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Interpersonal Trauma Exposure, Trauma Symptoms, and Severity of Substance Use Disorder among Youth Entering Outpatient Substance Abuse Treatment

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Abstract

A substantial body of literature has found associations between interpersonal victimization, trauma symptoms, and substance use disorders (SUD) among adolescents. Secondary data analysis was conducted on structured interview data collected by treatment providers as 172 adolescents (ages 12–19) entered outpatient substance abuse treatment. Results indicate high prevalence rates of interpersonal trauma exposure: 71.5% self-reported trauma exposure, specifically direct physical abuse or assault, sexual abuse or assault, and/or witnessing intimate partner violence of a parent. Severity of SUD, as measured by number of DSM-5 criteria endorsed, was not only associated with the number of types of criterion A events for Posttraumatic Stress Disorder but also more self-reported internalizing problems. There was no significant relationship between the severity of SUD and the severity of trauma symptoms at treatment intake, gender, or attention problems. Ongoing assessment of possible trauma symptoms is recommended throughout substance abuse treatment with youth who have reported trauma exposure, as well as continued screening of trauma exposure.

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Acknowledgments

This research was supported in part by the Kentucky Department of Behavioral Health, Developmental and Intellectual Disabilities, Division of Behavioral Health under a contract with the University of Kentucky Center on Drug and Alcohol Research.

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  1. Center on Drug and Alcohol Research, Department of Behavioral Science, University of Kentucky, 333 Waller Avenue, Suite 480, Lexington, KY, 40504, USA

    Jennifer Cole

  2. Department of Psychiatry, Center on Trauma and Children, University of Kentucky, Lexington, KY, USA

    Ginny Sprang

  3. Center on Trauma and Children, University of Kentucky, Lexington, KY, USA

    Miriam Silman

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Correspondence to Jennifer Cole.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation [institutional and national] and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.”

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Cole, J., Sprang, G. & Silman, M. Interpersonal Trauma Exposure, Trauma Symptoms, and Severity of Substance Use Disorder among Youth Entering Outpatient Substance Abuse Treatment. Journ Child Adol Trauma 12, 341–349 (2019). https://doi.org/10.1007/s40653-018-0239-3

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