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The Impact of Childhood Maltreatment on Age of Onset of Alcohol Use Disorder in Women
Örebro University, School of Medical Sciences. University Health Care Research Center.
Örebro University, School of Medical Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0002-5030-6353
Department of Psychology, University of Gothenburg, Göteborg, Sweden.
Örebro University, School of Medical Sciences. University Health Care Research Center.ORCID iD: 0000-0002-3227-2487
2018 (English)In: European Addiction Research, ISSN 1022-6877, E-ISSN 1421-9891, Vol. 24, no 6, p. 278-285Article in journal (Refereed) Published
Abstract [en]

It is unclear whether exposure to childhood maltreatment is associated with the age of onset of alcohol use disorder (AUD). A group of socially stable women with AUD seeking treatment (n = 75) were interviewed using the Addiction Severity Index and the Mini International Neuropsychiatric Interview. They also filled out the Childhood Trauma Questionnaire-short form. Emotional abuse, sexual abuse and multiple childhood traumas were found to be associated with earlier onset of AUD. Multivariable linear regression analysis showed that independent predictors for an earlier onset of AUD were exposure to emotional abuse (beta = -7.44, SE = 2.83, adjusted p = 0.010) and mother's alcohol/substance problems (beta = -7.87, SE = 3.45, adjusted p = 0.026). These variables explained 18.9% of the variance of age of onset of AUD. These findings highlight a need for increased clinical attention to AUD subgroups who have experienced childhood maltreatment, especially emotional abuse, as well as a need for including support in the patient's own parental role in the treatment.

Place, publisher, year, edition, pages
S. Karger, 2018. Vol. 24, no 6, p. 278-285
Keywords [en]
Age of onset, Alcohol use disorder, Childhood maltreatment, Mother’s alcohol/substance problems
National Category
Psychiatry
Research subject
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-72004DOI: 10.1159/000494766ISI: 000456650200002PubMedID: 30448841Scopus ID: 2-s2.0-85057010272OAI: oai:DiVA.org:oru-72004DiVA, id: diva2:1284631
Note

Funding Agency:

University Health Care Research Center, Region Örebro County, Sweden

Available from: 2019-02-01 Created: 2019-02-01 Last updated: 2021-11-22Bibliographically approved
In thesis
1. Alcohol use disorder in socially stable women receiving outpatient treatment: Individual characteristics of importance for onset age and treatment outcome
Open this publication in new window or tab >>Alcohol use disorder in socially stable women receiving outpatient treatment: Individual characteristics of importance for onset age and treatment outcome
2020 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Socially stable women with alcohol use disorder (AUD) are seldom studied separately and are often marginalized in treatment of substance abuse. The overall aim of this thesis was to examine variables of importance in relation to age at onset of AUD and treatment outcome.

Study I, which included 338 men and women being treated for AUD, showed that women had a significantly later onset and shorter duration in excessive alcohol use as well as less weekly pure alcohol intake than men. Participants with earlier onset of excessive alcohol use reported significantly more psychiatric symptoms and more immature personality traits than those with later onset. 

Study II-IV included 75 women with AUD receiving outpatient treatment. Of the participants, 68% reported a history of childhood maltreatment. Emotional abuse and their mother’s alcohol and/or substance problems were independent predictors of earlier age at onset of AUD. In Study III treatment outcome was measured as a change in alcohol consumption. A more positive change, especially with regard to abstinence, was found in women who did not report childhood abuse. Study IV showed that, at 12month follow up, most of the participants had reached their end-oftreatment goal either abstinence or low-risk drinking. However, those with a goal of abstinence at the end of treatment showed significantly less risk drinking than those with low-risk drinking as a goal. The most important predictor of abstinence at the 12-month follow up was having abstinence as an end –of –treatment goal. 

These results indicate the importance of identifying and addressing childhood trauma in treating socially stable women with AUD. Focusing on motivational changes during treatment may also be of importance, especially in patients with relapses, as abstinence still is the most stable treatment option.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2020. p. 84
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 223
Keywords
AUD, women, childhood maltreatment, onset age, treatment outcome, goal of treatment
National Category
General Practice
Identifiers
urn:nbn:se:oru:diva-85257 (URN)978-91-7529-355-4 (ISBN)
Public defence
2020-11-12, Örebro universitet, Campus USÖ, hörsal C1, Södra Grev Rosengatan 32, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2020-08-31 Created: 2020-08-31 Last updated: 2020-10-22Bibliographically approved

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Schückher, FidesSellin, TabitaEngström, Ingemar

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