A history of sexual, emotional, or physical abuse predicts adjustment during opioid maintenance treatment
Abstract
This study examined how having a history of sexual, physical, or emotional abuse is related to overall functioning as assessed by the Addiction Severity Index during short-term opioid maintenance treatment with either buprenorphine/naloxone or methadone. Furthermore, the relation between abuse history and overall functioning by sex was explored. Participants (N = 268) were opioid-dependent adults entering an outpatient randomized clinical trial with buprenorphine/naloxone and methadone. Latent growth modeling indicated that females with an abuse history entered treatment with more problems in the psychiatric and family domains as compared with females without an abuse history. Over the course of treatment, a history of abuse predicted problems in the psychiatric and alcohol domains. Furthermore, a history of abuse predicted slower recovery times and less recovery overall for females in some domains. Males with an abuse history entered treatment with more severe psychiatric and family problems as compared with males with no history of abuse. Victims of abuse may present to substance abuse treatment with weaknesses in the areas of family relations, psychiatric status, and alcohol use. The nature of these problems and their trajectory over time differed by sex.
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A 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)”
From Influences of victimization and comorbid conditions on latency to illicit drug use among adolescents and young adults (2020) · cites this paper as Branstetter et al., 2008
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Long-Term Course of Opioid Addiction
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- Authors
- Branstetter, S. A., Bower, E. H., Kamien, J., & Amass, L.
- Affiliations
- West Virginia University (US)
- University of Colorado Anschutz (US)
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2008-03
- Volume
- 34
- Issue
- 2
- Pages
- 208-214
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2030916554
- Cited by
- 36
- References
- 36
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 6 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 5 · 2013: 1 · 2012: 1
- FWCI
- 3.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01da011160-02)
- National Institute on Drug Abuse (R01-DA11160)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- childhood abuse, sexual abuse, emotional abuse, physical abuse, opioid use disorder, opioid maintenance treatment, buprenorphine/naloxone, methadone, Addiction Severity Index, treatment outcomes, sex differences, mental illness, family problems, alcohol consumption, recovery trajectories
- MeSH terms
- Adolescent, Adult, Aged, Analgesics, Opioid, Buprenorphine, Double-Blind Method, Female, Heroin Dependence, Humans, Male, Methadone, Middle Aged, Naloxone, Narcotic Antagonists, Psychiatric Status Rating Scales, Severity of Illness Index, Sex Factors, Sex Offenses, Social Adjustment, Time Factors, Treatment Outcome, Domestic Violence
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