate levels of emotional abuse, and low-moderate rates of chronic abuse, perpetration by a trusted person, and life threat (“high physical abuse class”).”
Quote in the paperNot a substantial claim - Findingown data
9.1% (n=193) of female participants were in the high sexual abuse class, characterized by high sexual abuse and moderate physical abuse, emotional abuse, and all potentially-harmful trauma characteristics.
“Further, 9.1% (n = 193) of the sample was represented by females with high endorsement of sexual abuse and moderate endorsement of physical abuse, emotional abuse, and all potentially-harmful trauma characteristics (“high sexual abuse class”).”
Quote in the paperNot a substantial claim
- Findingown data
MDD symptoms predicted greater hazard for latency to first illicit drug use for females in the high emotional abuse class (10% increase; HR=1.10, 95% CI [1.02, 1.18]).
“and MDD symptoms emerged as predictors of greater latency to first illicit drug use for females in the high all (11% increase; HR = 1.11, [1.03, 1.19]) and high emotional abuse classes (10% increase; HR = 1.10, [1.02, 1.18]).”
Quote in the paperSubstantial claim - Findingown data
Those who primarily experienced physical abuse were more likely to have feared for their life.
“Additionally, those who experienced primarily physical abuse were more likely to have feared for their life.”
Quote in the paperNot a substantial claim - Findingown data
19.3% (n=411) of female participants were in the high emotional abuse class, characterized by high chronic emotional abuse and trusted perpetrators.
“Next, 19.3% (n = 411) were classified into the profile representing high endorsement of chronic emotional abuse and trusted perpetrators (“high emotional abuse class”).”
Quote in the paperNot a substantial claim - Findingown data
Males in the high physical abuse class had greater hazard for latency to first illicit drug use than the low all class (HR=1.39, 95% CI [1.16, 1.66]).
“However, males in the chronic physical and emotional abuse (HR = 1.43, [1.09, 1.87]), high sexual abuse (HR = 2.46, [1.57, 3.87]), and the high physical abuse classes (HR = 1.39, [1.16, 1.66]) had greater hazard for latency to first illicit drug use compared to male participants in the low all class.”
Quote in the paperSubstantial claim - Findingown data
Males in the chronic physical and emotional abuse class had greater hazard for latency to first illicit drug use than the low all class (HR=1.43, 95% CI [1.09, 1.87]).
“However, males in the chronic physical and emotional abuse (HR = 1.43, [1.09, 1.87]), high sexual abuse (HR = 2.46, [1.57, 3.87]), and the high physical abuse classes (HR = 1.39, [1.16, 1.66]) had greater hazard for latency to first illicit drug use compared to male participants in the low all class.”
Quote in the paperNot a substantial claim - Findingown data
Latency to illicit drug use was amplified by comorbid conditions for certain classes of females, but not males.
“We found that latency to illicit drug use was amplified by comorbid conditions for certain classes of females, but not males.”
Quote in the paperSubstantial claim - Findingown data
The female model revealed a high all class, akin to prior work on poly-victimization.
“Interestingly, the female model revealed a high all class, akin to prior work identifying individuals as experiencing poly-victimization.”
Quote in the paperSubstantial claim - Findingown data
Males in the high physical/emotional abuse class did not differ in latency to first illicit drug use compared to the low all class (HR=1.20, 95% CI [0.86, 1.68]).
“We did not find support for Hypothesis 1 (Table 4, Model 1): males in the high physical/emotional abuse class did not differ in latency to first illicit drug use compared to the low all class (HR = 1.20, [0.86, 1.68]).”
Quote in the paperNot a substantial claim - Findingown data
PTSD and MDD did not predict greater latency to illicit drug use for any male emergent class.
“Contrary to Hypothesis 2, in the final Model (Model 4; Table 4), PTSD and MDD did not predict greater latency to illicit drug use for any emergent class.”
Quote in the paperSubstantial claim - Findingown data
PTSD symptoms predicted greater hazard for latency to first illicit drug use for females in the high physical abuse class only (11% increase; HR=1.11, 95% CI [1.03, 1.20]).
“In the final model (Model 4; Table 3), PTSD symptoms emerged as a contributor to greater hazard for latency to first illicit drug use for females in the high physical abuse class (11% increase; HR = 1.11, [1.03, 1.20]) only”
Quote in the paperSubstantial claim - Findingown data
The low all class comprised 36.9% (n=788) of female participants and had low levels of all victimization types and trauma characteristics.
“The low all class represented 36.9% (n = 788) of female participants entering treatment, reflecting participants with low levels of all types of victimization and trauma characteristics.”
Quote in the paperNot a substantial claim - Findingown data
More females than males were classified into the high sexual abuse class (9.1% vs. 1.6%).
“More females than males were classified into the class involving high sexual abuse (9.1% vs. 1.6%).”
Quote in the paperNot a substantial claim - Findingown data
Males in the high sexual abuse class had greater hazard for latency to first illicit drug use than the low all class (HR=2.46, 95% CI [1.57, 3.87]).
