Child abuse and neglect: Relations to adolescent binge drinking in the National Longitudinal Study of Adolescent Health (AddHealth) Study

Boston University School of Social Work, Boston, MA 02215, United States.
Addictive behaviors (Impact Factor: 2.76). 12/2008; 34(3):277-80. DOI: 10.1016/j.addbeh.2008.10.023
Source: PubMed


The purpose of this study was to examine the relationship between child maltreatment and adolescent binge drinking. Given that many victimized children have been maltreated in multiple ways, we examine the effects of co-occurrence of multiple types of maltreatment on adolescent binge drinking. We used the National Longitudinal Study of Adolescent Health (AddHealth), which included a nationally representative sample of adolescents (n=12,748). Adolescent binge drinking was defined as five or more drinks in a row at least 2-3 times per month in the past year. Among those reporting any maltreatment, 12.4% reported binge drinking compared to 9.9% among those reporting no maltreatment. Logistic regression models found that child maltreatment is a robust risk factor for adolescent binge drinking controlling for parental alcoholism. In particular, all types of or combinations of types of maltreatment were strongly associated with adolescent binge drinking, controlling for age, gender, race, parental alcoholism and monitoring. Research examining the effect of childhood maltreatment on later alcohol abuse needs to recognize the clustering effects of multiple types of childhood maltreatment on alcohol problems.

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    • "It is well documented that child maltreatment, including assault is associated with a myriad of psychopathology related outcomes across the lifespan, including anxiety, depression, posttraumatic stress disorder (PTSD), personality pathology, eating disorders, and substance use disorders (Ackard and Neumark- Sztainer, 2002; Danielson et al., 2009; Shin et al., 2009; Charak and Koot, 2015). In the past, most studies addressing these associations assessed the impact of a single specific type of maltreatment or assault (e.g., sexual assault) on outcomes rather than assessing the co-occurrence of different types of maltreatment and their cumulative effects. "
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    ABSTRACT: The present study assessed the unique versus cumulative effects of physical and sexual assault, on patterns of substance-use in adolescents. It was hypothesized that experiencing a single assault (physical or sexual) when compared with exposure to both physical and sexual assault would be more strongly related to membership of polysubstance use classes. From the National Survey of Adolescents-1995 (N = 4,023) 918 adolescents (age range = 12-17 years, M = 14.92, 49.6% female) with reports of physical assault and/or sexual assault were selected. Using information on alcohol-use, cigarette-smoking, chewing tobacco, non-prescribed use of medicines, and drug-use, latent class analysis indicated a three class solution for substance-use, namely, Experimental use, Light polysubstance-use, and Polysubstance-use. Multinomial logistic regression analyses indicated that as compared to adolescents exposed to a single type of assault those exposed to both physical and sexual assault were two-to-three times more likely to be in the heavier polysubstance-use class. Females were more likely to be members of the polysubstance-use class than of the experimental use class. Gender did not emerge as a significant moderator. It was concluded that assessing for single type or co-occurring assault can facilitate identification of adolescents at elevated risk for polysubstance-use.
    10/2015; DOI:10.1016/j.psychres.2015.11.014
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    • "In addition , they are more likely to engage in risky sexual behavior, have an eating disorder, or attempt suicide (Castillo Mezzich et al., 1997; Kendler et al., 2000; Polusny & Follette, 1995; Rodriguez-Srednicki, 2002). Problematic substance use and early onset of drinking are also associated with early childhood trauma (Douglas et al., 2010; Dube et al., 2006; Epstein et al., 1998; Grayson & Nolen-Hoeksema, 2005; Lo and Cheng, 2007; Polusny & Follette, 1995; Shin et al., 2009; Simpson & Miller, 2002). In one study of 1,411 female adult twins, those who reported childhood sexual assault (30.4%) were at a threefold increased risk of becoming dependent on alcohol or other drugs (Kendler et al., 2000). "
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    ABSTRACT: Objective: The relationship between experiencing trauma and increased alcohol consumption has been well established. Exposure to childhood trauma has been linked to both early onset of drinking and problematic substance use. However, the mechanisms underlying this relationship remain unclear. The results of early work suggested that drinking to relieve negative affect (i.e., drinking to cope) was driving this connection. However, the findings of more recent work suggest that drinking might be used to enhance positive affect as a way of addressing the aftereffects of early trauma. The current study looked at these two drinking expectancies as indirect pathways between the experience in early childhood of living in a home with parental violence and peak alcohol use in emerging adulthood. Method: Participants were 1,064 children and their parents involved in a longitudinal community study of children at high risk for the development of alcoholism and a community contrast group of those at lower risk. Baseline assessment was at age 3-5 years, self-reports of internalizing behavior and drinking expectancies were obtained at age 12-14, and drinking measures were assessed at age 18-20. Results: Results indicated that coping expectancy was a mediator of the relationship between early childhood trauma and later peak alcohol use, whereas enhancement expectancy was not. Conclusions: Children living in homes with parental violence were more likely to develop ineffective coping strategies, such as using alcohol to decrease negative affect. These results support the self-medication theory. They also demonstrate the long-term effects of early life experience on drinking behavior in early adulthood.
    Journal of studies on alcohol and drugs 09/2015; 76(5):781-789. DOI:10.15288/jsad.2015.76.781 · 2.76 Impact Factor
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    • "In support of our hypotheses, and consistent with the self-medication hypothesis (Khantzian 1985, 1997), there was an interactive effect between sexual abuse and two types of substance use (both binge drinking and marijuana use), after controlling for sex, externalizing behaviors and anxiety: at higher levels of sexual abuse exposure, higher levels of substance use were associated with lower depressed mood. This is consistent with the literature suggesting that sexual abuse, in particular, is associated with binge-drinking and marijuana use (Shin et al. 2009; Tims et al. 2002). Our results are also consistent with past research indicating that adolescents with an abuse history use substances in order to selfregulate and deal with distress (Bonn-Miller et al. 2007; Harrison et al. 1997; Shin et al. 2012; Taylor 2011; Vilhena-Churchill and Goldstein 2014), although our data supported this relationship only for sexual abuse and not for other types of abuse. "
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    ABSTRACT: Adolescents referred to community behavioral health centers (CBHC) for substance use (SU) problems report high rates of child maltreatment. Although SU and maltreatment are independent risk factors for adolescent depression, few studies have examined their interactive effects. This study examined the interactive effects of SU (alcohol and marijuana) and exposure to different types of trauma on depressed mood among 74 adolescents referred to a CBHC for SU. Hierarchical regressions controlling for sex and common adolescent comorbidities showed that sexual abuse had a stronger relationship with depressed mood than other types of maltreatment. Although SU was not independently related to depressed mood, consistent with the self-medication hypothesis, increased SU was associated with lower levels of depressed mood among adolescents with greater exposure to sexual abuse. Results suggest that teens presenting to CBHCs for SU should be assessed for multiple forms of maltreatment and for depressed mood.
    Community Mental Health Journal 05/2015; 51(7). DOI:10.1007/s10597-015-9894-0 · 1.03 Impact Factor
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