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Ji H, Wang Y, Lü W. Childhood trauma and social anxiety in adolescents: Mediating role of cardiovascular response to social stress. Psychophysiology 2024:e14688. [PMID: 39356550 DOI: 10.1111/psyp.14688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 09/02/2024] [Accepted: 09/12/2024] [Indexed: 10/03/2024]
Abstract
Adolescents exposed to childhood trauma are at an elevated risk for social anxiety. However, the physiological mechanisms linking childhood trauma and adolescents' social anxiety remain poorly understood. This study examined whether cardiovascular reactivity to acute social stress was a mechanism underlying this association. Participants were Chinese adolescents (N = 172; Mage = 12.95). They first reported their childhood trauma and social anxiety using the Childhood Trauma Questionnaire and the Social Interaction Anxiety Scale. They then participated in a social stress task, during which their cardiovascular data [heart rate (HR) and systolic and diastolic blood pressure (SBP, DBP)] were monitored. The results showed that high levels of childhood trauma were associated with blunted HR, SBP, and DBP reactivity, which in turn were associated with high levels of social anxiety. Mediation analysis indicated that childhood trauma was indirectly associated with social anxiety via blunted cardiovascular reactivity. The findings suggest that blunted cardiovascular reactivity may serve as a physiological pathway linking childhood trauma and adolescents' social anxiety.
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Affiliation(s)
- Huayu Ji
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Affiliated Mental Health Center (ECNU), School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
- Key Laboratory of Philosophy and Social Science of Anhui Province on Adolescent Mental Health and Crisis Intelligence Intervention, Hefei, China
- NYU-ECNU Institute of Brain and Cognitive Science, New York University Shanghai, Shanghai, China
- Shanghai Changning Mental Health Center, Shanghai, China
| | - Yiji Wang
- Shanghai Key Laboratory of Mental Health and Psychological Crisis Intervention, Affiliated Mental Health Center (ECNU), School of Psychology and Cognitive Science, East China Normal University, Shanghai, China
- Key Laboratory of Philosophy and Social Science of Anhui Province on Adolescent Mental Health and Crisis Intelligence Intervention, Hefei, China
- NYU-ECNU Institute of Brain and Cognitive Science, New York University Shanghai, Shanghai, China
- Shanghai Changning Mental Health Center, Shanghai, China
| | - Wei Lü
- Shaanxi Key Laboratory of Behavior and Cognitive Neuroscience, Shaanxi Key Research Center for Children Mental and Behavior Health, School of Psychology, Shaanxi Normal University, Xi'an, China
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de With J, van der Heijden HS, van Amelsvoort T, Daemen M, Simons C, Alizadeh B, van Aalst D, de Haan L, Vermeulen J, Schirmbeck F. The association between childhood trauma and tobacco smoking in patients with psychosis, unaffected siblings, and healthy controls. Eur Arch Psychiatry Clin Neurosci 2024; 274:1575-1583. [PMID: 38231398 PMCID: PMC11422427 DOI: 10.1007/s00406-023-01754-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 12/18/2023] [Indexed: 01/18/2024]
Abstract
In patients with psychosis, rates of tobacco smoking and childhood trauma are significantly higher compared to the general population. Childhood trauma has been proposed as a risk factor for tobacco smoking. However, little is known about the relationship between childhood trauma and smoking in psychosis. In a subsample of the Genetic Risk and Outcome of Psychosis study (760 patients with psychosis, 991 unaffected siblings, and 491 healthy controls), tobacco smoking was assessed using the Composite International Diagnostic Interview and childhood trauma was measured with the Childhood Trauma Questionnaire. Logistic regression models were used to assess associations between trauma and smoking, while correcting for confounders. Positive associations were found between total trauma, abuse, and neglect, and an increased risk for smoking in patients, while correcting for age and gender (ORtrauma 1.77, 95% CI 1.30-2.42, p < 0.001; ORabuse 1.69, 95% CI 1.23-2.31, p = 0.001; ORneglect 1.48, 95% CI 1.08-2.02, p = 0.014). In controls, total trauma and abuse were positively associated with smoking, while correcting for age and gender (ORtrauma 2.40, 95% CI 1.49-3.88, p < 0.001; ORabuse 2.02, 96% CI 1.23-3.32, p = 0.006). All associations lost their significance after controlling for additional covariates and multiple testing. Findings suggest that the association between childhood trauma and tobacco smoking can be mainly explained by confounders (gender, cannabis use, and education) in patients with psychosis. These identified aspects should be acknowledged in tobacco cessation programs.