“However, males in the chronic physical and emotional abuse (HR = 1.43, [1.09, 1.87]), high sexual abuse (HR = 2.46, [1.57, 3.87]), and the high physical abuse classes (HR = 1.39, [1.16, 1.66]) had greater hazard for latency to first illicit drug use compared to male participants in the low all class.”
Quote in the paperSubstantial claim - Findingown data
More males than females were classified into the high physical abuse class (36.2% vs. 8.5%).
“More males than females were classified into the class defined by high levels of physical abuse specifically (36.2% vs. 8.5%) as well as the low all class (45.8% vs. 36.9%).”
Quote in the paperNot a substantial claim - Findingown data
1.6% (n=103) of male participants were in the high sexual abuse class, characterized by high sexual abuse, moderate other abuse, and moderate trusted perpetrators.
“Only 1.6% (n = 103) of male participants were represented by a class involving high sexual abuse, moderate other abuse, and moderate rates of trusted perpetrators (“high sexual abuse class”).”
Quote in the paperNot a substantial claim - Findingown data
Females in the high all class had a higher hazard for latency to first illicit drug use than the low all class (HR=1.35, 95% CI [1.06, 1.71]).
“In support of Hypothesis 1, females in the high all had a higher hazard for latency to first illicit drug use (HR = 1.35, [1.06, 1.71]) compared to the low all class (Table 3, Model 1).”
Quote in the paperSubstantial claim - Findingown data
7.5% (n=286) of male participants were in the high physical/emotional abuse class, characterized by high physical/emotional abuse and moderate/high harmful trauma characteristics.
“A class with high rates of physical/emotional abuse and moderate/high rates of harmful trauma characteristics represented 7.5% (n = 286) of male participants (“high physical/emotional abuse class”).”
Quote in the paperNot a substantial claim - Findingown data
MDD symptoms predicted greater hazard for latency to first illicit drug use for females in the high all class (11% increase; HR=1.11, 95% CI [1.03, 1.19]).
“and MDD symptoms emerged as predictors of greater latency to first illicit drug use for females in the high all (11% increase; HR = 1.11, [1.03, 1.19]) and high emotional abuse classes (10% increase; HR = 1.10, [1.02, 1.18]).”
Quote in the paperSubstantial claim - Findingown data
Over 26% (n=560) of female participants were in the high all class, which had high rates of all victimization types and trauma characteristics.
“Over 26% (n = 560) of females were categorized into the high all class, reflecting high rates of all types of victimization and trauma characteristics.”
Quote in the paperNot a substantial claim - Findingown data
No other differences were found between other female classes and the low-all class.
“No other differences were found between other classes and the low-all class.”
Quote in the paperNot a substantial claim - Findingown data
Comorbid mental health conditions were associated with greater latency to illicit drug use for females, but not males, in certain victimization classes.
“Contrary to our hypotheses, comorbid mental health conditions were associated with greater latency to illicit drug use for females, but not males, in certain victimization classes.”
Quote in the paperSubstantial claim - Findingown data
More males than females were classified into the low all class (45.8% vs. 36.9%).
“More males than females were classified into the class defined by high levels of physical abuse specifically (36.2% vs. 8.5%) as well as the low all class (45.8% vs. 36.9%).”
Quote in the paperNot a substantial claim - Premisecitation
Psychiatric conditions are correlated with SUD outcomes.
“Psychiatric conditions are a correlate of SUD outcomes, generally, given that individuals may use substances to provide relief from psychological symptoms, and psychological symptoms may trigger substance use cravings (Chilcoat and Breslau, 1998).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Chilcoat and Breslau, 1998
Not checked in the free run.
- Premisecitation
Violent victimization exposure is linked to elevated rates of mental health and substance use disorders among youth.
“Exposure to violent victimization is associated with higher rates of mental health and substance use disorders (SUD).”
- Also stated in: § Introduction · plain
“An important correlate of young people’s substance use disorder (SUD) treatment outcomes is exposure to violent victimization (e.g., physical, sexual, and emotional abuse; Davis et al., 2019a, 2019b).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Davis et al., 2019a, 2019b
Not checked in the free run.
- Also stated in: § Introduction · plain
- Premisecitation
Most research on victimization and SUD outcomes in young people has examined only one type of victimization.
“Research on the role of victimization in young people’s SUD outcomes, however, has primarily focused on the effects of single-type victimization (Norman et al., 2012) even though multiple types of victimization are commonly experienced together (i.e., poly-victimization; Davis et al., 2017, 2019a, 2019b; Finkelhor et al., 2009).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Norman et al., 2012 source
Not checked in the free run.
- Premisecitation
In a national sample, 87% of adolescents in residential SUD treatment and 60% of those in outpatient treatment had experienced victimization during the previous year.
“Indeed, in a national sample, 87% of adolescents in residential SUD treatment and 60% of those in outpatient treatment had experienced victimization in the past year alone, and these adolescents had more severe substance use problems at both intake and follow-up (Shane et al., 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Shane et al., 2006 source
Not checked in the free run.
