Relationship between childhood abuse and substance misuse problems is mediated by substance use coping motives, in school attending South African adolescents.
Alcohol dependence
Childhood abuse
Drug use problems
Mediation analysis
Substance use coping motives
Journal
Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587
Informations de publication
Date de publication:
01 01 2019
01 01 2019
Historique:
received:
18
07
2018
revised:
17
10
2018
accepted:
17
10
2018
pubmed:
10
11
2018
medline:
17
4
2019
entrez:
10
11
2018
Statut:
ppublish
Résumé
In adults, it has been shown that the relationship between childhood abuse and substance misuse problems is mediated by the belief that substance use helps cope with negative affective states. By contrast, in adolescents, it is unknown whether drug use coping motives play this same mediating role. Secondary analysis of 1149 school attending adolescents in Cape Town, South Africa (average age = 16.24 years, range = 13-23; 60% female). Questionnaire measures obtained during a single test session (among a larger battery) assessed childhood trauma (CTQ), alcohol (AUDIT) and drug problems (DUDIT), and coping orientation (A-COPE) which contained three items assessing drug use to cope with negative affect. The three types of childhood abuse measured by the CTQ - emotional, physical and sexual - were positively associated with greater alcohol/drug problems, and drug use coping motives. Drug use coping motives mediated the relationships between childhood abuse types and alcohol/drug problems, and these mediational pathways remained significant when gender and other subscales of the A-COPE were included as covariates. These data are preliminary insofar as drug use coping motives were assessed with a non-validated subscale of the A-COPE. Nevertheless, drug use to cope with negative affect mediated the relationship between all three types of childhood abuse (emotional, physical, sexual) and alcohol/drug problems in school attending adolescents. The implication is that drug prevention programs for this risk group should seek to mitigate drug use coping motives.
Sections du résumé
BACKGROUND
In adults, it has been shown that the relationship between childhood abuse and substance misuse problems is mediated by the belief that substance use helps cope with negative affective states. By contrast, in adolescents, it is unknown whether drug use coping motives play this same mediating role.
METHODS
Secondary analysis of 1149 school attending adolescents in Cape Town, South Africa (average age = 16.24 years, range = 13-23; 60% female). Questionnaire measures obtained during a single test session (among a larger battery) assessed childhood trauma (CTQ), alcohol (AUDIT) and drug problems (DUDIT), and coping orientation (A-COPE) which contained three items assessing drug use to cope with negative affect.
RESULTS
The three types of childhood abuse measured by the CTQ - emotional, physical and sexual - were positively associated with greater alcohol/drug problems, and drug use coping motives. Drug use coping motives mediated the relationships between childhood abuse types and alcohol/drug problems, and these mediational pathways remained significant when gender and other subscales of the A-COPE were included as covariates.
CONCLUSIONS
These data are preliminary insofar as drug use coping motives were assessed with a non-validated subscale of the A-COPE. Nevertheless, drug use to cope with negative affect mediated the relationship between all three types of childhood abuse (emotional, physical, sexual) and alcohol/drug problems in school attending adolescents. The implication is that drug prevention programs for this risk group should seek to mitigate drug use coping motives.
Identifiants
pubmed: 30412899
pii: S0376-8716(18)30767-1
doi: 10.1016/j.drugalcdep.2018.10.009
pmc: PMC6327152
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
69-74Subventions
Organisme : Medical Research Council
ID : MC_PC_MR/R019991/1
Pays : United Kingdom
Informations de copyright
Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.