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Affiliation(s)
- Justine de With
- Department of Psychiatry Amsterdam, UMC (Location AMC), Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
| | - Heleen S van der Heijden
- Department of Psychiatry Amsterdam, UMC (Location AMC), Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
| | - Therese van Amelsvoort
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Maud Daemen
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Claudia Simons
- Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, The Netherlands
- GGzE Institute for Mental Health Care, Eindhoven, The Netherlands
| | - Behrooz Alizadeh
- Department of Psychiatry, Rijksuniversiteit Groningen, University Medical Center Groningen, Groningen, The Netherlands
- Department of Epidemiology, University Medical Center Groningen, Groningen, The Netherlands
| | - Daphne van Aalst
- Department of Psychiatry Amsterdam, UMC (Location AMC), Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
| | - Lieuwe de Haan
- Department of Psychiatry Amsterdam, UMC (Location AMC), Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
- Arkin, Institute for Mental Health, Amsterdam, The Netherlands
| | - Jentien Vermeulen
- Department of Psychiatry Amsterdam, UMC (Location AMC), Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
| | - Frederike Schirmbeck
- Department of Psychiatry Amsterdam, UMC (Location AMC), Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands
- Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
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Arslan G. Psychological maltreatment and substance use among college students: Psychological distress, belongingness, and social support. J Ethn Subst Abuse 2024; 23:426-449. [PMID: 36129727 DOI: 10.1080/15332640.2022.2122098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Substance use in college students is an important public health problem associated with substantial consequences. It is a critical step to examine risk and protective factors associated with substance use to develop prevention and intervention strategies for promoting college students' healthy development and well-being. The present cross-sectional study aimed to examine the mediating role of psychological distress in the relationship between childhood psychological maltreatment and substance use and the moderating effect of social support and belongingness in this association among college students. The sample of this cross-sectional study included 382 emerging adults. Participants included 56.8% female and 43.2% male, and they ranged in age between 20 and 29 years (M = 22.05, SD = 2.17). Findings from the study first confirmed that psychological maltreatment was a significant predictor of social support, belongingness, psychological distress, and substance use. Subsequent results revealed that psychological distress mediated the association between psychological maltreatment and college students' substance use. Also, belongingness and social support had a buffering effect on this association. The findings suggest that psychological maltreatment is a significant risk factor in developing substance use behavior and that belongingness and social support services can serve as protective resources. Based on these results, prevention and intervention services focusing on improving the feeling of belonging and social support could be conducive to the decreased substance use of psychologically maltreated emerging adults.
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Affiliation(s)
- Gökmen Arslan
- Department of Psychological Counseling and Guidance, Mehmet Akif Ersoy University, Burdur, Turkey
- Centre for Wellbeing Science, University of Melbourne, Melbourne, Australia
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Thornton EM, Dys SP, Sierra Hernandez C, Smith RJ, Moretti MM. Parent-Youth Attachment Insecurity and Informant Discrepancies of Intrafamilial Aggression. Child Psychiatry Hum Dev 2024:10.1007/s10578-023-01662-2. [PMID: 38361075 DOI: 10.1007/s10578-023-01662-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/22/2023] [Indexed: 02/17/2024]
Abstract
This study investigated how youth attachment anxiety and avoidance are associated with informant discrepancies of intrafamilial aggression within families where youth have clinically significant mental health challenges (N = 510 youth-parent dyads). Using polynomial regressions, we tested whether youth attachment avoidance and anxiety moderated the absolute magnitude of the association between youth- and parent-reports of aggression toward each other. Furthermore, difference scores were computed to test whether youth attachment was associated with the direction of youths' reports of the frequency of aggression relative to parents (i.e., did youth under- or over-report). Dyads' reports of youth-to-parent aggression were more strongly related at high than low levels of attachment anxiety. Results also revealed that youth attachment anxiety was associated with youth over-reporting of youth-to-parent and parent-to-youth aggression (relative to parents), whereas attachment avoidance was associated with youth over-reporting parent-to-youth aggression (relative to parents). These findings highlight the importance of understanding the source of informant discrepancies in social-emotional development and family functioning.
