Adverse Childhood Experiences Propel Adult Addiction
Keywords:
Adverse Childhood Experiences, Addiction, Substance Abuse, Childhood Trauma, Retrospective Study.Abstract
Despite the negative consequences, individuals with addiction persist in drug use, characterized by relapses and chronic brain disorders. Research has established a link between adverse childhood experiences (ACEs) and subsequent alcohol and drug problems. This study aimed to identify the influence of ACEs on the development of addiction in adulthood. A descriptive (retrospective) design was employed from August 1, 2023, to March 1, 2024, involving 142 male addict patients using convenience sampling. Data were collected via a questionnaire comprising sociodemographic information, the ACEs Questionnaire, and the Simple Screening Instrument for Alcohol and Other Drugs (SSI-AOD). Descriptive and inferential statistics were used for analysis. Results showed that 43.3% of patients had experienced some form of negative childhood experience, and 71.8% had moderate to severe alcohol and drug use. The findings suggest that ACEs significantly impact the development of addiction in adulthood, with participants exhibiting moderate levels of both substance use and adverse childhood experiences. Ethical considerations were adhered to, with approval from the University of Karbala and assurances of confidentiality for participants. This study highlights the critical role of ACEs in adult addiction, emphasizing the need for targeted interventions.
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A. A. Moustafa, D. Parkes, L. Fitzgerald, D. Underhill, J. Garami, E. Levy-Gigi, F. Stramecki, A. Valikhani, D. Frydecka, and B. Misiak, "The relationship between childhood trauma, early-life stress, and alcohol and drug use, abuse, and addiction: An integrative review," *Current Psychology*, vol. 40, no. 2, pp. 579–584, 2021. [Online]. Available: https://doi.org/10.1007/s12144-018-9973-9
M. D. Lemonick and A. Park, "The science of addiction," *Time*, vol. 170, no. 3, pp. 42–48, 2007. [Online]. Available: https://doi.org/10.1097/01.nme.0000532658.40581.99
N. J. Al-Hemiary, J. K. Al-Diwan, A. L. Hasson, and R. A. Rawson, "Drug and alcohol use in Iraq: Findings of the inaugural Iraqi community epidemiological workgroup," *Substance Use and Misuse*, vol. 49, no. 13, pp. 1759–1763, 2014. [Online]. Available: https://doi.org/10.3109/10826084.2014.913633
H. Al-Hinaai, I. Al-Busaidi, B. Al Farsi, and Y. Al Saidi, "The prevalence of substance misuse and its effects among Omani college students: A cross-sectional study," *Oman Medical Journal*, vol. 36, no. 1, pp. 1–7, 2021. [Online]. Available: https://doi.org/10.5001/OMJ.2021.04
A. Karamanos, K. Stewart, S. Harding, Y. Kelly, and R. E. Lacey, "Adverse childhood experiences and adolescent drug use in the UK: The moderating role of socioeconomic position and ethnicity," *SSM - Population Health*, vol. 19, no. November 2021, p. 101142, 2022. [Online]. Available: https://doi.org/10.1016/j.ssmph.2022.101142
E. Fuller-Thomson, J. L. Roane, and S. Brennenstuhl, "Three types of adverse childhood experiences, and alcohol and drug dependence among adults: An investigation using population-based data," *Substance Use and Misuse*, vol. 51, no. 11, pp. 1451–1461, 2016. [Online]. Available: https://doi.org/10.1080/10826084.2016.1181089
A. J. Stevens, "Health needs assessment of adverse childhood experiences in Bradford," August 2019.
L. Grummitt, E. Barrett, E. Kelly, and N. Newton, "An umbrella review of the links between adverse childhood experiences and substance misuse: What, why, and where do we go from here?" *Substance Abuse and Rehabilitation*, vol. 13, pp. 83–100, 2022. [Online]. Available: https://doi.org/10.2147/sar.s341818
D. E. Kirsch and E. T. C. Lippard, "Early life stress and substance use disorders: The critical role of adolescent substance use," *Pharmacology Biochemistry and Behavior*, vol. 215, pp. 1–64, 2022. [Online]. Available: https://doi.org/10.1016/j.pbb.2022.173360
J. Li, J. He, P. Wang, J. Li, Y. Zhang, J. You, and V. Chongsuvivatwong, "Pathway of effects of adverse childhood experiences on the poly-drug use pattern among adults using drugs: A structural equation modeling," *Frontiers in Public Health*, vol. 11, pp. 1–11, 2023. [Online]. Available: https://doi.org/10.3389/fpubh.2023.1043222
L. Khoury, Y. L. Tang, B. Bradley, J. F. Cubells, and K. J. Ressler, "Substance use, childhood traumatic experience, and posttraumatic stress disorder in an urban civilian population," *Depression and Anxiety*, vol. 27, no. 12, pp. 1077–1086, 2010. [Online]. Available: https://doi.org/10.1002/da.20751
