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History of childhood abuse is associated with less positive treatment outcomes in socially stable women with alcohol use disorder
Örebro universitet, Institutionen för medicinska vetenskaper. University Health Care Research Center.
Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. University Health Care Research Center.ORCID-id: 0000-0002-5030-6353
Örebro universitet, Institutionen för medicinska vetenskaper. University Health Care Research Center.ORCID-id: 0000-0002-3227-2487
Department of Psychology,University of Gothenburg, Göteborg, Sweden.
2019 (Engelska)Ingår i: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 19, nr 1, artikel-id 159Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: To examine the relationship between treatment outcome, as measured according to change in alcohol consumption, and a history of childhood abuse (emotional, physical, sexual) in socially stable women undergoing treatment for alcohol use disorder (AUD).

Methods: Participants were assessed using the Addiction Severity Index and the Mini International Neuropsychiatric Interview at the beginning of treatment (n = 75), end of treatment (n = 59) and 12 month follow-up after treatment (n = 57). Self-report data on alcohol consumption were obtained at all three time-points using the Alcohol Habits Inventory-Revised 2. Self-report data on childhood maltreatment were obtained at the beginning of treatment using the Childhood Trauma Questionnaire-short form. Study outcomes were changes in alcohol consumption (grams of pure alcohol per week), risk-drinking and reported abstinence.

Results: Of the 75 women enrolled, 38 (50.7%) reported a history of childhood abuse and the rest did not. Both groups showed a significant improvement in all three outcomes at the end of treatment and at 12-month follow-up. At the end of treatment, a significant inter-group difference was found for reported abstinence (non-abused group, 39.3% vs abused, 12.9%; p < 0.05). At 12-month follow-up, significant inter-group differences were observed for all treatment outcomes, with superior outcomes being found for the non-abused group, including a higher proportion of women with reported abstinence (55.6% vs 13.3%; p < 0.01).

Conclusion: The present findings suggest that an evaluation of a possible history of childhood abuse is warranted in all women seeking treatment for AUD, irrespective of social stability. In terms of clinical practice, the results suggest that additional interventions may be warranted in this population.

Ort, förlag, år, upplaga, sidor
BMC , 2019. Vol. 19, nr 1, artikel-id 159
Nyckelord [en]
Adult women, Alcohol use disorder, Childhood abuse, Treatment outcome
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:oru:diva-79099DOI: 10.1186/s12905-019-0857-4ISI: 000502718200002PubMedID: 31830964Scopus ID: 2-s2.0-85076488310OAI: oai:DiVA.org:oru-79099DiVA, id: diva2:1385717
Anmärkning

Funding Agency:

University Health Care Research Center, Region Örebro County, Sweden

Tillgänglig från: 2020-01-15 Skapad: 2020-01-15 Senast uppdaterad: 2020-01-15Bibliografiskt granskad

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Schückher, FidesSellin Jönsson, TabitaEngström, Ingemar

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Schückher, FidesSellin Jönsson, TabitaEngström, Ingemar
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Institutionen för medicinska vetenskaperRegion Örebro län
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BMC Women's Health
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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