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Affiliation(s)
- Emily M Thornton
- Department of Psychology, University of Guelph, 50 Stone Rd E, Guelph, ON, N1G 2W1, Canada
| | - Sebastian P Dys
- Department of Psychology, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada
| | - Carlos Sierra Hernandez
- Department of Psychology, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada
| | - Ryan J Smith
- Department of Psychology, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada
| | - Marlene M Moretti
- Department of Psychology, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.
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Ross AJ, Russotti J, Toth SL, Cicchetti D, Handley ED. The relative effects of parental alcohol use disorder and maltreatment on offspring alcohol use: Unique pathways of risk. Dev Psychopathol 2023:1-12. [PMID: 37905543 DOI: 10.1017/s0954579423001347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023]
Abstract
Childhood adversity represents a robust risk factor for the development of harmful substance use. Although a range of empirical studies have examined the consequences of multiple forms of adversity (i.e., childhood maltreatment, parental alcohol use disorder [AUD]), there is a dearth of information on the relative effects of each form of adversity when considered simultaneously. The current study utilizes structural equation modeling to investigate three unique and amplifying pathways from parental AUD and maltreatment exposure to offspring alcohol use as emerging adults: (1) childhood externalizing symptomatology, (2) internalizing symptomatology, and (3) affiliation with substance-using peers and siblings. Participants (N = 422) were drawn from a longitudinal follow-up study of emerging adults who participated in a research summer camp program as children. Wave 1 of the study included 674 school-aged children with and without maltreatment histories. Results indicated that chronic maltreatment, over and above the effect of parent AUD, was uniquely associated with greater childhood conduct problems and depressive symptomatology. Mother alcohol dependence was uniquely associated with greater affiliation with substance-using peers and siblings, which in turn predicted greater alcohol use as emerging adults. Results support peer and sibling affiliation as a key mechanism in the intergenerational transmission of substance use between mothers and offspring.
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Affiliation(s)
- Andrew J Ross
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | - Justin Russotti
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | - Sheree L Toth
- Mt. Hope Family Center, University of Rochester, Rochester, NY, USA
| | - Dante Cicchetti
- Institute of Child Development, University of Minnesota, Minneapolis, MN, USA
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Cooper DK, Felt JM, Riobueno-Naylor A, Lai BS, Bámaca MY, Fishbein D. The mediating role of self-regulation on the link between child maltreatment and later substance use among Latinx youth. CHILD ABUSE & NEGLECT 2023; 140:106151. [PMID: 36965435 PMCID: PMC10164059 DOI: 10.1016/j.chiabu.2023.106151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 03/02/2023] [Accepted: 03/15/2023] [Indexed: 05/06/2023]
Abstract
BACKGROUND Children who experience maltreatment are at heightened risk for substance use initiation and mental health disorders later in life. Few studies have assessed the relationship between child maltreatment and substance use among Latinx youth. OBJECTIVE The current study assessed the potential mediating effect of three aspects of self-regulation (emotional, behavioral, and cognitive) on the association between child maltreatment and substance use and examined whether effects varied depending on maltreatment type and severity. PARTICIPANTS AND SETTING This study involved a random sample of 504 Latinx youth (52 % girls, 48 % boys) between the ages of 10-12 at the start of the study. METHODS Study hypotheses were tested through structural equation modeling and bootstrapped random errors using the R programming language. RESULTS Our results indicated that higher levels of child maltreatment predicted higher levels of later substance use, as mediated by emotional and behavioral dysregulation (β = 0.09, p < 0.01), but not cognitive regulation. When separating maltreatment by subtype, we found the mediating effect was present for abuse (β = 0.09, p < 0.01), but not neglect. CONCLUSIONS Findings contribute to our understanding of potential causal mechanisms for the association between child maltreatment and substance use for Latinx youth.
