BACKGROUND To examine the relationship between treatment outcome, as measured according to change in alcohol consumption, and a history of childhood abuse (emotional, physical, sexual) in socially stable women undergoing treatment for alcohol use disorder (AUD). METHODS Participants were assessed using the Addiction Severity Index and the Mini International Neuropsychiatric Interview at the beginning of treatment (n = 75), end of treatment (n = 59) and 12 month follow-up after treatment (n = 57). Self-report data on alcohol consumption were obtained at all three time-points using the Alcohol Habits Inventory-Revised 2. Self-report data on childhood maltreatment were obtained at the beginning of treatment using the Childhood Trauma Questionnaire-short form. Study outcomes were changes in alcohol consumption (grams of pure alcohol per week), risk-drinking and reported abstinence. RESULTS Of the 75 women enrolled, 38 (50.7%) reported a history of childhood abuse and the rest did not. Both groups showed a significant improvement in all three outcomes at the end of treatment and at 12-month follow-up. At the end of treatment, a significant inter-group difference was found for reported abstinence (non-abused group, 39.3% vs abused, 12.9%; p < 0.05). At 12-month follow-up, significant inter-group differences were observed for all treatment outcomes, with superior outcomes being found for the non-abused group, including a higher proportion of women with reported abstinence (55.6% vs 13.3%; p < 0.01). CONCLUSION The present findings suggest that an evaluation of a possible history of childhood abuse is warranted in all women seeking treatment for AUD, irrespective of social stability. In terms of clinical practice, the results suggest that additional interventions may be warranted in this population.

中文翻译：

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童年期虐待史与社会上稳定的饮酒障碍妇女的积极治疗效果较差有关。

背景技术为了检查根据饮酒量的变化所测得的治疗结果与接受酒精滥用障碍（AUD）治疗的社会稳定妇女的童年虐待史（情绪，身体，性行为）之间的关系。方法在治疗开始时（n = 75），治疗结束（n = 59）和治疗后12个月的随访（n = 57），使用成瘾严重性指数和Mini International Neuropsychiatric访谈对参与者进行评估。使用修订后的《酒精习性清单》在所有三个时间点获得了有关酒精消耗的自我报告数据。在治疗开始时，使用《儿童创伤问卷》（简写版）获得了关于儿童虐待的自我报告数据。研究结果是饮酒量的变化（每周纯酒精克数），冒险饮酒和戒酒。结果在登记的75名妇女中，有38名（50.7％）报告有童年虐待史，其余则没有。两组在治疗结束时和随访12个月时均显示所有三个结局均有明显改善。在治疗结束时，据报道的禁欲发现组间存在显着差异（未滥用组为39.3％，滥用组为12.9％； p <0.05）。在12个月的随访中，所有治疗结局均观察到显着的组间差异，未滥用组的结局更佳，包括据报禁欲的妇女比例更高（55.6％对13.3％； p < 0.01）。结论本研究结果表明，所有寻求澳元治疗的女性都应评估可能的童年虐待史，无论社会稳定如何。就临床实践而言，结果表明可能需要对该人群进行其他干预。