Descriptive adverse childhood experience (ACE) prevalence data on parenting women seeking treatment for opioid use disorder (OUD) is limited, despite this group being one of the fastest growing sub-populations of the opioid epidemic. The aim of this study was to: (1) determine prevalence of ACEs) in a population of parenting women in treatment for OUD, (2) characterize ACEs, and (3) compare study ACE data to Pennsylvania Behavioral Risk Factor Surveillance System (PA BRFSS) to normalize study results. Between 2014 and 2018, ACEs were collected from parenting women (N = 152) enrolled in treatment for OUDs. Results showed on average women were 30.3 years of age (SD 4.6, range 22–41 years) non-Hispanic (87.0%), white (74.0%), and held a high school education or less (76.0%). The mean total ACE score was 4.3 (SD 2.3; range 0–8). Most women reported 4 ≥ ACEs (65.0%), while only 5.0% reported 0 ACEs. The current sample had higher mean ACE score (4.3 PSMDT vs. 1.4 PA BRFSS Data) than PA BRFSS Data. The burden of ACEs in parenting women in treatment for OUD is significant. Understanding the trauma parenting women in drug treatment have experienced, may support efforts to reduce stigma of this population. Public health intervention and policy work that is trauma proactive is needed to address this growing epidemic.
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Anda, R. F., Felitti, V. J., Bremner, J. D., Wasker, J. D., Whitfield, C., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood. European Archives of Psychiatry Clinical Neuroscience, 256(3), 147–186.
Bartholomew, N. G., Courtney, K., Rowan-Szal, G. A., & Simpson, D. D. (2005). Sexual abuse history and treatment outcomes among women undergoing methadone treatment. Journal of Substance Abuse Treatment, 29(3), 231–235.
Berlin, L. J., Appleyard, K., & Dodge, K. A. (2011). Intergenerational continuity in child maltreatment; Mediating mechanisms and implications for prevention. Child Development, 82, 162–176.
Center for Behavioral Health Statistics and Quality. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health (HHS Publication No. SMA 16-4984, NSDUH Series H-51). Retrieved from https://www.samhsa.gov/data/
Centers for Disease Control and Prevention. Female Health History Questionnaire. Retrieved September 13, 2016, from https://www.cdc.gov/violenceprevention/acestudy/pdf/fhhflorna.pdf.
Charney, D. A., Palacios Boix, J., & Gill, K. J. (2007). Sexual abuse and the outcome of addiction treatment. The American Journal on Addictions, 16(2), 93–100.
Chung, E. K., Gubernik, R. S., Lanoue, M. D., & Abatemarco, D. J. (2018). Child abuse and neglect risk assessment: Quality improvement in primary care setting. Academic Pediatrics, 19(2), 227–235.
Dube, S. R., Felliti, V. J., Dong, M., Giles, W. H., & Anda, R. F. (2003). The impact of adverse childhood experiences on health problems: Evidence from four birth cohorts dating back to 1900. Preventive Medicine, 37(3), 268–277.
Felliti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American Journal of Preventive Medicine, 14(4), 245–258.
Gannon, M., Mackenzie, M., Kaltenbach, K., & Abatemarco, D. (2017). Impact of mindfulness based parenting on women in treatment for opioid use disorder. Journal of Addiction Medicine, 11, 368–376.
Gannon, M., Mackenzie, M., Short, V., Hand, D., & Abatemarco, D. (2018). Application of a RE-AIM evaluation framework. Maternal and Child Health Journal, 23(3), 298–306.
Gibb, B. E. (2002). Childhood maltreatment and negative cognitive styles: A quantitative and qualitative review. Clinical Psychology Review, 22, 223–246.
Goodman, D. J., Miliken, C. U., Theiler, R. N., Norstrom, B. R., & Akerman, S. C. (2015). A multidisciplinary approach to the treatment of co-occuring opioid use disorder and posttraumatic stress disorder in pregnancy: A case report. Journal of Dual Diagnosis, 11, 248–257.
Heffernan, K., Cloitre, M., Tardiff, K., Marzuk, P. M., Portera, L., & Leon, A. C. (2000). Childhood trauma as a correlate of lifetime opiate use in psychiatric patients. Addictive Behaviors, 25(5), 797–803.
Lange, B. C., Callinan, L. S., & Smith, M. V. (2019). Adverse childhood experiences and their relation to parenting stress and parenting practices. Community Mental Health Journal, 55(4), 651–662.
LaNoue, M. D., Helitzer, D. A., Graeber, D. A., & Fawcett, J. (2012). Negative affect predicts adults’ ratings of the current, but not childhood, impact of adverse childhood events. Community Mental Health Journal, 49(5), 560–566.
Lawson, K. M., Back, S. E., Hartwell, K. J., Moran-Santa, M. M., & Brady, K. T. (2013). A comparison of trauma profiles among individuals with prescription opioid, nicotine, or cocaine dependence. American Journal of Addiction, 22(2), 127–131.
