阿片类药物使用障碍患者的暴力暴露和治疗后物质使用

IF 0.8 Q4 Medicine JOURNAL OF DRUG EDUCATION Pub Date : 2020-03-01 Epub Date: 2019-12-18 DOI:10.1177/0047237919894959
Bethany L Van Brown, Albert Kopak, Norman Hoffmann
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引用次数: 2

摘要

接触暴力会导致物质使用障碍(SUD)发展的可能性急剧增加。鉴于两者之间的重叠,暴力幸存者的物质使用可能是一种应对机制,可以控制滥用的创伤性影响,持续使用可能演变成可诊断的SUD。本研究旨在调查有暴力暴露史并寻求阿片类药物使用障碍治疗的成年人治疗后物质使用情况。本研究的数据来自综合成瘾治疗结果研究系统。在纳入研究的13105名患者中,444名(3.4%)接受了阿片类药物使用障碍的正式诊断。女性暴力受害者遭受与暴力有关的伤害的风险更大,导致医疗保健的使用率增加,这可能促使开始和长期使用处方止痛药。与这一重要发现相关的另一项发现表明,过去多次接触暴力与更严重的药物使用指标有关。这些数据表明,在寻求治疗的患者中,暴露于暴力、sud和复发之间存在关系。不仅患者和治疗提供者必须将这些过去的暴力经历视为康复中的重要心理因素,而且在阿片类药物使用障碍的背景下,导致慢性疼痛的身体伤害也可能引发持续的物质使用。
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Exposure to Violence and Posttreatment Substance Use Among Patients With Opioid Use Disorder.

Exposure to violence can lead to a dramatic increase in the likelihood of the development of a substance use disorder (SUD). Given the overlap between the two, substance use for survivors of violence, then, can be a coping mechanism to manage the traumatic effects of abuse and persistent use can evolve into a diagnosable SUD. This study was designed to examine the posttreatment substance use among adults who have a history of exposure to violence and sought treatment for opioid use disorder. Data for this study were drawn from the Comprehensive Addiction Treatment Outcome Research system. Among the 13,105 patients included in the study, 444 (3.4%) received a formal diagnosis for opioid use disorder. Female victims of violence are at a greater risk of suffering injuries related to violence, resulting in increased levels of medical care utilization, which may prompt the initiation and prolonged use of prescription pain relief medication. Related to this important finding is another indicating that exposure to violence at multiple points in the past was associated with more severe indicators of substance use. These data show that there is a relationship between exposure to violence, SUDs, and relapse among patients seeking treatment. Not only must patients and treatment providers address these past violent experiences as important psychological factors in recovery, but in the context of opioid use disorder, physical injuries contributing to chronic pain may also trigger persistent substance use.

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来源期刊
JOURNAL OF DRUG EDUCATION
JOURNAL OF DRUG EDUCATION EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
1.00
自引率
0.00%
发文量
5
期刊介绍: Authoritative, peer-refereed publication affording a wide-ranging coverage of important trends and developments in the drug field. Whatever your area of special interest, the Journal of Drug Education brings timely, helpful information, insights and methodologies that can be adapted to various situations. Look to this Quarterly for critical analyses, innovative approaches, scholarly standards, and clear, concise reports on theoretical, research and programmatic issues.
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