Patients with substance use disorder (SUD) who undergo treatment present a high prevalence of lifetime physical and/or sexual abuse. Studies about this phenomenon and the specific needs of patients with a history of abuse must be carried out to tailor treatment programs. The first goal of this article was to determine the prevalence of physical and/or sexual abuse among patients with SUD, and the second goal was to analyze the specific characteristics of these patients. A sample of 418 subjects was assessed to achieve the first goal and 104 subjects (52 with and 52 without a history of physical and/or sexual abuse) were examined to reach the second goal. All patients sought treatment for SUD in two Spanish clinical centers. The results showed that 15.5% of the sample had a history of physical and/or sexual abuse (42.3% of women and 9.9% of men). Patients with a history of abuse presented a higher need for SUD treatment in family and psychiatric areas and more psychopathological symptoms than patients without a history of abuse. According to this more serious profile, a patient-centered intervention considering the history of abuse is recommended. This will allow the specific needs of these patients to be met, thus improving SUD treatment success.

接受治疗的物质使用障碍 (SUD) 患者终生身体和/或性虐待的发生率很高。必须对这种现象和有虐待史的患者的具体需求进行研究，以制定治疗方案。本文的第一个目标是确定 SUD 患者身体和/或性虐待的发生率，第二个目标是分析这些患者的具体特征。评估了 418 名受试者的样本以实现第一个目标，并检查了 104 名受试者（52 名和 52 名没有身体和/或性虐待史）以实现第二个目标。所有患者都在两个西班牙临床中心寻求 SUD 治疗。结果显示，15.5% 的样本有身体和/或性虐待史（42.3% 的女性和 9.9% 的男性）。与没有虐待史的患者相比，有虐待史的患者在家庭和精神领域对 SUD 治疗的需求更高，心理病理症状也更多。根据这个更严重的概况，建议考虑虐待史的以患者为中心的干预。这将满足这些患者的特定需求，从而提高 SUD 治疗的成功率。