- Premisecitation
Adolescents in SUD treatment who had experienced victimization showed more severe substance use problems at intake and at follow-up.
“Indeed, in a national sample, 87% of adolescents in residential SUD treatment and 60% of those in outpatient treatment had experienced victimization in the past year alone, and these adolescents had more severe substance use problems at both intake and follow-up (Shane et al., 2006).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Shane et al., 2006 source
Not checked in the free run.
- Premisecitation
Different types of victimization often co-occur in the same young person, a pattern called poly-victimization.
“Research on the role of victimization in young people’s SUD outcomes, however, has primarily focused on the effects of single-type victimization (Norman et al., 2012) even though multiple types of victimization are commonly experienced together (i.e., poly-victimization; Davis et al., 2017, 2019a, 2019b; Finkelhor et al., 2009).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Davis et al., 2017, 2019a, 2019b
Not checked in the free run.
- cites Finkelhor et al., 2009 source
Not checked in the free run.
- Interpretationown data
This study supports modeling victimization as a function of both direct experience and associated trauma characteristics.
“Second, this study shows continued support for modeling victimization as a function of both direct experience and associated trauma characteristics.”
Quote in the paperSubstantial claim - Interpretationown data
Comorbid conditions may be especially relevant for females with certain victimization experiences, rather than females generally.
“This study clarifies these discrepant findings by suggesting that comorbid conditions may be especially relevant for females with certain victimization experiences, rather than females generally.”
Quote in the paperSubstantial claim - Interpretationown data
The association between sexual abuse and SUD outcomes may be especially pronounced among males.
“However, these findings extend this work by suggesting this association may be especially pronounced among males.”
Quote in the paperSubstantial claim - Interpretationown data
Victimization, modeled as both types of violence and associated trauma characteristics, is important for understanding SUD treatment outcomes in young males and females.
“Our findings demonstrate that victimization, when modeled as a function of both types of violence experienced and associated trauma characteristics, is important for understanding young male and females’ SUD treatment outcomes.”
Quote in the paperSubstantial claim - Premisecitation
Those who have experienced violent victimization are at even greater risk of poor outcomes.
“and those who have experienced violent victimization are at even greater risk of poor outcomes (Davis et al., 2019a, 2019b).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Davis et al., 2019a, 2019b
Not checked in the free run.
- Premisecitation
Victimization is a stronger predictor of SUD outcomes for females than males.
“and that victimization is a stronger predictor of SUD outcomes for females than males (Hyman et al., 2008; Moran et al., 2004; Shane et al., 2006).”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationown data
The relationship between poly-victimization specifically and SUD outcomes may be especially pronounced for women.
“However, the current study extends this work to indicate that the relationship between poly-victimization, specifically, and SUD outcomes may be especially pronounced for women.”
Quote in the paperSubstantial claim - Premisecitation
Sexual abuse may be especially harmful to SUD outcomes.
“This is consistent with past work that identified that sexual abuse may be especially harmful to SUD outcomes.”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationreasoning
The results may not be generalizable to all adolescents and young adults in SUD treatment because the subsample focused on illicit drug use disorders.
“First, the results of this study may not be generalizable to all adolescents and young adults in SUD treatment because this subsample was focused on illicit drug use disorders.”
Quote in the paperNot a substantial claim - Premisecitation
Adolescents and young adults in treatment for illicit drug use disorders are at especially high risk of relapse.
“Adolescents and young adults in treatment for illicit drug use disorders are at especially high risk of relapse (Winters et al., 2014)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Winters et al., 2014
Not checked in the free run.
- May combine two claims. 23
- Classified as probably not a substantial claim. 28
May combine two claims.
Findingown dataComorbid conditions led to a higher hazard rate, but only for certain profiles among females.
“Finally, comorbid conditions led to a higher hazard rate, but only for certain profiles across females.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIndividuals categorized as endorsing a majority of victimization items had the highest probability of endorsing harmful characteristics, and those in single victimization types had differential endorsement of harmful characteristics.
“Individuals who were categorized as endorsing a majority of the victimization items had the highest probability of endorsing harmful characteristics, and individuals categorized into single victimization types (e.g., sexual abuse, emotional abuse) had differential endorsement of harmful characteristics.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataVisual inspection of the survival graph indicated hazard differences for males were especially notable between 100 and 200 days and continued to be greater after 200 days for the high sexual abuse class.
“Visual inspection of the survival graph (Fig. 4) indicated that the differences in hazard appear to be especially notable between 100 and 200 days, and continued to be greater after 200 days for the high sexual abuse class.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationRates of poly-victimization, especially among women, in the current sample were higher than in community and other clinical samples, but consistent with more recent estimates and high-risk samples.
