Association between experience of child abuse and severity of drug addiction measured by the Addiction Severity Index among Japanese drug-dependent patients.
The aim of the present study was to clarify the association between child abuse experiences and drug addiction severity among Japanese drug-dependent patients using the Addiction Severity Index-Japanese version (ASI-J). One hundred and eleven inpatients and outpatients with drug dependence participated in the study. Some of the questions on the ASI-J asked about lifetime experiences of abuse. A higher percentage of female participants experienced child abuse compared with male participants. Male participants who experienced child abuse (MEA) had a significantly higher severity of drug use than men who did not experience it (MNEA). Female participants who experienced child abuse (FEA) had significantly more serious problems in family/social relationships than female participants who did not experience it (FNEA). Patients in the MEA group were arrested less frequently for drug charges, experienced more serious problems with their fathers, and experienced more severe anxiety in their lifetime compared with the MNEA group. The FEA group experienced more serious troubles with their sexual partners, close friends, and families and experienced more severe psychiatric problems in their lifetime compared with the FNEA group. These results suggest gender differences in the problems experienced by drug-dependent patients with child abuse experiences, and gender-specific interventions may be more effective in treating their drug dependence.
Social Psychiatry and Mental Health, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan. ogai.ys@md.tsukuba.ac.jp.|Addictive Substance Project, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo 156-8506, Japan. ogai.ys@md.tsukuba.ac.jp.
Yasukazu
Y
Ogai
Ibaraki Prefectural Medical Center of Psychiatry, 654 Asahi-cho, Kasama, Ibaraki 309-1717, Japan. senoo12001@yahoo.co.jp.
Eiichi
E
Senoo
College of Medicine, The Pennsylvania State University, 500 University Drive, Hershey, PA 17033, USA. fumiyuki.c.gardner@gmail.com.
Fumiyuki Chin
FC
Gardner
Hanamizuki Geriatric Health Services Facility, 4-17-1 Jindaiji-Kitamachi, Chofu, Tokyo 182-0011, Japan. mako.haraguchi@nifty.ne.jp.
Ayako
A
Haraguchi
Social Psychiatry and Mental Health, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan. hhd02063@nifty.ne.jp.
Tamaki
T
Saito
Social Psychiatry and Mental Health, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan. nobuakim@nifty.ne.jp.
Nobuaki
N
Morita
Addictive Substance Project, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo 156-8506, Japan. ikeda-kz@igakuken.or.jp.
Kazutaka
K
Ikeda
D000328:Adult; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000523:psychology*