Examining Recovery Status and Supports before and after Substance Abuse Disorder Treatment Among Clients Who Experienced Lifetime and Recent Firearm-Related Threats

2021 ◽  
pp. 002204262110566
Author(s):  
TK Logan ◽  
Jennifer Cole ◽  
Maggie Schroeder
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Mental Health Problems ◽  
Treatment Programs ◽  
Substance Abuse Disorder ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Before And After ◽  
Disorder Treatment ◽  
Program Entry

Firearm-related risks have often been overlooked in the sequela of substance use and substance use disorders. This study compares adult substance abuse disorder treatment (SADT) clients who experienced recent ( n = 274) and lifetime ( n = 889) firearm threats to adults who were not threatened with a firearm ( n = 2029) before and 12 months after program entry. More men experienced firearm threats (38.8%) than women (34.2%). However, among those with any firearm threats, more women (27.2%) experienced firearm threats in the year before program entry than men (20.2%). Being threatened with a firearm was associated with increased economic vulnerability, criminal justice system involvement, mental health problems, and victimization both before and after SADT program entry. A higher number of adverse childhood experiences were associated with firearm threats and particularly recent firearm threats. Results of this study underscore the importance of screening for firearm-related risks in substance abuse disorder treatment programs.

scholarly journals Association of adverse childhood experiences with lifetime mental and substance use disorders among men and women aged 50+ years

2016 ◽  
Vol 29 (3) ◽  
pp. 359-372 ◽  
Author(s):  
Namkee G. Choi ◽  
Diana M. DiNitto ◽  
C. Nathan Marti ◽  
Bryan Y. Choi
Keyword(s):  
Gender Differences ◽  
Substance Abuse ◽  
Substance Use ◽  
Logistic Regression ◽  
Physical Abuse ◽  
Substance Use Disorders ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Men And Women ◽  
Adverse Childhood

ABSTRACTBackground:Given growing numbers of older adults with mental and substance use disorders (MSUDs), this study examined the association between ten types of adverse childhood experiences (ACEs) and lifetime MSUDs among those aged 50+.Methods:Data (N = 14,738 for the 50+ age group) came from the 2012 to 2013 National Epidemiologic Survey on Alcohol and Related Conditions. Using multivariable binary logistic regression analyses, we examined relationships between ten ACEs and six lifetime MSUDs (major depressive disorder (MDD) and anxiety, post-traumatic stress, alcohol use, drug use, and nicotine use disorders). Gender differences were examined using tests of interaction effects and gender-separate logistic regression models.Results:Of the sample, 53.2% of women and 50.0% of men reported at least one ACE. For both genders, parental/other adult's substance abuse was the most prevalent (22.6%), followed by physical abuse, and emotional neglect. Child abuse and neglect and parental/other adult's mental illness and substance abuse had small but consistently significant associations with MSUDs (e.g., odds ratio = 1.28, 95% CI = 1.12–1.46 for parental/other adult's substance misuse and MDD). Although the relationship between total number of ACEs and MSUDs was cumulative for both men and women, the associations of physical abuse, sexual abuse, emotional neglect, and parental separation/divorce with MSUDs were stronger among men.Conclusions:This study underscores the significant yet modest association between ACEs and lifetime MSUDs in late life. More research is needed to investigate why ACEs seem to have greater effects on older men and to discern the sources of gender differences in ACEs’ effects.

scholarly journals Prevalence and clinical implication of adverse childhood experiences and their association with substance use disorder among patients with schizophrenia

2022 ◽  
Vol 58 (1) ◽  
Author(s):  
Amira Mohamed Yousef ◽  
Amany Elshabrawy Mohamed ◽  
Seham Mahmoud Eldeeb ◽  
Rehab S. Mahdy
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Substance Use Disorder ◽  
Drug Screening ◽  
Adverse Childhood Experiences ◽  
World Health ◽  
Drug Screen ◽  
Urine Drug Screen ◽  
Childhood Experiences ◽  
Adverse Childhood