“It is important to note that rates of poly-victimization, especially among women, in the current sample were higher than studies assessing poly-victimization in community (Butcher et al., 2016) and other clinical samples (Davis et al., 2019a, 2019b), but are consistent with more recent estimates (Finkelhor et al., 2013) and evidence from high-risk samples (e.g., youth involved in the juvenile just”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Butcher et al., 2016 source
Not checked in the free run.
- cites Davis et al., 2019a, 2019b
Not checked in the free run.
- cites Finkelhor et al., 2013
Not checked in the free run.
May combine two claims.
Findingown dataIn the male model, the majority of emergent classes involved physical abuse, and no class emerged as a pure poly-victimization class.
“However, in the model for male participants, the majority of emergent classes involved physical abuse, with no class emerging as a pure poly-victimization class.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataMales and females who primarily experienced emotional abuse were more likely to have a trusted perpetrator and chronic abuse.
“For example, males and females who primarily experienced emotional abuse were more likely to have a trusted perpetrator and were more likely to have experienced chronic abuse.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the male high physical/emotional abuse class, sexual abuse endorsement was very low, and abuse tended to be chronic, by a trusted person, with life threat and disbelief.
“Although they had high rates of physical and emotional abuse, they had very low endorsement of sexual abuse. Abuse tended to be chronic, perpetrated by a trusted person, and accompanied by life threat and disbelief.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data45.8% (n=1,744) of male participants were in the low all class, with low rates of all experiences.
“The majority of male participants were in the low all class (45.8%; n = 1,744), involving low rates of all experiences.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataSome similar victimization classes were identified for males and females, but there were gender differences in class prevalence.
“First, although some similar classes were identified for males and females, there were gender differences in class prevalence.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFemales experiencing poly-victimization and high trauma-related characteristics and males experiencing sexual abuse had the quickest return to illicit drug use following treatment.
“In conclusion, this study found that while victimization profiles were similar by gender, females experiencing poly-victimization and high rates of trauma-related characteristics and males experiencing sexual abuse had the quickest return to illicit drug use following treatment.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataVisual inspection of the survival graph indicated the hazard difference for females was notable between 100 and 200 days.
“Visual inspection of the survival graph indicated that the difference in hazard was notable between 100 and 200 days (Fig. 3).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data36.2% (n=1,379) of male participants were in the high physical abuse class, with high physical abuse, moderate emotional abuse, and low potentially-harmful trauma characteristics.
“The high physical abuse class represented 36.2% (n = 1379) of male participants and involved high levels of physical abuse, moderate levels of emotional abuse, and low levels of potentially-harmful trauma characteristics.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown data8.8% (n=325) of male participants were in the chronic physical/emotional abuse class, with moderate physical/emotional abuse, high chronicity, and high trusted perpetrators.
“Finally, the chronic physical/emotional abuse class represented 8.8% (n = 325) of male participants. Participants in this class endorsed moderate levels of physical and emotional abuse, high levels of chronicity, and high levels of trusted perpetrators.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataUnlike the female model, the male high sexual abuse class had high closeness to perpetrator, moderate chronicity, and low life threat and disbelief.
“Unlike the female model, which evidenced moderate levels of all potentially-harmful trauma characteristics, male participants in this class had high levels of closeness to the perpetrator, moderate levels of chronicity, and low levels of life threat and disbelief.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the male high sexual abuse class, physical and emotional abuse were moderate, similar to the female model.
“Like the female model, male participants in the high sexual abuse class had moderate levels of physical and emotional abuse.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationVictimization effects on SUD outcomes may vary by gender and may be stronger for females, but the evidence is mixed.
“Prior work notes that the effects of victimization on SUD outcomes may differ by gender, and may be more pronounced for females, although evidence is mixed.”
Quote in the paperSubstantial claim0 of 3 sources checkedClassified as probably not a substantial claim.
PremisecitationPrior work identified latent classes of victimization and associated characteristics.
“The current study expands and replicates prior work that identified latent classes of victimization and associated characteristics (Davis et al., 2019a, 2019b) by using a sample of adolescents and young adults in treatment for illicit drug use disorder.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Davis et al., 2019a, 2019b
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationAmong adolescents, physical abuse was more strongly associated with increased illicit drug use for females than for males.
“Similarly, among adolescents, physical abuse was more strongly related to increased illicit drug use for females than for males (Moran et al., 2004).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Moran et al., 2004 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataMissing data in the study ranged from 0% at baseline to 40% at the 12-month follow-up.
“In total, missing data ranged from 0% (baseline) to 40% (12-month follow up).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe timeline follow-back procedure for substance use used in this study has been validated and used in similar large-scale nationally representative studies.
“The timeline follow back procedures for substance use used in this study have been validated and used in similar, large scale, nationally representative studies including Monitoring the Future, Treatment Episode Data Set, and the National Survey on Drug Use and Health.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Monitoring the Future
Not checked in the free run.
- cites Treatment Episode Data Set
Not checked in the free run.
- cites National Survey on Drug Use and Health
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationAmong adults seeking treatment for cocaine dependence, victimization types and overall trauma severity predicted relapse for women but not for men.
