TY - JOUR
T1 - A history of sexual, emotional, or physical abuse predicts adjustment during opioid maintenance treatment
AU - Branstetter, Steven A.
AU - Bower, Emily H.
AU - Kamien, Jonathan
AU - Amass, Leslie
N1 - Funding Information:
This study was funded by National Institute on Drug Abuse through Grant No. R01 DA11160, which was awarded to the University of Colorado Health Sciences Center (Principal Investigator: Leslie Amass).
PY - 2008/3
Y1 - 2008/3
N2 - This study examined how having a history of sexual, physical, or emotional abuse is related to overall functioning as assessed by the Addiction Severity Index during short-term opioid maintenance treatment with either buprenorphine/naloxone or methadone. Furthermore, the relation between abuse history and overall functioning by sex was explored. Participants (N = 268) were opioid-dependent adults entering an outpatient randomized clinical trial with buprenorphine/naloxone and methadone. Latent growth modeling indicated that females with an abuse history entered treatment with more problems in the psychiatric and family domains as compared with females without an abuse history. Over the course of treatment, a history of abuse predicted problems in the psychiatric and alcohol domains. Furthermore, a history of abuse predicted slower recovery times and less recovery overall for females in some domains. Males with an abuse history entered treatment with more severe psychiatric and family problems as compared with males with no history of abuse. Victims of abuse may present to substance abuse treatment with weaknesses in the areas of family relations, psychiatric status, and alcohol use. The nature of these problems and their trajectory over time differed by sex.
AB - This study examined how having a history of sexual, physical, or emotional abuse is related to overall functioning as assessed by the Addiction Severity Index during short-term opioid maintenance treatment with either buprenorphine/naloxone or methadone. Furthermore, the relation between abuse history and overall functioning by sex was explored. Participants (N = 268) were opioid-dependent adults entering an outpatient randomized clinical trial with buprenorphine/naloxone and methadone. Latent growth modeling indicated that females with an abuse history entered treatment with more problems in the psychiatric and family domains as compared with females without an abuse history. Over the course of treatment, a history of abuse predicted problems in the psychiatric and alcohol domains. Furthermore, a history of abuse predicted slower recovery times and less recovery overall for females in some domains. Males with an abuse history entered treatment with more severe psychiatric and family problems as compared with males with no history of abuse. Victims of abuse may present to substance abuse treatment with weaknesses in the areas of family relations, psychiatric status, and alcohol use. The nature of these problems and their trajectory over time differed by sex.
UR - http://www.scopus.com/inward/record.url?scp=38749152415&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=38749152415&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2007.03.009
DO - 10.1016/j.jsat.2007.03.009
M3 - Article
C2 - 17596905
AN - SCOPUS:38749152415
SN - 0740-5472
VL - 34
SP - 208
EP - 214
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 2
ER -