History of abuse and drinking outcomes following inpatient alcohol treatment: a prospective study
Abstract
Little is known about the impact of sexual or physical abuse history on response to alcohol treatment. This prospective study investigated the relationships between sexual and physical abuse histories, participants' characteristics, and response to inpatient alcohol treatment. Forty-one women and 59 men were assessed monthly for 1 year following hospitalization for alcohol dependence. Survival analyses showed that sexual abuse history was associated with shorter times to first drink and relapse. Physical abuse history was not associated with poorer drinking outcomes. Although women were more likely than men to have a history of sexual abuse, no gender differences were found in drinking outcomes. Poorer drinking outcomes were found among participants who at baseline were not married, had less than a college education, were not employed full time, or carried a diagnosis of depression or other psychiatric disorder. When adjusted for these characteristics, the associations between sexual abuse history and times to first drink and relapse were no longer statistically significant. While sexual abuse history is a clinically meaningful predictor of return to drinking we note the importance of considering patients' background and clinical characteristics in examining the impact of sexual abuse history on drinking outcomes following treatment.
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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.”
From Influences of victimization and comorbid conditions on latency to illicit drug use among adolescents and young adults (2020) · cites this paper as Greenfield et al., 2002
Sexual 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).”
From Influences of victimization and comorbid conditions on latency to illicit drug use among adolescents and young adults (2020) · cites this paper as Greenfield et al., 2002
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- Authors
- Greenfield, S. F., Kolodziej, M. E., Sugarman, D. E., Muenz, L. R., Vagge, L. M., He, D. Y., & Weiss, R. D.
- Affiliations
- Harvard University (US)
- McLean Hospital (US)
- Corresponding author
- Greenfield, Shelly F
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2002-08
- Volume
- 67
- Issue
- 3
- Pages
- 227-234
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W2039782067
- Cited by
- 87
- References
- 36
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 5
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- National Institutes of Health (5r01da009400-06)
- National Institute on Alcohol Abuse and Alcoholism (AA11756, U10AA011756)
- National Institute on Drug Abuse (DA00326, K02DA000326, DA09400, DA 07252, T32DA007252, DA-00407)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- sexual abuse history, physical abuse history, inpatient alcohol treatment, alcoholism, relapse, treatment response, gender differences, depression, psychiatric comorbidity, socioeconomic factors
- MeSH terms
- Adult, Alcoholism, Female, Hospitalization, Humans, Male, Middle Aged, Prospective Studies, Sex Offenses, Multivariate Analysis, Confidence Intervals, Chi-Square Distribution, Proportional Hazards Models, Treatment Outcome, Domestic Violence
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