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Association between maltreatment and polydrug use among adolescents
Institution:1. Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Vietnam;2. Faculty of Pharmacy, Ton Duc Thang University, Ho Chi Minh City, Vietnam;3. ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand;4. Institute for Health and Society, Hanyang University, Seoul, Republic of Korea;1. Department of Clinical Neuroscience, Karolinska Institute, Psychiatry Building R5:00, Karolinska, University Hospital, Stockholm 171 76, Sweden;2. Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden;3. Department of Clinical Sciences/Psychiatry, Umeå University, Umeå, Sweden;4. Department of Women''s and Children''s Health, Karolinska Institute, Stockholm, Sweden;5. Département de Psychiatrie, Université de Montréal, Montreal, QC, Canada
Abstract:Different studies have related sexual and physical abuse during childhood and adolescence to the development of substance abuse disorders. Nevertheless, we are not aware of the role that other more common maltreatment types, such as neglect, will play among the most risky pattern of consumption: the polydrug use. A clinical sample of 655 adolescents, divided into two groups: polydrug users and non-polydrug users, were assessed on their pattern of drug consumption, history of childhood maltreatment, current psychopathology and their family history of alcoholism. Polydrug users had a greater prevalence of all types of maltreatment, although the most associated to this group were sexual abuse and emotional neglect. Other relevant variables to adolescent consumption were: the diagnosis of depressive disorder, the presence of anxiety traits and the family history of alcohol dependence. Polydrug users have higher risks of having had problems during infancy and adolescence, such as maltreatment and other psychopathological conditions, with the addition of family history of alcoholism. Accordingly, practitioners should take into account that those variables may influence polydrug abuse because it is the most risky pattern for subsequent dependence of substances, and they should always be considered during treatment.
Keywords:Polydrug users  Substance consumption  Adolescents  Childhood maltreatment
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