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Affiliation(s)
- Daniel K Cooper
- Department of Psychology, University of South Carolina, United States of America.
| | - John M Felt
- College of Health and Human Development, Pennsylvania State University, United States of America
| | - Alexa Riobueno-Naylor
- Department of Counseling, Developmental, and Educational Psychology, Boston College, United States of America
| | - Betty S Lai
- Department of Counseling, Developmental, and Educational Psychology, Boston College, United States of America
| | - Mayra Y Bámaca
- Department of Psychological Sciences, University of California Merced, United States of America
| | - Diana Fishbein
- College of Health and Human Development, Pennsylvania State University, United States of America; Frank Porter Graham Child Development Institute, University of North Carolina, United States of America
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Liu J, Deng J, Zhang H, Tang X. The relationship between child maltreatment and social anxiety: A meta-analysis. J Affect Disord 2023; 329:157-167. [PMID: 36841306 DOI: 10.1016/j.jad.2023.02.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 02/16/2023] [Accepted: 02/18/2023] [Indexed: 02/26/2023]
Abstract
BACKGROUND Globally, child maltreatment has become a serious problem, affecting individuals' physical and mental health. This meta-analysis aimed to explore the association between child maltreatment and social anxiety. METHODS MEDLINE, PsycINFO, EMBASE, Scopus, and Web of Science were searched for articles published by October 2021. Newcastle-Ottawa Quality Assessment Scale (NOS) was used to evaluate the quality of studies. Maltreatment type, sample setting, age, country and measurement instruments were analyzed as moderators. RESULTS Twenty-nine studies met the inclusion criteria. Child maltreatment was positively correlated with social anxiety (r = 0.201, 95 % CI [0.171, 0.230]). The moderating effect of maltreatment subtypes was significant whether divided into three types (Qb = 12.152, p = .002), or five types (Qb = 11.574, p = .021). Specifically, emotional maltreatment (r = 0.251, 95 % CI [0.201, 0.298]) had a stronger relationship with social anxiety than physical (r = 0.138, 95 % CI [0.085, 0.191]; Qb = 9.312, p = .002) and sexual maltreatment (r = 0.153, 95 % CI [0.108, 0.197]; Qb = 9.197, p = .002). However, there was no significant difference in the effect size between physical and sexual maltreatment (Qb = 0.096, p = .757). Other variables (age, sample setting and country) were not significant moderators. LIMITATIONS Only twenty-nine studies were included, and there was high heterogeneity among the studies, the interpretation of the results should be cautious. CONCLUSIONS This meta-analysis confirmed the relationship between child maltreatment and social anxiety, especially highlight the harmfulness of emotional maltreatment.
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Affiliation(s)
- Jiaqi Liu
- Department of Psychology, Renmin University of China, Beijing, China
| | - Jiaqi Deng
- Department of Psychology, Renmin University of China, Beijing, China
| | - Huiping Zhang
- Department of Social Work and Social Policy, Renmin University of China, Beijing, China
| | - Xinfeng Tang
- Department of Psychology, Renmin University of China, Beijing, China; Laboratory of Department of Psychology, Renmin University of China, Beijing, China; Interdisciplinary Platform of Philosophy and Cognitive Science, Renmin University of China, Beijing, China.
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Hayre RS, Sierra Hernandez C, Goulter N, Moretti MM. Attachment & School Connectedness: Associations with Substance Use, Depression, & Suicidality Among at-Risk Adolescents. CHILD & YOUTH CARE FORUM 2023. [DOI: 10.1007/s10566-023-09743-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
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9
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Gerra ML, Gerra MC, Tadonio L, Pellegrini P, Marchesi C, Mattfeld E, Gerra G, Ossola P. Early parent-child interactions and substance use disorder: An attachment perspective on a biopsychosocial entanglement. Neurosci Biobehav Rev 2021; 131:560-580. [PMID: 34606823 DOI: 10.1016/j.neubiorev.2021.09.052] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 09/28/2021] [Accepted: 09/29/2021] [Indexed: 12/19/2022]
Abstract
This review aims to elucidate environmental and genetic factors, as well as their epigenetic and neuroendocrine moderators, that may underlie the association between early childhood experiences and Substance Use Disorders (SUD), through the lens of parental attachment. Here we review those attachment-related studies that examined the monoaminergic systems, the hypothalamic pituitary adrenal stress response system, the oxytoninergic system, and the endogenous opioid system from a genetic, epigenetic, and neuroendocrine perspective. Overall, the selected studies point to a moderating effect of insecure attachment between genetic vulnerability and SUD, reasonably through epigenetic modifications. Preliminary evidence suggests that vulnerability to SUDs is related with hypo-methylation (e.g. hyper-expression) of high-risk polymorphisms on the monoaminergic and hypothalamic pituitary adrenal system and hyper-methylation (e.g. hypo-expressions) of protective polymorphisms on the opioid and oxytocin system. These epigenetic modifications may induce a cascade of neuroendocrine changes contributing to the subclinical and behavioural manifestations that precede the clinical onset of SUD. Protective and supportive parenting could hence represent a key therapeutic target to prevent addiction and moderate insecure attachment.
