Extending poly-victimization theory: Differential effects of adolescents' experiences of victimization on substance use disorder diagnoses upon treatment entry.

Abstract Background Although victimization is a known contributor to the development of substance use disorders, no research has simultaneously examined how characteristics of victimization experienced over time, such as the type of abuse, the presence of poly-victimization, closeness to perpetrator...

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Publicado en:Child Abuse & Neglect Vol. 89; pp. 165 - 178
Autores principales: Davis, Jordan P., Dworkin, Emily R., Helton, Jesse, Prindle, John, Patel, Sadiq, Dumas, Tara M., Miller, Sara
Formato: Artículo
Publicado: Elsevier B.V. Mar2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2019
      vid: 89
      pid: 2410
      pub: Elsevier B.V.
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        134550066
        10.1016/j.chiabu.2019.01.009
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        atl: Extending poly-victimization theory: Differential effects of adolescents' experiences of victimization on substance use disorder diagnoses upon treatment entry.
      aug:
        au:
          Davis, Jordan P.
          Dworkin, Emily R.
          Helton, Jesse
          Prindle, John
          Patel, Sadiq
          Dumas, Tara M.
          Miller, Sara
        affil:
          University of Southern California, United States
          University of Washington, United States
          St. Louis University, United States
          Universtiy of Chicago, United States
          Huron University College at Western University, Canada
      su:
        Substance-induced disorders
        Psychological abuse
        Physical abuse
        Sex crimes
        Dual diagnosis
      sug:
        subj:
          Substance-induced disorders
          Psychological abuse
          Physical abuse
          Sex crimes
          Dual diagnosis
      keyword:
        Addiction treatment
        Adolescence
        Childhood trauma
        PTSD
        Substance use
        Addiction treatment
        Adolescence
        Childhood trauma
        PTSD
        Substance use
      ab: Abstract Background Although victimization is a known contributor to the development of substance use disorders, no research has simultaneously examined how characteristics of victimization experienced over time, such as the type of abuse, the presence of poly-victimization, closeness to perpetrator(s), life threat or fear, and negative social reactions to disclosing victimization, cluster into profiles that predict substance use disorders. Objective The aim of the current study is to assess how profiles of victimization and trauma characteristics are associated with substance use disorders and assess potential gender differences. Participants and Setting Participants were 20,092 adolescents entering substance use treatment. Methods We used latent class and multi-group latent class analysis to extract classes of victimization and associated characteristics. Emergent classes were used to predicted substance use disorder status at treatment intake. Results Five classes were extracted: poly-victimization + high harmful trauma characteristics , sexual abuse + negative social reaction and perceived life threat , emotional abuse + trusted perpetrator , physical abuse and low all. Similar classes were found for the multi-group model. In both the overall and female-specific models, the poly-victimization + high harmful trauma characteristics class was more severe than all other classes in terms of opioid use disorder, tobacco use disorder, and dual diagnosis. Other class differences were found across gender. Conclusions Adolescents entering treatment can be distinguished by their profiles of victimization experiences and associated characteristics, and these profiles evidence different associations with substance use disorder diagnoses. Results point to a need for more nuanced assessment of victimization experiences and gender-specific interventions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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