Références
BMC Psychiatry. 2017 May 4;17(1):164
pubmed: 28472931
Addict Behav. 2010 Jun;35(6):636-9
pubmed: 20199849
Prev Med Rep. 2015 Dec 24;3:83-9
pubmed: 26844193
Behav Res Methods Instrum Comput. 2004 Nov;36(4):717-31
pubmed: 15641418
Alcohol Clin Exp Res. 2002 Aug;26(8):1188-97
pubmed: 12198393
Addict Behav. 2007 Nov;32(11):2611-32
pubmed: 17716823
J Trauma Stress. 2005 Apr;18(2):137-45
pubmed: 16281206
Addict Behav. 2015 Feb;41:152-61
pubmed: 25452060
Subst Use Misuse. 2012 Jun;47(7):799-808
pubmed: 22468563
Eur Addict Res. 2005;11(1):22-31
pubmed: 15608468
Int J Offender Ther Comp Criminol. 2008 Dec;52(6):686-97
pubmed: 18040061
JAMA Psychiatry. 2013 Mar;70(3):334-42
pubmed: 23344135
Addict Behav. 2018 Jul;82:44-49
pubmed: 29486329
Behav Res Methods. 2008 Aug;40(3):879-91
pubmed: 18697684
J Stud Alcohol. 2001 Mar;62(2):190-8
pubmed: 11327185
Child Abuse Negl. 2001 Aug;25(8):1069-92
pubmed: 11601598
Nicotine Tob Res. 2017 May 1;19(5):578-584
pubmed: 28403472
J Stud Alcohol. 2006 Jan;67(1):169-77
pubmed: 16536141
Alcohol Res. 2012;34(4):408-13
pubmed: 23584107
Clin Psychol Rev. 2002 Feb;22(1):27-77
pubmed: 11793578
Subst Use Misuse. 2002 Jan;37(2):215-23
pubmed: 11863276
Addict Behav. 2011 Jan-Feb;36(1-2):6-13
pubmed: 20869813
J Child Adolesc Ment Health. 2016 Jul;28(2):139-52
pubmed: 27562001
J Stud Alcohol Drugs. 2014 May;75(3):428-37
pubmed: 24766755
Alcohol Clin Exp Res. 2009 Aug;33(8):1476-86
pubmed: 19426164
J Health Soc Behav. 1994 Dec;35(4):291-308
pubmed: 7844327
BJPsych Open. 2017 Oct 17;3(5):257-264
pubmed: 29093828
JAMA Psychiatry. 2013 Jul;70(7):718-26
pubmed: 23636710
J Subst Abuse Treat. 2013 Nov-Dec;45(5):433-43
pubmed: 23876455
Addict Res Theory. 2015;23(2):148-155
pubmed: 27812315
Child Abuse Negl. 2003 Feb;27(2):169-90
pubmed: 12615092
Addict Behav. 2011 May;36(5):465-9
pubmed: 21315519
J Affect Disord. 2014 Oct;168:5-12
pubmed: 25033472
Compr Psychiatry. 2009 Mar-Apr;50(2):121-7
pubmed: 19216888
Clin Psychol Rev. 2005 Nov;25(7):841-61
pubmed: 16095785
J Adolesc. 1987 Jun;10(2):163-86
pubmed: 3611466
Eur Addict Res. 2013;19(3):121-7
pubmed: 23183686
J Abnorm Psychol. 2014 Feb;123(1):237-47
pubmed: 24661174
Res Nurs Health. 1991 Apr;14(2):165-8
pubmed: 2047538
J Adolesc. 2004 Aug;27(4):429-40
pubmed: 15288752
BMC Med Res Methodol. 2015 Oct 14;15:86
pubmed: 26467219
Psychol Methods. 2002 Mar;7(1):83-104
pubmed: 11928892
Exp Clin Psychopharmacol. 2014 Aug;22(4):285-97
pubmed: 24932896
J Stud Alcohol Drugs. 2015 May;76(3):465-73
pubmed: 25978834
Pan Afr Med J. 2014 Jan 18;17 Suppl 1:11
pubmed: 24624244
Addict Behav. 2007 Jun;32(6):1272-83
pubmed: 17098370
Drug Alcohol Depend. 2006 May 20;82(3):194-203
pubmed: 16257139
Exp Clin Psychopharmacol. 2011 Aug;19(4):303-13
pubmed: 21480733
J Anxiety Disord. 2011 Apr;25(3):335-9
pubmed: 21094020
Drug Alcohol Depend. 2016 Feb 1;159:93-100
pubmed: 26718394
Addict Behav. 2017 Jan;64:29-34
pubmed: 27540760
Child Abuse Negl. 2014 May;38(5):962-72
pubmed: 24268374
Br J Psychiatry. 2008 Feb;192(2):112-7
pubmed: 18245026
Child Abuse Negl. 2013 May;37(5):320-30
pubmed: 23357516
Addict Behav. 2011 Oct;36(10):1001-7
pubmed: 21719202
J Stud Alcohol. 2005 Sep;66(5):610-9
pubmed: 16331846