ABSTRACT

Background

Childhood trauma has been regarded as a risk factor for substance use disorder and resilience has been found to be a protective factor against the development of psychopathology in the face of adversity.

Methods: A total of 93 male substance-dependent patients and 59 healthy male volunteers were included. Resilience was assessed using the Resilience Scale for Adults, childhood trauma using the Childhood Trauma Questionnaire, and substance use with the Drug Use Disorders Identification Test.

Results

Childhood trauma was higher, resilience was lower in the patient group. After controlling for any effects of age, education and severity of childhood trauma, regression results showed that for every one-point increase in resilience, there was a concomitant 15.78% decrease in severity of substance use disorder. Substance-dependent patients with a history of suicide attempt had lower resilience scores than substance-dependent patients without a history of suicide attempt.

Conclusions

We conclude that resilience mitigates the severity of substance use disorder. Interventions to improve resilience might reduce the severity of substance use disorder and prevent suicide attempt in substance-dependent patients.

中文翻译：

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物质依赖样本中的复原力和童年创伤：一项横断面对照研究

摘要

背景

童年创伤被认为是物质使用障碍的危险因素，而复原力已被发现是面对逆境时防止精神病理学发展的保护因素。

方法：共纳入93名男性物质依赖患者和59名健康男性志愿者。使用成人弹性量表评估弹性，使用儿童创伤问卷评估儿童创伤，使用药物使用障碍识别测试评估物质使用。

结果

患者组的童年创伤较高，复原力较低。在控制了年龄、教育程度和儿童创伤严重程度的任何影响后，回归结果显示，复原力每增加 1 个点，物质使用障碍的严重程度就会随之降低 15.78%。有自杀未遂史的物质依赖患者的复原力得分低于没有自杀未遂史的物质依赖患者。

结论

我们得出结论，复原力减轻了物质使用障碍的严重程度。提高复原力的干预措施可能会降低物质使用障碍的严重程度并防止物质依赖患者的自杀企图。