Abstract

Purpose: Biological theories explain how exposure to child maltreatment and chronic substance abuse result in significant health reductions, often years or decades after the maltreatment and substance abuse end. Relationships among these variables are known to exist; however, the relative impact of each risk factor on disability status is not clear. Method: Adults receiving inpatient treatment for a substance use disorder (SUD) were assessed for chronic illness and disability (CID), years abusing substances, and child maltreatment severity using the Child Trauma Questionnaire (n = 112). A logistic regression model classified participants by CID status based on criterion variables; using transformed data and model parameters, the odds and probabilities were calculated for each criterion variable to determine the clinical impact of each risk factor on CID. Results: The majority (52.7%) of participants reported CID; the majority screened positively for child maltreatment (87.4%). Our model was significant and demonstrates that the odds for CID increase as a function of maltreatment severity; years abusing substances did not significantly increase the odds. For those reporting the most severe levels of maltreatment, the odds of experiencing CID translates to odds ratio (OR) = 1.92, with an associated probability of 66%. Implications: Child maltreatment severity is an important predictor of CID status, and was more likely to explain CID than years abusing drugs and alcohol in our clinical sample. Trauma-informed concurrent treatment for 3 clinical conditions of CID, childhood maltreatment, and SUD is needed for the majority of individuals seeking treatment for SUD.

Original languageEnglish (US)
Pages (from-to)313-323
Number of pages11
JournalRehabilitation Psychology
Volume63
Issue number2
DOIs
StatePublished - May 1 2018

Fingerprint

Child Abuse
Substance-Related Disorders
Chronic Disease
Logistic Models
Wounds and Injuries
Inpatients
Therapeutics
Odds Ratio
Alcohols
Health

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

@article{ec9ac2c09cd144cfbb54c70fc27ecf45,
title = "Child maltreatment severity, chronic substance abuse, and disability status",
abstract = "Purpose: Biological theories explain how exposure to child maltreatment and chronic substance abuse result in significant health reductions, often years or decades after the maltreatment and substance abuse end. Relationships among these variables are known to exist; however, the relative impact of each risk factor on disability status is not clear. Method: Adults receiving inpatient treatment for a substance use disorder (SUD) were assessed for chronic illness and disability (CID), years abusing substances, and child maltreatment severity using the Child Trauma Questionnaire (n = 112). A logistic regression model classified participants by CID status based on criterion variables; using transformed data and model parameters, the odds and probabilities were calculated for each criterion variable to determine the clinical impact of each risk factor on CID. Results: The majority (52.7{\%}) of participants reported CID; the majority screened positively for child maltreatment (87.4{\%}). Our model was significant and demonstrates that the odds for CID increase as a function of maltreatment severity; years abusing substances did not significantly increase the odds. For those reporting the most severe levels of maltreatment, the odds of experiencing CID translates to odds ratio (OR) = 1.92, with an associated probability of 66{\%}. Implications: Child maltreatment severity is an important predictor of CID status, and was more likely to explain CID than years abusing drugs and alcohol in our clinical sample. Trauma-informed concurrent treatment for 3 clinical conditions of CID, childhood maltreatment, and SUD is needed for the majority of individuals seeking treatment for SUD.",
author = "O'Sullivan, {Deirdre Elizabeth} and Justin Watts and Shenk, {Chad Edward}",
year = "2018",
month = "5",
day = "1",
doi = "10.1037/rep0000196",
language = "English (US)",
volume = "63",
pages = "313--323",
journal = "Rehabilitation Psychology",
issn = "0090-5550",
publisher = "American Psychological Association Inc.",
number = "2",

}

Child maltreatment severity, chronic substance abuse, and disability status. / O'Sullivan, Deirdre Elizabeth; Watts, Justin; Shenk, Chad Edward.

In: Rehabilitation Psychology, Vol. 63, No. 2, 01.05.2018, p. 313-323.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Child maltreatment severity, chronic substance abuse, and disability status

AU - O'Sullivan, Deirdre Elizabeth

AU - Watts, Justin

AU - Shenk, Chad Edward

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Purpose: Biological theories explain how exposure to child maltreatment and chronic substance abuse result in significant health reductions, often years or decades after the maltreatment and substance abuse end. Relationships among these variables are known to exist; however, the relative impact of each risk factor on disability status is not clear. Method: Adults receiving inpatient treatment for a substance use disorder (SUD) were assessed for chronic illness and disability (CID), years abusing substances, and child maltreatment severity using the Child Trauma Questionnaire (n = 112). A logistic regression model classified participants by CID status based on criterion variables; using transformed data and model parameters, the odds and probabilities were calculated for each criterion variable to determine the clinical impact of each risk factor on CID. Results: The majority (52.7%) of participants reported CID; the majority screened positively for child maltreatment (87.4%). Our model was significant and demonstrates that the odds for CID increase as a function of maltreatment severity; years abusing substances did not significantly increase the odds. For those reporting the most severe levels of maltreatment, the odds of experiencing CID translates to odds ratio (OR) = 1.92, with an associated probability of 66%. Implications: Child maltreatment severity is an important predictor of CID status, and was more likely to explain CID than years abusing drugs and alcohol in our clinical sample. Trauma-informed concurrent treatment for 3 clinical conditions of CID, childhood maltreatment, and SUD is needed for the majority of individuals seeking treatment for SUD.

AB - Purpose: Biological theories explain how exposure to child maltreatment and chronic substance abuse result in significant health reductions, often years or decades after the maltreatment and substance abuse end. Relationships among these variables are known to exist; however, the relative impact of each risk factor on disability status is not clear. Method: Adults receiving inpatient treatment for a substance use disorder (SUD) were assessed for chronic illness and disability (CID), years abusing substances, and child maltreatment severity using the Child Trauma Questionnaire (n = 112). A logistic regression model classified participants by CID status based on criterion variables; using transformed data and model parameters, the odds and probabilities were calculated for each criterion variable to determine the clinical impact of each risk factor on CID. Results: The majority (52.7%) of participants reported CID; the majority screened positively for child maltreatment (87.4%). Our model was significant and demonstrates that the odds for CID increase as a function of maltreatment severity; years abusing substances did not significantly increase the odds. For those reporting the most severe levels of maltreatment, the odds of experiencing CID translates to odds ratio (OR) = 1.92, with an associated probability of 66%. Implications: Child maltreatment severity is an important predictor of CID status, and was more likely to explain CID than years abusing drugs and alcohol in our clinical sample. Trauma-informed concurrent treatment for 3 clinical conditions of CID, childhood maltreatment, and SUD is needed for the majority of individuals seeking treatment for SUD.

UR - http://www.scopus.com/inward/record.url?scp=85048228354&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048228354&partnerID=8YFLogxK

U2 - 10.1037/rep0000196

DO - 10.1037/rep0000196

M3 - Article

C2 - 29878835

AN - SCOPUS:85048228354

VL - 63

SP - 313

EP - 323

JO - Rehabilitation Psychology

JF - Rehabilitation Psychology

SN - 0090-5550

IS - 2

ER -