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Affiliation(s)
| | - Maria Carla Gerra
- Center for Neuroplasticity and Pain (CNAP), SMI®, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
| | | | | | - Carlo Marchesi
- Psychiatry Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy.
| | - Elizabeth Mattfeld
- Drug Prevention and Health Branch, Prevention Treatment and Rehabilitation Section, United Nations Office on Drugs and Crime, Vienna, Austria.
| | - Gilberto Gerra
- Department of Mental Health, AUSL of Parma, Parma, Italy.
| | - Paolo Ossola
- Center for Neuroplasticity and Pain (CNAP), SMI®, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
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De la Peña-Arteaga V, Nogueira SO, Lynskey M, Hines LA. The Relationship Between Childhood Physical and Sexual Abuse and Adolescent Cannabis Use: A Systematic Review. Front Psychiatry 2021; 12:631245. [PMID: 34122168 PMCID: PMC8187570 DOI: 10.3389/fpsyt.2021.631245] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 04/28/2021] [Indexed: 01/21/2023] Open
Abstract
Background: Among adolescents, cannabis use is a health concern due to associations with drug addiction and mental health disorders across the life course. It has been shown that childhood maltreatment is associated with drug addiction in adulthood. However, a better understanding of the relationship between maltreatment and drug use may improve targeted prevention and interventions. The aim of this systematic review is to describe the association between exposure to childhood maltreatment, specifically physical and sexual abuse, with adolescent cannabis use. Methods: A systematic search strategy was applied to Embase, PsycINFO, and Ovid MEDLINE(R) databases. Methods followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Abstract and title screening was performed to identify papers which reported an estimate of the association between childhood physical or sexual abuse and adolescent cannabis use. Full text screening of each paper was performed, and data were extracted and study quality assessed. Weighted means meta-analysis was performed on studies reporting odds ratios as effect estimates. Results: Of 8,780 screened articles, 13 were identified for inclusion. Eight papers received a quality rating score indicating lower risk of bias. Eleven papers reported the relationship between childhood sexual abuse and adolescent cannabis use; effect estimates ranged from AOR 0.53-AOR 2.18 (weighted mean OR 1.29, 95% CI 1.08-1.49). The relationship between childhood physical abuse and adolescent cannabis use was reported in 7 papers; effect estimates ranged from AOR 1.25-AOR 1.87 (weighted mean OR 1.39, 95% CI 1.12-1.66). Differences in the strength of the evidence were observed by the method of exposure ascertainment, and there was some evidence of differences in association by gender, age of cannabis initiation, and the severity of the abuse. Conclusions: This systematic review indicates childhood physical or sexual abuse may increase risk of adolescent-onset cannabis use. Few studies considered variation in timing of onset, or by gender. Adolescent cannabis use precedes is strongly associated with increased risk of negative mental health outcomes; further exploration of adolescent cannabis use's place on the causal pathway between childhood abuse and adult mental health problems is warranted to improve intervention.