“Finally, a study of adults presenting for cocaine dependence found that the types of victimization experienced and overall trauma severity were predictive of relapse for women, but not men (Hyman et al., 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hyman et al., 2008 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationOther studies have not found gender differences in how victimization types affect mental health outcomes.
“However, other work has failed to find that the effects of various victimization types on mental health outcomes differ by gender (e.g., Rosen et al., 2002).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Rosen et al., 2002 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationComorbid conditions appear to be a critical predictor of illicit drug use treatment outcomes.
“Comorbid conditions appear to be a critical predictor of illicit drug use treatment outcomes (Grella et al., 2001), perhaps because treatment may not sufficiently address comorbid conditions, leaving youth with unresolved mental health symptoms following treatment discharge.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Grella et al., 2001 source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationSome evidence suggests that PTSD or MDD effects on SUD outcomes are especially pronounced for males.
“In a review of the literature, a diagnosis of either posttraumatic stress disorder (PTSD) or major depressive disorder (MDD) was found to be a major factor associated with poorer outcomes for individuals with a comorbid substance use disorder, and there was some evidence that these effects were especially pronounced for males (Najt et al., 2011).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Najt et al., 2011 source
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
PremisecitationIn a national sample of adolescents in SUD treatment, girls with more severe victimization had a higher relapse likelihood than less severely victimized girls, while boys' relapse risk was similar regardless of victimization history.
“In a national sample of adolescents in SUD treatment, more severely-victimized girls evidenced a higher likelihood of relapse than less severely-victimized girls, but boys had a similar relapse risk independent of victimization history (Shane et al., 2006).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Shane et al., 2006 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenParticipants with missing data due to lack of follow-up were censored in the models.
“Participants who had missing data due to lack of follow up were censored in the models.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationA PTSD or MDD diagnosis is a major factor linked to poorer outcomes among people with comorbid SUD.
“In a review of the literature, a diagnosis of either posttraumatic stress disorder (PTSD) or major depressive disorder (MDD) was found to be a major factor associated with poorer outcomes for individuals with a comorbid substance use disorder, and there was some evidence that these effects were especially pronounced for males (Najt et al., 2011).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Najt et al., 2011 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe GAIN assessment tool is a comprehensive structured interview with more than 100 scales.
“The GAIN assessment tool (GAIN-I) is a comprehensive, structured interview with over 100 scales assessing background, substance use, physical health, risk behaviors, mental health, environment, legal records, and vocation (Dennis et al., 2004).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Dennis et al., 2004 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenHuman subjects approval was obtained from the Institutional Review Board before all analyses.
“Human subjects approval was received by the Institutional Review Board prior to all analyses.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationFull information maximum likelihood with robust standard errors is a better missing-data strategy than listwise deletion and matches multiple imputation when data are missing at random.
“We used full information maximum likelihood with robust standard errors in Mplus. This is a superior strategy to listwise deletion and equivalent to using multiple imputation techniques when data are assumed to be missing at random (Enders, 2011).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Enders, 2011 source
Not checked in the free run.
- The authors state this as an assumption: The data are missing at random.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationYoung people receiving treatment for substance use disorders frequently relapse, with average abstinence around 38% at six months and 32% at twelve months after treatment.
“Adolescents and young adults who seek treatment are at high risk of relapse, with average abstinence rates estimated at 38% at 6 months and 32% at 12 months post-treatment (Williams and Chang, 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Williams and Chang, 2006 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationPTSD symptom items were based on item response theory and methodological analyses of the Civilian Mississippi Scale for PTSD.
“Items were based on a series of item response theory and methodological analyses of the Civilian Mississippi Scale for PTSD (Norris and Perilla, 1996).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Norris and Perilla, 1996
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationWomen with more mental health problems are less likely to complete SUD treatment.
“Prior research has found that women with more mental health problems are less likely to complete SUD treatment (Green et al., 2002)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Green et al., 2002 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIncreased rates of relapse are found among individuals who report two or more traumatic events compared to one or fewer (70% vs. 30%).
“Our findings are in line with prior work that has found increased rates of relapse among individuals who report two or more traumatic events compared to individuals who report one or fewer (70% vs. 30%, respectively; Farley et al., 2004)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Farley et al., 2004 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Interpretationnone givenWhile the study uses a prospective design, no causal inferences can be made.
“Finally, while this study uses a prospective design, no causal inferences can be made.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningVictimization experiences are abundant, and individuals (especially females) with comorbid conditions may have more complex clinical needs.
“Second, it is clear that victimization experiences are abundant and individuals (especially females) with comorbid conditions may have more complex clinical needs.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationA history of abuse is associated with pretreatment severity and post-treatment recovery.
“and is associated with pretreatment severity and post-treatment recovery (Branstetter et al., 2008)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Branstetter et al., 2008 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe effects of co-occurring disorders on SUD outcomes are especially pronounced for males.