Le-Scherban, F., Wang, X., Boyle-Steed, K., & Pachter, L. (2018). Intergenerational associations of parent adverse childhood experiences and child health outcomes. Pediatrics, 141(6), e20172119.
Liebschutz, J., Savetsy, J. B., Saitz, R., Horton, N. J., Lloyd-Travaglini, C., & Samet, J. H. (2002). The relationship between sexual and physical abuse and substance abuse consequences. Journal of Substance Abuse Treatment, 22(3), 121–128.
Martin, C. E., Longintaker, N., & Terplan, M. (2015). Recent trends in treatment admissions for prescription opioid abuse during pregnancy. Journal of Substance Abuse Treatment, 48(1), 37–42.
McDonnell, C. G., & Valentineo, K. (2016). Integenerational effects of childhood trauma: Evaluating pathways among maternal ACEs, perinatal depressive symptoms, and infant outcomes. Child Maltreatment, 21(4), 317–326.
McHugo, G. J., Caspi, Y., Kammerer, N., Mazelis, R., Jackson, E. W., Russel, C. C., et al. (2005). The assessment of trauma history in women with co-occurring substance abuse and mental disorders and a history of interpersonal violence. Journal of Behavioral Health Services Research, 32(2), 113–127.
Murphy, A., Steele, M., Dube, S. R., Bate, J., Bonuck, K., Meissner, P., et al. (2014). Adverse childhood experiences (ACEs) questionnaire and adult attachment interview (AAI): Implications for parent child relationships. Child Abuse and Neglect, 38, 224–233.
Patrick, M. M., Davis, C. U., & Lehman, C. W. O. (2015). Increasing incidence and geogologic distribution of neonatal abstinence syndrome: United States 2009–2012. Journal of Perinatology, 35(8), 667.
Rosen, C. S., Ouinette, P. C., Sheikh, J. I., Gregg, J. A., & Moos, R. H. (2002). Physical and sexual abuse history and addiction treatment outcomes. Journal of Studies on Alcohol, 63(6), 683–687.
Sacks, J. Y., McKendrick, K., & Banks, S. (2008). The impact of early trauma and abuse on medically monitored residential substance abuse treatment outcomes for women. Journal of Substance Abuse Treatment, 34(1), 90–100.
Schafer, I., Gromus, L., Atabaki, A., Pawils, S., & Verthein, U. (2014). Are experiences of sexual violence related to special needs in patients with substance use disorders? A study in opioid dependent patients. Addiction Behavior, 39(12), 1691–1694.
Short, V., Gannon, M., Weingarten, W., LaNoue, M., Kaltenbach, K., & Abatemarco, D. (2017). Reducing stress among mothers in drug treatment: A description of a mindfulness based parenting intervention. Maternal and Child Health Journal, 21, 1377–1386.
Short, V. L., Hand, D. J., MacAfee, L., Abatemarco, D., & Terplan, M. (2018). Trends and disparities in receipt of pharmacotherapy among pregnant women in publically funded treatment programs for opioid use disorder in the United States. Journal of Substance Abuse Treatment, 89, 67–74.
Sun, J., Patel, F. P., Rose-Jacobs, R., Frank, D., Black, M., & Chilton, M. (2017). Mothers’ adverse childhood experiences and their young childrens development. American Journal of Preventive Medicine, 53(6), 882–891.
Torchalla, I., Linden, I. A., Strehlau, V., Neilson, E. K., & Krausz, M. (2015). Like a lots happened with my whole childhood: violence, trauma, and addiction in pregnant and postpartum women from Vancouver’s Downtown Eastside. Harm Reduction Journal. https://doi.org/10.1186/1477-7517-12-1.
Wall-Wieler, E., Brownell, M., Singal, D., Nickel, N., & Roos, L. (2018). The cycle of child protection services involvement: A cohort study of adolescent mothers. Pediatrics, 141(6), e20173119.
Westemayer, J., Wahmanholm, K., & Thuras, P. (2001). Effects of childhood physical abuse on course and severity of substance abuse. The American Journal on Addictions, 10(2), 101–110.
This work was supported by the Children’s Bureau, which is located within the Administration for Children and Families, a division of the US Department of Health and Human Services (Grant No. 90CB0190).
Conflict of interest
There are no potential conflicts of interest with any of the authors of this study. This research does involve human subject research and as such as approved by Thomas Jefferson University Institutional Review Board and the City of Philadelphia Institutional Review Board. All subjects included in the study provided informed consent, and considerable measures were taken to ensure subjects understood the study using the talk back method.
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Gannon, M., Short, V., LaNoue, M. et al. Prevalence of Adverse Childhood Experiences of Parenting Women in Drug Treatment for Opioid Use Disorder. Community Ment Health J 57, 872–879 (2021). https://doi.org/10.1007/s10597-020-00661-0