Antecedentes traumáticos en mujeres drogodependientes: abuso sexual, físico y psicológico

Trastornos adictivos Pub Date : 2010-07-01 Epub Date: 2011-02-01 DOI:10.1016/S1575-0973(10)70021-0
M.A. Santos Goñi , L. García Colmenero , A. Bernardo Carrasco , E. Quijano Arenas , L. Sánchez Pardo , el Grupo de trabajo sobre mujeres drogodependientes
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引用次数: 0

Abstract

Aims

To analyze the prevalence of lifetime traumatic events (physical, psychological and sexual abuses in childhood or adolescence) of women with drug addiction treatment in ambulatory or residential centres of Castile and Leon Assistance to Drugs Addicts Network. To detect the differences between women with and without this kind of background.

Method

Descriptive, cross-sectional and multi-centre study with 145 women of legal age, in treatment for their drug addiction in 2008. Selection was made by two-stage stratified sampling (treatment resource -outpatient and residential treatment- and principal drug), and random simple for each stratum. Collection data by self-administered questionnaire with information of lifetime traumatic events in childhood or adolescence. Statistical analyses were carried out by Test of Proportions (p < 0.05).

Results

The prevalence of total traumatic events was of a 63 %. In the group of women with traumatic antecedents there is a higher presence of young women (18–29 years old), an earlier consumption of the principal drug (before 18 years old), opiate addiction had more prevalence, as well as previous treatment and residential treatment. Traumatic antecedents in the familiar context were present in a 30.6 % (physical abuse); a 44.9 % (psychological abuse); a 18.4 % (sexual abuse) and outside of family context a 21.8 % of the studied women.

Conclusions

Traumatic antecedents were present in more of a 50 % of the studied women, detecting a more complex profile on their addiction. This situation determines the need to incorporate an initial evaluation of this type of antecedents and to intensify psychological treatments of support for this pathology.

吸毒妇女的创伤史:性虐待、身体和心理虐待
目的分析在卡斯蒂利亚和莱昂援助吸毒成瘾者网络的流动或住宿中心接受吸毒成瘾治疗的妇女一生创伤事件(儿童或青少年时期的身体、心理和性虐待)的发生率。来检测有和没有这种背景的女性之间的差异。方法采用描述性、横断面和多中心研究方法,对2008年145名法定年龄妇女进行药物成瘾治疗。选择采用两阶段分层抽样(治疗资源-门诊和住院治疗-主要药物),每层随机简单。采用儿童或青少年时期创伤性事件自填问卷收集资料。统计学分析采用比例检验(p <0.05)。结果总创伤事件发生率为63%。在有创伤经历的妇女群体中,年轻妇女(18 - 29岁)、较早使用主要药物(18岁以前)、阿片类药物成瘾的发生率较高,以及既往治疗和住院治疗的发生率较高。在熟悉的环境中,有30.6%的人存在创伤性前事(身体虐待);A 44.9%(心理虐待);18.4%(性虐待)和21.8%的家庭以外的女性。结论:50%以上的被研究女性存在创伤前因,这表明她们的成瘾状况更为复杂。这种情况决定了需要对这种类型的前因进行初步评估,并加强对这种病理的心理治疗。
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