“These findings were surprising in light of evidence that the effects of co-occurring disorders on SUD outcomes are especially pronounced for males (Najt et al., 2011).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Najt et al., 2011 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationNearly 90% of relapse-prone female patients in treatment for SUDs had a history of sexual abuse.
“For example, an early study found that nearly 90% of relapse-prone female patients in treatment for SUDs had a history of sexual abuse (Wadsworth et al., 1995)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Wadsworth et al., 1995 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA history of abuse (sexual, physical, or emotional) is common among individuals in SUD treatment.
“Prior literature has supported the notion that a history of abuse (e.g., sexual, physical, or emotional) is common among individuals in SUD treatment (Farley et al., 2004)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Farley et al., 2004 source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationGender does not appear to be a specific predictor of treatment outcomes such as relapse.
“yet, in several literature reviews and meta-analyses (see Greenfield et al., 2007 for review), gender does not appear to be a specific predictor of treatment outcomes (e.g., relapse).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Greenfield et al., 2007 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningBecause all data are self-reported, actual latency to illicit drug use may be biased.
“Second, because all data are self-reported, actual latency to illicit drug use may be biased.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe sexual abuse item does not include forms of abuse that did not occur against the conscious will of the child, and the emotional abuse item relies on subjective perceptions of events that constitute "abuse."
“Third, the sexual abuse item does not include forms of abuse that did not occur against the conscious will of the child, and the emotional abuse item relies on subjective perceptions of events that constitute “abuse.””
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSexual abuse was a stronger predictor of outcomes following alcohol treatment than physical abuse.
“and a second study found that sexual abuse was a stronger predictor of outcomes following alcohol treatment than physical abuse (Greenfield et al., 2002).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Greenfield et al., 2002 source
Not checked in the free run.
The authors state this as an assumption.
The gender-specific effect of comorbid conditions on the relationship between victimization patterns and post-treatment relapse has not been explored.
“However, to our knowledge, the gender-specific effect of comorbid conditions on the relationship between patterns of victimization and post-treatment relapse remains unexplored.”
The paper relies on this without support.
This is the first study to examine how heterogeneity in victimization experiences relates to latency to illicit drug use after treatment completion.
“Thus, we conducted the first study to examine how heterogeneity in experiences of victimization vary in terms of latency to illicit drug use following treatment completion.”
The authors state this as an assumption.
The data are missing at random.
“when data are assumed to be missing at random (Enders, 2011)”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Most comparison studies examined outpatient adolescent substance use treatment programs; five focused on residential or long-term inpatient programs, and four examined shelter-based programs.
“Most studies examined outcomes of outpatient adolescent SU treatment programs [21, 43, 44, 67–70], five focused on residential or long-term inpatient programs [33, 43–45, 69], and four examined shelter-based treatment programs [71–74].”
From Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature (2024) · cites this paper as [67]
The Methods (Participants and procedures; page unavailable) identify this as a study of adolescents and young adults receiving treatment for illicit drug use, with follow-up assessments. But treatment type varied by site, and our copy does not classify this study as outpatient or residential/inpatient or substantiate the cited counts of studies in each setting. The Introduction mentions both residential and outpatient treatment in a different study, not as a classification of this one. (LLM, conf=0.78)
Experimental — accuracy not yet measuredThree large studies found a history of abuse, particularly physical abuse, associated with faster relapse or greater persistence of substance use after treatment.
“Three large studies found history of abuse, particularly physical abuse, associated with faster relapse or greater persistence of SU after treatment [67–69].”
From Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature (2024) · cites this paper as [67]
The Methods report a large sample of 5,956 adolescents and young adults in treatment for illicit drug use. The Results (Aim 2) associate high physical abuse with a faster return to use among males, supporting the relapse portion of the claim. But the association varied by gender and victimization profile, and sexual abuse—not physical abuse—had the highest hazard among males; this paper does not support emphasizing physical abuse as the principal finding. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAmong adolescents receiving community-based treatment for illicit substance use disorders, polyvictimization was associated with faster relapse among girls.
“polyvictimization was associated with faster relapse among girls”
From Interventions for prevention and treatment of substance use in youth with traumatic childhood experiences: a systematic review and synthesis of the literature (2024) · cites this paper as [67]
The Discussion reports that females in the high-victimization class had a higher hazard of relapse than females in the low-victimization class, supporting the cited sentence’s central point. But Methods > Participants and procedures describes a sample aged 12–29 and says treatment type varied by site; it does not establish the narrower claim that the finding was specifically among adolescents receiving community-based treatment. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredAmong boys in the same study, sexual abuse, chronic physical and emotional abuse, and high physical abuse were associated with faster relapse compared with youth with low baseline victimization.
“among boys, sexual abuse, chronic physical and emotional abuse, and high physical abuse were all associated with faster relapse (compared to youth with low levels of baseline victimization)”
MDD and PTSD predicted faster relapse among girls with certain victimization histories, but not among boys.