B. A. Saed, L. A. Talat, and B. A. Saed, "Prevalence of childhood maltreatment among college students in Erbil, Iraq," *Eastern Mediterranean Health Journal*, vol. 19, no. 5, pp. 441–446, 2013. [Online]. Available: https://doi.org/10.26719/2013.19.5.441
A. C. Experiences, "Adverse childhood experiences (ACEs)," *The Child & Family Clinical Psychology Review*, vol. 1, no. 7, pp. 28–39, 2021. [Online]. Available: https://doi.org/10.53841/bpscypf.2021.1.7.28
V. J. Felitti, "Adverse childhood experiences and adult health," *Academic Pediatrics*, vol. 9, no. 3, pp. 131–132, 2009. [Online]. Available: https://doi.org/10.1016/j.acap.2009.03.001
K. Mansour, E. Roshdy, O. A. Daoud, P. E. Langdon, M. El-Saadawy, A. Al-Zahrani, and A. Khashaba, "Child abuse and its long-term consequences: An exploratory study on Egyptian university students," *Arab Journal of Psychiatry*, vol. 21, no. 2, pp. 137–163, 2010. [Online]. Available: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=psyc6&AN=2010-25623-004
E. A. Evans, C. E. Grella, and D. M. Upchurch, "Gender differences in the effects of childhood adversity on alcohol, drug, and polysubstance-related disorders," *Social Psychiatry and Psychiatric Epidemiology*, vol. 52, no. 7, pp. 901–912, 2017. [Online]. Available: https://doi.org/10.1007/s00127-017-1355-3
L. Leza, S. Siria, J. J. López-Goñi, and J. Fernández-Montalvo, "Adverse childhood experiences (ACEs) and substance use disorder (SUD): A scoping review," *Drug and Alcohol Dependence*, vol. 221, no. November 2020, p. 108563, 2021. [Online]. Available: https://doi.org/10.1016/j.drugalcdep.2021.108563
M. Carlyle, R. Broomby, G. Simpson, R. Hannon, L. Fawaz, O. M. Mollaahmetoglu, J. Drain, M. Mostazir, and C. J. A. Morgan, "A randomised, double-blind study investigating the relationship between early childhood trauma and the rewarding effects of morphine," *Addiction Biology*, vol. 26, no. 6, pp. 1–13, 2021. [Online]. Available: https://doi.org/10.1111/adb.13047
T. J. Grigsby, C. J. Rogers, L. D. Albers, S. M. Benjamin, K. Lust, M. E. Eisenberg, and M. Forster, "Adverse childhood experiences and health indicators in a young adult, college student sample: Differences by gender," *International Journal of Behavioral Medicine*, vol. 27, no. 6, pp. 660–667, 2020. [Online]. Available: https://doi.org/10.1007/s12529-020-09913-5
D. J. Bryant, E. N. Coman, and A. J. Damian, "Association of adverse childhood experiences (ACEs) and substance use disorders (SUDs) in a multi-site safety net healthcare setting," *Addictive Behaviors Reports*, vol. 12, no. July, p. 100293, 2020. [Online]. Available: https://doi.org/10.1016/j.abrep.2020.100293
D. Bogetić, A. Jugović, and B. Merdović, "Adverse childhood experiences as risk factor for the development of substance addiction," *Kultura Polisa*, vol. 20, no. 2, pp. 17–38, 2023. [Online]. Available: https://doi.org/10.51738/kpolisa2023.20.2r.17bjm
S. R. Dube, V. J. Felitti, M. Dong, D. P. Chapman, W. H. Giles, and R. F. Anda, "Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study," *Pediatrics*, vol. 111, no. 3, pp. 564–572, 2003. [Online]. Available: https://doi.org/10.1542/peds.111.3.564
C. F. Aas, J. H. Vold, R. Gjestad, S. Skurtveit, A. G. Lim, K. V. Gjerde, E. M. Løberg, K. A. Johansson, L. T. Fadnes, V. B. Buljovcic, F. Chalabianloo, J. T. Daltveit, S. E. Alpers, T. F. Eriksen, P. Gundersen, V. Hille, K. H. Håberg, R. A. Leiva, S. E. L. Carlsen, and P. Vickerman, "Substance use and symptoms of mental health disorders: A prospective cohort of patients with severe substance use disorders in Norway," *Substance Abuse: Treatment, Prevention, and Policy*, vol. 16, no. 1, pp. 1–10, 2021. [Online]. Available: https://doi.org/10.1186/s13011-021-00354-1
C. Benjet, G. Borges, M. E. Medina-Mora, and E. Méndez, "Chronic childhood adversity and stages of substance use involvement in adolescents," *Drug and Alcohol Dependence*, vol. 131, no. 1–3, pp. 85–91, 2013. [Online]. Available: https://doi.org/10.1016/j.drugalcdep.2012.12.002
L. Fang and S. McNeil, "Is there a relationship between adverse childhood experiences and problem drinking behaviors? Findings from a population-based sample," *Public Health*, vol. 150, pp. 34–42, 2017. [Online]. Available: https://doi.org/10.1016/j.puhe.2017.05.005
M. T. Merrick, K. A. Ports, D. C. Ford, T. O. Afifi, E. T. Gershoff, and A. Grogan-Kaylor, "Unpacking the impact of adverse childhood experiences on adult mental health," *Child Abuse and Neglect*, vol. 69, pp. 10–19, 2017. [Online]. Available: https://doi.org/10.1016/j.chiabu.2017.03.016
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