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Affiliation(s)
- Víctor De la Peña-Arteaga
- Bellvitge Biomedical Research Institute, Barcelona, Spain.,Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Sarah O Nogueira
- Bellvitge Biomedical Research Institute, Barcelona, Spain.,Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
| | - Michael Lynskey
- Addictions Department, Institute of Psychiatry, Psychology & Neuroscience (IoPPN), King's College London, London, United Kingdom
| | - Lindsey A Hines
- Centre for Academic Mental Health, Population Health Sciences, University of Bristol, Bristol, United Kingdom
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Thomas SA, Brick LA, Micalizzi L, Wolff JC, Frazier EA, Graves H, Esposito-Smythers C, Spirito A. Parent-adolescent relationship characteristics and adolescent cannabis use: A growth curve analysis. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2020; 46:659-669. [PMID: 32931332 DOI: 10.1080/00952990.2020.1789159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Background: Adolescent cannabis misuse may be associated with serious academic, conduct, and health problems. Identifying factors associated with adolescent cannabis misuse over time may provide insight to address these factors in interventions. Parent-adolescent relationship characteristics (i.e., attachment, discipline) have been linked to adolescent cannabis misuse and may be important factors to study. Objectives: We investigated time-varying associations between parent-adolescent relationship domains and weekly adolescent-reported cannabis misuse. We hypothesized that during times when parents reported less positive aspects of their relationship with their adolescents, adolescents would report higher levels of cannabis misuse. Methods: Data were drawn from a community clinic treatment study for adolescents with substance use and co-occurring psychiatric disorders (n=110; average age=15.71; 57.3% male). Latent growth modeling with time-varying predictors (parent-adolescent relationship characteristics) was used to examine if the associations between adolescent cannabis misuse and relational frustration, discipline, and attachment varied across the study period (baseline, 3-, 6-, and 12-months). Results: Weekly cannabis misuse significantly increased over time, even after accounting for parental relationship characteristics. When parents rated higher levels of relational frustration relative to their average level of frustration, adolescents reported higher cannabis misuse at all study periods except 12-month follow-up. Conclusion: Results support the importance of considering how specific aspects of the parentadolescent relationship, in this case elevated parental frustration, are associated with adolescent cannabis misuse during treatment and after its completion. Findings suggest parental relationship frustration is a key factor to assess and address within individually tailored interventions for co-occurring cannabis misuse and psychiatric disorders.
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Affiliation(s)
- Sarah A Thomas
- Bradley Hasbro Children's Research Center , Providence, RI, USA.,Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence, RI, USA
| | - Leslie Ann Brick
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence, RI, USA
| | - Lauren Micalizzi
- Center for Alcohol and Addiction Studies, Brown University , Providence, RI, USA.,Department of Psychology, University of Saint Joseph , West Hartford, CT, USA
| | - Jennifer C Wolff
- Bradley Hasbro Children's Research Center , Providence, RI, USA.,Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence, RI, USA
| | - Elisabeth A Frazier
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence, RI, USA
| | - Hannah Graves
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence, RI, USA
| | | | - Anthony Spirito
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University , Providence, RI, USA
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Andrews NCZ, Motz M, Bondi BC, Leslie M, Pepler DJ. Using a Developmental-Relational Approach to Understand the Impact of Interpersonal Violence in Women Who Struggle with Substance Use. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16234861. [PMID: 31816837 PMCID: PMC6926949 DOI: 10.3390/ijerph16234861] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 11/16/2019] [Accepted: 11/28/2019] [Indexed: 01/02/2023]
Abstract
Substance use among women is a major public health concern. This review article takes a developmental-relational approach to examine processes through which early relational trauma and violence in relationships may lead to substance use. We examine how early exposure to violence in relationships can impact neurological development, specifically through interference with physiological mechanisms (e.g., the hypothalamic-pituitary-adrenal axis), brain structure and functioning (e.g., the hippocampus and prefrontal cortex), and neuropsychological development (e.g., executive functioning and emotion regulation) across the lifespan. Further, we discuss the impact of exposure to violence on the development of relational capacity, including attachment, internal working models, and subsequent interpersonal relationships across the lifespan, and how these developmental pathways can lead to continued problematic substance use in women.
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Affiliation(s)
- Naomi C. Z. Andrews
- Department of Child and Youth Studies, Brock University,1812 Sir Isaac Brock Way, St. Catharines, ON L2S 3A1, Canada
- Correspondence: ; Tel.: +1-905-688-5550 (ext. 4654)
| | - Mary Motz
- Mothercraft, Early Intervention Department, 860 Richmond Street West, Toronto, ON M6J 1C9, Canada; (M.M.); (M.L.)
| | - Bianca C. Bondi
- Department of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada; (B.C.B.); (D.J.P.)
| | - Margaret Leslie
- Mothercraft, Early Intervention Department, 860 Richmond Street West, Toronto, ON M6J 1C9, Canada; (M.M.); (M.L.)
| | - Debra J. Pepler
- Department of Psychology, York University, 4700 Keele Street, Toronto, ON M3J 1P3, Canada; (B.C.B.); (D.J.P.)
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