“MDD and PTSD predicted faster relapse among girls with certain victimization histories, but not among boys [67].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Direction of the female comorbidity result reverses
MinorThe discussion says comorbid conditions were associated with greater time before illicit drug use, then describes the same results as faster use or relapse. These are opposite directions for the outcome.
“comorbid mental health conditions were associated with greater latency to illicit drug use for females, but not males, in certain victimization classes.”
“Specifically, PTSD symptoms predicted faster latency to illicit drug use for females in the high physical abuse class, and MDD symptoms predicted faster relapse for females in the high all and high emotional abuse classes.”
Male sexual-abuse class percentage does not match its count
MinorA class of 103 among 3,814 males represents about 2.7%, not 1.6%.
Reported 1.6 · recomputed 2.700577
“Only 1.6% (n = 103) of male participants were represented by a class involving high sexual abuse”
Cites
Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence
Singer, J. D., & Willett, J. B. (2003) · doi:10.1093/acprof:oso/9780195152968.001.0001 · Cited by 10,647 · see citing works
Auxiliary Variables in Mixture Modeling: Three-Step Approaches Using M plus
Asparouhov, T., & Muthén, B. (2014) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705511.2014.915181 · Cited by 3,634 · see citing works
Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012) · PLoS Medicine · doi:10.1371/journal.pmed.1001349 · Cited by 3,387 · see citing works
Substance abuse treatment entry, retention, and outcome in women: a review of the literature
Greenfield, S. F., Brooks, A. J., Gordon, S. M., Green, C. A., Kropp, F., McHugh, R. K., Lincoln, M., Hien, D., & Miele, G. M. (2007) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2006.05.012 · Cited by 1,055 · see citing works
Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence
Anderson, C. J. (2005) · Journal of the American Statistical Association · doi:10.1198/jasa.2005.s7 · Cited by 848 · see citing works
Violence, Crime, and Abuse Exposure in a National Sample of Children and Youth
David Finkelhor, B., Turner, H. A., Shattuck, A., & Hamby, S. L. (2013) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2013.42 · Cited by 781 · see citing works
Lifetime assessment of poly-victimization in a national sample of children and youth
Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2009) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2008.09.012 · Cited by 657 · see citing works
Ford, J. D., Elhai, J. D., Connor, D. F., & Frueh, B. C. (2010) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.11.212 · Cited by 593 · see citing works
A comprehensive and comparative review of adolescent substance abuse treatment outcome
Williams, R. J., Addiction Centre Adolescent Research Group, & Chang, S. Y. (2000) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.7.2.138 · Cited by 453 · see citing works
Drug treatment outcomes for adolescents with comorbid mental and substance use disorders
GRELLA, C. E., HSER, Y.-I., JOSHI, V., & ROUNDS-BRYANT, J. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200106000-00006 · Cited by 379 · see citing works
Investigations of causal pathways between ptsd and drug use disorders
Chilcoat, H. D., & Breslau, N. (1998) · Addictive Behaviors · doi:10.1016/s0306-4603(98)00069-0 · Cited by 367 · see citing works
Associations between types of maltreatment and substance use during adolescence
Moran, P. B., Vuchinich, S., & Hall, N. K. (2004) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2003.12.002 · Cited by 324 · see citing works
Analyzing longitudinal data with missing values
Enders, C. K. (2011) · Rehabilitation Psychology · doi:10.1037/a0025579 · Cited by 321 · see citing works
Najt, P., Fusar-Poli, P., & Brambilla, P. (2011) · Psychiatry Research · doi:10.1016/j.psychres.2010.07.042 · Cited by 284 · see citing works
Discrete-Time Survival Mixture Analysis
Muthén, B., & Masyn, K. E. (2005) · Journal of Educational and Behavioral Statistics · doi:10.3102/10769986030001027 · Cited by 263 · see citing works
Green, C. A., Polen, M. R., Dickinson, D. M., Lynch, F. L., & Bennett, M. D. (2002) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(02)00278-7 · Cited by 201 · cited 1× · see citing works
“Prior research has found that women with more mental health problems are less likely to complete SUD treatment (Green et al., 2002); yet, in several literature reviews and meta-analyses (see Greenfield et al., 2007 for review), gender does not appear to be a specific predictor of treatment outcomes…”
MethodDennis, M. L., Funk, R., Godley, S. H., Godley, M. D., & Waldron, H. (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00859.x · Cited by 199 · see citing works
Do trauma history and PTSD symptoms influence addiction relapse context?
