Trauma history and relapse probability among patients seeking substance abuse treatment

Farley, Melissa; Golding, Jacqueline M.; Young, George; Mulligan, Marie; Minkoff, Jerome R.

doi:10.1016/j.jsat.2004.06.006

Cited by 119Posttraumatic Stress Disorder ResearchSubstance Abuse Treatment and OutcomesChild Abuse and Trauma

Trauma history and relapse probability among patients seeking substance abuse treatment

Farley, Melissa, Golding, Jacqueline M., Young, George, Mulligan, Marie, Minkoff, Jerome R.·2004·Journal of Substance Abuse Treatment

DOI 10.1016/j.jsat.2004.06.006

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Abstract

We estimated the prevalence of trauma history and relapse in a sample of 959 patients at two outpatient chemical dependence clinics of a managed healthcare organization. A large majority (89%) reported a history of at least one traumatic event. The most common traumatic events were serious accidents, being robbed, seeing someone killed or seriously injured, and partner violence. One third of the patients had a history of substance abuse disorder relapse. There were gender and ethnic differences in the types of traumatic events reported. There were ethnic differences in relapse rates, which were highest among African American and multicultural patients. The types of traumatic events reported differed in patients of various sexual orientations. Bisexual patients had the highest rates of relapse, even when trauma exposure was controlled. Clinical implications of the findings are discussed.

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A 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)”
From Influences of victimization and comorbid conditions on latency to illicit drug use among adolescents and young adults (2020) · cites this paper as Farley et al., 2004
Increased 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)”
From Influences of victimization and comorbid conditions on latency to illicit drug use among adolescents and young adults (2020) · cites this paper as Farley et al., 2004

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Authors: Farley, M., Golding, J. M., Young, G., Mulligan, M., & Minkoff, J. R.
Affiliations: University of California, San Francisco (US)
Kaiser Permanente (US)
ORCID: Golding, Jacqueline M.
Venue: Journal of Substance Abuse Treatment
Publisher: Elsevier BV
Published: 2004-09
Volume: 27
Issue: 2
Pages: 161-167
ISSN: 0740-5472 (ISSN-L)
DOI: 10.1016/j.jsat.2004.06.006
OpenAlex: W2085692957
Cited by: 119
References: 58
Citations by year: 2026: 2 · 2025: 2 · 2024: 8 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 9 · 2019: 10 · 2018: 6 · 2017: 9 · 2016: 7 · 2015: 4 · 2014: 9 · 2013: 6 · 2012: 2
FWCI: 3.59
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Substance Abuse Treatment (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords: trauma history, substance abuse relapse, chemical dependence, trauma exposure, intimate partner violence, sexual orientation, gender differences, ethnic differences, African American patients, outpatient addiction treatment
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, California, Female, Humans, Life Change Events, Male, Middle Aged, Recurrence, Risk, Violence, Wounds and Injuries, Prevalence, Logistic Models, Substance-Related Disorders

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Trauma history and relapse probability among patients seeking substance abuse treatment

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