Abstract Background Adverse childhood experiences (ACEs) and substance use disorder (SUD) are well-known risk factors for psychosis and dramatically affect schizophrenia. In this research, we aimed to measure the prevalence of adverse childhood experiences and substance use disorder in patients with schizophrenia and assess the effect of ACEs on the clinical presentation and overall functioning and the association between them and SUD in patients with schizophrenia. A cross-sectional study included a random sample of 165 schizophrenic patients who were examined by doing drug screen in urine, structured questionnaire to collect Socioeconomic characteristics, history of schizophrenia, structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders-fifth edition, Positive and Negative Syndrome Scale (PANSS), Adverse Childhood Experiences International Questionnaire (ACE-IQ), World Health Organization Disability Assessment Schedule 2.0, compliance rating scale, addiction severity index fifth edition (ASI) for individuals with positive urine drug screen. Results Only 14.4% of the studied patients had no adverse childhood experiences. The prevalence of positive substance abuse screening was 18.2%. There were statistically significant negative correlations between total ACE score and educational level, socioeconomic level, and the onset of schizophrenia. On the other hand, statistically significant positive correlations were found between the total ACE score and PANSS score and ASI score. The first most frequent ACE was significantly associated with female gender, lower education levels, low and middle socioeconomic classes, lifetime substance use, smokers, and positive drug screening. Emotional neglect and contact sexual abuse were significantly associated with positive drug screening. At the same time, Physical abuse was significantly associated with both lifetime substance use and positive drug screening. Conclusion The current study’s findings indicate that childhood adverse experiences and substance abuse are prevalent problems in patients with schizophrenia. Given that there is an association between both issues, they may affect the symptomatology of the disorder, the prognosis, and the therapeutic plan. It is advised that a greater emphasis on and identification of childhood trauma and drug use disorder may be a necessary step in assessing patients with schizophrenia.

scholarly journals Relationship between Adverse Childhood Experiences and substance use in youth offenders in Singapore

2021 ◽  
Vol 117 ◽  
pp. 105072
Author(s):  
Adam Oei ◽  
Chi Meng Chu ◽  
Dongdong Li ◽  
Nyx Ng ◽  
Carl Yeo ◽  
...  
Keyword(s):  
Substance Use ◽  
Adverse Childhood Experiences ◽  
Youth Offenders ◽  
Childhood Experiences ◽  
Adverse Childhood

Adverse Childhood Experiences and the Substance Use Behaviors of Latinx Youth

2021 ◽  
pp. 108936
Author(s):  
Carolina Villamil Grest ◽  
Julie A. Cederbaum ◽  
Jungeun Olivia Lee ◽  
Jennifer B. Unger
Keyword(s):  
Substance Use ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Latinx Youth

Peer and Community Influences on Adolescent Substance Use in the Context of Adverse Childhood Experiences

2021 ◽  
pp. 073112142110187
Author(s):  
Haley Stritzel
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Adverse Childhood Experiences ◽  
Illicit Drug ◽  
Illicit Drug Use ◽  
Peer Influences ◽  
Childhood Experiences ◽  
Community Influences ◽  
Adverse Childhood ◽  
Peer Substance Use

Both adverse childhood experiences (ACEs) and peer influences consistently predict early tobacco, alcohol, and illicit drug use. However, less research considers how peer and community influences contribute to or modify the association between ACEs and early substance use. This study addresses these gaps in the literature by analyzing multilevel, longitudinal data from the Project on Human Development in Chicago Neighborhoods (PHDCN; N = 1,912). Unstructured socializing and peer substance use largely explained the association between ACEs and drinking, smoking cigarettes, and illicit drug use in the past month. A history of ACEs magnified the association between peer substance use and the number of cigarettes smoked. Collective efficacy also shaped the associations between peer influences, ACEs, and substance use, but in different ways depending on the substance use outcome analyzed.

Sign in / Sign up

Export Citation Format

Share Document