Norman, S. B., Tate, S. R., Anderson, K. G., & Brown, S. A. (2007) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2007.03.002 · Cited by 182 · see citing works
Severity of childhood trauma is predictive of cocaine relapse outcomes in women but not men
Hyman, S. M., Paliwal, P., Chaplin, T. M., Mazure, C. M., Rounsaville, B. J., & Sinha, R. (2008) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2007.08.006 · Cited by 166 · see citing works
The revised civilian mississippi scale for PTSD: Reliability, validity, and cross-language stability
Norris, F. H., & Perilla, J. L. (1996) · Journal of Traumatic Stress · doi:10.1007/bf02110661 · Cited by 124 · see citing works
Trauma history and relapse probability among patients seeking substance abuse treatment
Farley, M., Golding, J. M., Young, G., Mulligan, M., & Minkoff, J. R. (2004) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2004.06.006 · Cited by 119 · see citing works
Charak, R., Lavasani, F., Modrowski, C. A., & Kerig, P. (2018) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-018-0431-9 · Cited by 109 · see citing works
Current advances in the treatment of adolescent drug use
Winters, K. C., Tanner‐Smith, E. E., Bresani, E., & Meyers, K. (2014) · Adolescent Health Medicine and Therapeutics · doi:10.2147/ahmt.s48053 · Cited by 94 · see citing works
History of abuse and drinking outcomes following inpatient alcohol treatment: a prospective study
Greenfield, S. F., Kolodziej, M. E., Sugarman, D. E., Muenz, L. R., Vagge, L. M., He, D. Y., & Weiss, R. D. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(02)00072-8 · Cited by 87 · see citing works
Physical and sexual abuse history and addiction treatment outcomes
Rosen, C. S., Ouimette, P. C., Sheikh, J. I., Gregg, J. A., & Moos, R. H. (2002) · Journal of Studies on Alcohol · doi:10.15288/jsa.2002.63.683 · Cited by 86 · see citing works
The revised civilian Mississippi scale for PTSD: Reliability, validity, and cross‐language stability
Norris, F. H., & Perilla, J. L. (1996) · Journal of Traumatic Stress · doi:10.1002/jts.2490090210 · Cited by 84 · see citing works
Davis, J. P., Dworkin, E. R., Helton, J., Prindle, J., Patel, S., Dumas, T. M., & Miller, S. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.01.009 · Cited by 66 · see citing works
Self-citationJoint Analysis of Time‐to‐Event and Multiple Binary Indicators of Latent Classes
Larsen, K. R. (2004) · Biometrics · doi:10.1111/j.0006-341x.2004.00141.x · Cited by 46 · see citing works
Wadsworth, R., Spampneto, A. M., & Halbrook, B. M. (1995) · Journal of Counseling & Development · doi:10.1002/j.1556-6676.1995.tb01772.x · Cited by 39 · see citing works
Branstetter, S. A., Bower, E. H., Kamien, J., & Amass, L. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2007.03.009 · Cited by 36 · see citing works
Shane, P., Diamond, G. S., Lynn Mensinger, J., Shera, D., & Wintersteen, M. B. (2006) · The American Journal on Addictions · doi:10.1080/10550490601003714 · Cited by 35 · see citing works
Polyvictimization Across Social Contexts: Home, School, and Neighborhood Violence Exposure
Butcher, F., Holmes, M. R., Kretschmar, J. M., & Flannery, D. J. (2016) · Criminal Justice and Behavior · doi:10.1177/0093854816662679 · Cited by 35 · see citing works
Davis, J. P., Janssen, T., Dworkin, E. R., Dumas, T. M., Goldbach, J. T., & Monterosso, J. R. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000750 · Cited by 21 · see citing works
Self-citationStavola, B. L. D. (2004) · International Journal of Epidemiology · doi:10.1093/ije/dyh280 · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Davis, 2017, Treatment entry and alcohol dependence among poly-victimized youth: a latent class discrete time survival analysis, Alcohol. Exp. Re., 41
Cited by
Sorted by citations
Becker, T. D., Castañeda Ramirez, S., Bruges Boude, A., Leong, A., Ivanov, I., & Rice, T. R. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-023-02265-x · Cited by 18 · see citing works
“MDD and PTSD predicted faster relapse among girls with certain victimization histories, but not among boys [67].”
- Authors
- Davis, J. P., Christie, N. C., Dworkin, E. R., Prindle, J., Dumas, T. M., DiGuiseppi, G., Helton, J. J., & Ring, C.
- Affiliations
- University of Southern California (US)
- University of Washington (US)
- Western University (CA)
- Saint Louis University (US)
- Corresponding author
- Davis, Jordan P.
- ORCID
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 206
- Pages
- 107721
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC7397821
- OpenAlex
- W2983209661
- Cited by
- 12
- References
- 34
- Citations by year
- 2026: 1 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 1
- FWCI
- 2.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K99AA026317)
- 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 › Crime Patterns and Interventions
- Keywords
- violent victimization, polyvictimization, substance use disorders, adolescents, young adults, sexual abuse, post-traumatic stress disorder, major depressive disorder, gender differences, comorbidities, treatment completion
- MeSH terms
- Exposure to Violence, Adolescent, Major Depressive Disorder, Depressive Disorder, Major, Female, Humans, Male, Stress Disorders, Post-Traumatic, Comorbidity, Proportional Hazards Models, Crime Victims, Substance-Related Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read under definition version 3 (extract-v3) on 2026-09-28.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-09-28.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review