UBC Undergraduate Research

Assessing friendship quality of children with ADHD : Comparison of questionnaire and observational measures Lau, Ching Yan; Mikami, Amori Yee


Patients with concurrent disorder (i.e., co-occurring mental disorder and substance use disorder) have greater severities of childhood abuse and neglect than substance use disorder patients, and often experience recurrent relapse and rehospitalization. Considering childhood abuse and neglect are associated with greater relapses during treatment for alcohol use disorder and stimulant use disorder, childhood abuse and neglect among concurrent disorder patients may importantly contribute to relapse and hinder treatment. Methods: Adult inpatients undergoing treatment for concurrent disorders (N=210) completed the Childhood Trauma Questionnaire-Short Form. The number of relapses, positive urine drug screen and breath alcohol results, and treatment duration were extracted from patients’ medical records. Results: Greater severities of childhood physical, emotional, and sexual abuse significantly predicted a greater number of positive breath alcohol results, while controlling for treatment duration. There were no observed relationships between childhood physical or emotional neglect and indicators of relapse. Discussion: Screening for and addressing a history of childhood abuse may reduce alcohol-specific substance use and relapse among concurrent disorder inpatients. Further research is needed to understand why childhood abuse, but not neglect, contributes to negative outcomes during concurrent disorder treatment.

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