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Sexual abuse in childhood and subsequent illicit drug abuse in adolescence and early adulthood

Published online by Cambridge University Press:  13 June 2014

Roy Browne ,
Shay Keating  and
John J O'Connor
Shay Keating
Affiliation:
National Drug Treatment Centre Board
John J O'Connor
Affiliation:
National Drug Treatment Centre Board, Trinity Court, 30/31 Pearse St, Dublin 2, Ireland.
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Abstract

Objectives: This study examines the frequency of childhood sexual abuse and physical abuse in a cohort of opiate addicted patients and looks at clinical correlates in those abused.

Method: Fifty-two consecutive patients attending an out patient drug treatment programme were interviewed using a semi-structured technique. Demographic details, details of schooling, marital status and number of children were recorded. The duration of drug abuse, age of onset of opiate abuse, early life experiences of both child sex abuse and childhood violence and a family history of alcohol abuse were also investigated.

Results: 21.2% of patients gave a history of sex abuse, with 23.1% of patients having a history of exposure to violence as a child. Those exposed to sex abuse had an earlier age of onset of opiate injection. A correlation between parental alcohol abuse and sex abuse and violence was noted.

Conclusions: A history of child sex abuse was associated with earlier onset of opiate abuse in this group of patients. The relatively frequent incidence of abuse and violence in those with opiate abuse must be born in mind when providing treatment. The addressing of issues relating only to addiction leaves earlier traumas continuing to exert an influence on the patient.

Keywords

Child sex abuseSubstance misuseOpiate abuseIntravenous drug abuse
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 15 , Issue 4 , December 1998 , pp. 123 - 126
Copyright
Copyright © Cambridge University Press 1998

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References

1.Hartnoll, RL. Opiates: prevalence and demographic factors. Addiction 1994; 89(11): 1377–83.CrossRefGoogle ScholarPubMed
2.Pompidou group. Drug misuse trends in 13 European cities. Strasbourg: Council of Europr, 1993.Google Scholar
3.Kandel, DB, Andrews, K. Processes of adolescent socialisation by parents and peers. Int J Addict 1987; 22(4): 319–42.CrossRefGoogle ScholarPubMed
4.Graham, JW, Marks, G, Hansen, WB. Social influence processes affecting adolescent substance use. J Appl Psychol 1991; 76(2): 291–8.CrossRefGoogle ScholarPubMed
5.Webster, RA, Hunter, M, Keats, JA. Personality and sociodemographic influences in adolescents' substance abuse: a path analysis. Int J Addict 1994; 29(7): 941–56.;CrossRefGoogle ScholarPubMed
6.Bauman, KE, Ennett, ST. On the importance of peer influence for adolescent drug use: commonly neglected considerations. Addiction 1996; 91(2): 185–98.CrossRefGoogle ScholarPubMed
7.Johnson, TP, Aschkenasy, JR, Herbers, MR, Gillenwater, SA. Self-reported risk factors for AIDS among homeless youth. AIDS Educ Prev 1996; 8(4): 308–22.Google ScholarPubMed
8.Windle, M. Substance use, risky behaviours, and victimisation among a US national adolescent sample. Addiction 1994; 89(2): 175–82.CrossRefGoogle Scholar
9.Sheridan, MJ. A proposed intergenerational model of substance abuse, family functioning, and abuse/neglect. Child Abuse Negl 1995; 19(5): 519–30.CrossRefGoogle ScholarPubMed
10.Mullen, PE, Martin, JL, Anderson, JC, Romans, SE, Herbison, GP. Childhood sexual abuse and mental health in adult life [see comments]. Br J Psychiatry 1993; 163: 721–32.CrossRefGoogle ScholarPubMed
11.Chandy, JM, Blum, RW, Resnick, MD. Gender-specific outcomes for sexually abused adolescents. Child Abuse Negl 1996; 20(12): 1219–31.CrossRefGoogle ScholarPubMed
12.el-Bassel, N, Ivanoff, A, Schilling, RF, Gilbert, L, Chen, DR. Correlates of problem drinking among drug-using incarcerated women. Addict Behav 1995; 20(3): 359–69.CrossRefGoogle ScholarPubMed
13.Johnsen, LW, Harlow, LL. Childhood sexual abuse linked with adult substance use, victimisation, and AIDS-risk. AIDS Educ Prev 1996; 8(1): 44–57.Google Scholar
14.Dunn, GE, Ryan, JJ, Dunn, CE. Trauma symptoms in substance abusers with and without histories of childhood abuse. J Psychoactive Drugs 1994; 26(4): 357–60.CrossRefGoogle ScholarPubMed
15.Lisak, D. The psychological impact of sexual abuse: content analysis of interviews with male survivors. J Trauma Stress 1994; 7(4): 525–48.CrossRefGoogle ScholarPubMed
16.Roesler, TA, Dafler, CE. Chemical dissociation in adults sexually victimised as children: alcohol and drug use in adult survivors. J Subst Abuse Treat 1993; 10(6): 537–43.CrossRefGoogle Scholar
17.Stevens-Simon, C, McAnarney, ER. Childhood victimisation: relationship to adolescent pregnancy outcome. Child Abuse Negl 1994; 18(7): 569–75.CrossRefGoogle Scholar
18.Zweben, JE, Clark, HW, Smith, DE. Traumatic experiences and substance abuse: mapping the territory. J Psychoactive Drugs 1994; 26(4): 327–44.CrossRefGoogle ScholarPubMed
19.Suss, AL, Tinkelman, BK, Freeman, K, Friedman, SB. School attendance, healthrisk behaviours, and self-esteem in adolescents applying for working papers. Bull NY Acad Med 1996; 73(2): 255–66.Google ScholarPubMed