The Associations of Adverse Childhood Experiences (ACEs) With Substance Use in Young Adults: A Systematic Review

IF 2.8 3区医学 Q2 SUBSTANCE ABUSE

Substance abuse Pub Date : 2023-01-01 DOI:10.1177/11782218231193914

Ivan Sebalo, Michaela Poslt Königová, Martina Sebalo Vňuková, Martin Anders, Radek Ptáček

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引用次数: 0

Abstract

Introduction: Young adulthood is a transitional period between adolescence and adulthood. Due to the unique pressures of taking on a new social role and associated uncertainties, young adults are at heightened risk for drug and alcohol use. Furthermore, adverse childhood experiences (ACEs) increases the likelihood of using maladaptive coping strategies such as using substances to avoid or soothe negative emotions. The current review aimed to summarize the associations between exposure to ACEs before the age of 18 years and subsequent drug or alcohol use between the ages of 18 and 25 years. Methods: The review was performed in accordance with the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature search of the Web of Science, PubMed, and PsycINFO databases was conducted in February 2022. Results: The initial search yielded 7178 articles, with 777 duplicates. Consequently, 6401 titles were inspected for relevance. After reading the full text, 88 articles were included in the review. Conclusion: This review provides clear evidence that exposure to multiple ACEs is a robust risk factor for the use of alcohol, cannabis and other drugs by young adults. Poor self-regulation and maladaptive coping strategies were identified as mechanisms explaining this link; however, further detailed research is needed.

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青少年不良童年经历(ace)与物质使用的关联:一项系统综述

青年期是青春期和成年期之间的过渡时期。由于承担新的社会角色的独特压力和相关的不确定性，年轻人吸毒和酗酒的风险更高。此外，不良童年经历(ace)增加了使用适应不良应对策略的可能性，例如使用物质来避免或缓解负面情绪。本综述旨在总结18岁前接触ace与随后在18岁至25岁期间使用药物或酒精之间的关系。方法:根据2020年系统评价和荟萃分析首选报告项目(PRISMA)指南进行综述。于2022年2月对Web of Science、PubMed和PsycINFO数据库进行文献检索。结果:最初的搜索产生了7178篇文章，其中有777篇重复。因此，6401个标题被检查相关性。在阅读全文后，88篇文章被纳入综述。结论:本综述提供了明确的证据，表明暴露于多种ace是年轻人使用酒精、大麻和其他药物的一个强有力的危险因素。较差的自我调节和适应不良的应对策略被认为是解释这一联系的机制;然而，还需要进一步的详细研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Substance abuse SUBSTANCE ABUSE-

CiteScore

5.90

自引率

2.90%

发文量

审稿时长

>12 weeks

期刊介绍： Now in its 4th decade of publication, Substance Abuse journal is a peer-reviewed journal that serves as the official publication of Association for Medical Education and Research in Substance Abuse (AMERSA) in association with The International Society of Addiction Medicine (ISAM) and the International Coalition for Addiction Studies in Education (INCASE). Substance Abuse journal offers wide-ranging coverage for healthcare professionals, addiction specialists and others engaged in research, education, clinical care, and service delivery and evaluation. It features articles on a variety of topics, including: Interdisciplinary addiction research, education, and treatment Clinical trial, epidemiology, health services, and translation addiction research Implementation science related to addiction Innovations and subsequent outcomes in addiction education Addiction policy and opinion International addiction topics Clinical care regarding addictions.