Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review

BMC Psychiatry

Research Article

David C. Hodgins¹  Lewis Horwood¹  Barna Konkolÿ Thege²  Linda Slater³  Maria C. Tan⁴  T. Cameron Wild⁵ 

[1] Department of Psychology, University of Calgary, 2500 University Drive, T2N 1N4, Calgary, Canada;Department of Psychology, University of Calgary, 2500 University Drive, T2N 1N4, Calgary, Canada;Research and Academics Division, Waypoint Centre for Mental Health Care, 500 Church Street, L9M 1G3, Penetanguishene, ON, Canada;Department of Psychiatry, University of Toronto, 250 College Street, M5T 1R8, Toronto, Canada;John W. Scott Health Sciences Library, University of Alberta, 2K312 WMC University of Alberta, T6G 2R7, Edmonton, Canada;Knowledge Resource Service - Abdul Khaliq Library, Alberta Health Services Cross Cancer Institute, 11560 University Avenue, T6G 1Z2, Edmonton, Canada;School of Public Health, University of Alberta, 3-300 Edmonton Clinic Health Academy, 11405-97 Avenue, T6G 1C9, Edmonton, Canada;

关键词: Interpersonal trauma;    Posttraumatic stress disorder;    Child maltreatment;    Substance abuse;    Behavioral addiction;    Systematic review;   

DOI  :  10.1186/s12888-017-1323-1

 received in 2017-02-18, accepted in 2017-04-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe aim of this study was to systematically summarize knowledge on the association between exposure to interpersonal trauma and addictive behaviors. Extant reviews on this association focused on a restricted range of substance-related addictions, and/or used a narrative instead of a systematic approach.MethodsSystematic searches of 8 databases yielded 29,841 studies, of which 3054 studies were included and subsequently classified in relation to study design (scoping review). A subset of observational studies (N = 181) prospectively investigating the relationship between exposure to interpersonal traumata and subsequent behavioral or substance-related addiction problems were characterized. Heterogeneity in study methodologies and types of addictive behaviors and traumatic experiences assessed precluded meta-analysis. Instead, the proportions of associations tested in this literature that revealed positive, negative, or null relationships between trauma exposure and subsequent addictive behaviors were recorded, along with other methodological features.ResultsOf 3054 included studies, 70.7% (n = 2160) used a cross-sectional design. In the 181 prospective observational studies (407,041 participants, 98.8% recruited from developed countries), 35.1% of the tested associations between trauma exposure and later addictive behaviors was positive, 1.3% was negative, and 63.6% was non-significant. These results were primarily obtained among non-treatment seeking samples (80.7% of studies; n = 146), using single and multi-item measures of addictive behaviors of unknown psychometric quality (46.4% of studies). Positive associations were more frequently observed in studies examining childhood versus adult traumatization (39.7% vs. 29.7%).ConclusionsLongitudinal research in this area emphasizes alcohol abuse, and almost no research has examined behavioral addictions. Results provide some support for a positive association between exposure to interpersonal trauma and subsequent addictive behaviors but this relationship was not consistently reported. Longitudinal studies typically assessed trauma exposure retrospectively, often after addictive behavior onset, thus precluding robust inferences about whether traumatization affects initial onset of addictive behaviors.

【 授权许可】

CC BY   
© The Author(s). 2017