Adverse Childhood Experiences, Family Functionality, and Severity of Psychoactive Substance Dependence
DOI:
https://doi.org/10.56294/saludcyt20241314Keywords:
Adverse Childhood Experiences, Family Functionality, Severity of Psychoactive Substance Dependence, Mental HealthAbstract
Introduction: adverse childhood experiences are related to mental health problems and substance use in adulthood and are defined as a series of events and experiences perceived as harmful by children and adolescents.
Objective: to establish the relationship between Adverse Childhood Experiences, Family Functionality and Severity of Psychoactive Substance Dependence in adults.
Method: quantitative, correlational-exploratory, non-experimental and cross-sectional study, in a population of 152 people in treatment for substance use during the year 2023, between 18 and 65 years of age, with a focus on 5 public treatment centers in Chile, with a purposive sample of 64 cases. An instrument composed of 3 scales was applied, and descriptive analysis, correlations and linear regression were carried out.
Results: there is a high correlation in the 5 subscales of the CTQ-SF of Early Adverse Experiences. The lower the Family Functionality, the higher the levels of Early Adverse Experiences. The detached/separated type of families predominate, but Family Functionality does not correlate significantly with Severity of Psychoactive Substance Dependence.
Discussion: psychoactive substance severity does correlate significantly positively with living Early Adverse Experiences. Likewise, the study positively signifies the joint relationship of predictor variables.
Conclusions: early adverse experience is related to problematic substance use in adulthood, the traumatic event arises within the family, systemically affecting mental health in adulthood, independent of its structure and composition
References
1. Crime UN. World Drug Report 2021. CrimRxiv [Internet]. 24 de junio de 2021. Disponible en: https://doi.org/10.21428/cb6ab371.e39c4e60
2. Junta Nacional de Drogas [Internet]. Plan de Acción Hemisférico sobre Drogas 2021-2025. Disponible en: https://www.gub.uy/junta-nacional-drogas/comunicacion/publicaciones/plan-accion-hemisferico-sobre-drogas-2021-2025
3. PAHO/WHO | Pan American Health Organization [Internet]. Informe Anual del Director 2019 - OPS/OMS. Disponible en: https://www.paho.org/annual-report-of-the-director-2019/es/.
4. Garrido-Montesinos C, Pons-Diez J, Murgui-Pérez S, Ortega-Barón J. Satisfacción con la Vida y Factores Asociados en una Muestra de Menores Infractores. Anu Psicol Juridica [Internet]. 2018. Disponible en: https://doi.org/10.5093/apj2018a9
5. Google Books [Internet]. Género, adolescencia y drogas. Disponible en: https://books.google.cl/books?hl=es&lr=&id=iSQ6EAAAQBAJ&oi=fnd&pg=PT3&dq=Socias+CO,+Gordaliza+RP.+Género,+adolescencia+y+drogas:+Prevenir+el+riesgo+desde+la+familia.+[lugar+desconocido]:+Editorial+Octaedro,+S.L.;+2018.+128+p.&ots=zAQfaFj5KZ&sig=aTIcmQFvY2561M6pXzk2J6Eu3JQ#v=onepage&q&f=false
6. Castillo Martínez A, Cleves Luna D, García Cifuentes ÁM, Laverde Martínez L, Medina Medina V, Cortés Ruiz H, Ramírez Martínez D, Dávalos Pérez DM. Experiencias adversas de la infancia en una muestra de pacientes con enfermedad crónica en Cali-Colombia. Medicina UPB [Internet]. 2017;36(1):9-15. Disponible en: https://doi.org/10.18566/medupb.v36n1.a02
7. Brown SM, Shillington AM. Childhood adversity and the risk of substance use and delinquency: The role of protective adult relationships. Child Abus Amp Negl [Internet]. Enero de 2017;63:211-21. Disponible en: https://doi.org/10.1016/j.chiabu.2016.11.006
8. Taillieu TL, Brownridge DA, Sareen J, Afifi TO. Childhood emotional maltreatment and mental disorders: Results from a nationally representative adult sample from the United States. Child Abus Amp Negl [Internet]. Septiembre de 2016;59:1-12. Disponible en: https://doi.org/10.1016/j.chiabu.2016.07.005
9. Casas-Muñoz A, Velasco-Rojano ÁE, Rodríguez-Caballero A, Loredo-Abdalá A, Prado-Solé E, Álvarez MG. Asociación entre conducta suicida y síntomas de otros problemas de salud mental en adolescentes mexicanos. Gac Medica Mex [Internet]. 14 de febrero de 2024. Disponible en: https://doi.org/10.24875/gmm.23000294
10. Google Books [Internet]. El Trauma oculto en la infancia. Disponible en: https://books.google.cl/books?hl=es&lr=&id=u4NTDwAAQBAJ&oi=fnd&pg=PT2&dq=lecannelier,+el+trauma+oculto+en+la+infancia&ots=mwLDZVz_Iw&sig=zJWAzoRm_lDCMC_1mNZtwhgPVK0#v=onepage&q=lecannelier,%20el%20trauma%20oculto%20en%20la%20infancia&f=false
11. Jiménez JP. Interacción gen-ambiente en la depresión: el rol del trauma temprano. Revista de psicoanálisis [Internet]. 2019;Vol. 77(0034-8740):pág. 265-281. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=8492090
12. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. REPRINT OF: Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study. Am J Prev Med [Internet]. Junio de 2019. Disponible en: https://doi.org/10.1016/j.amepre.2019.04.001
13. Grimaldo Muchotrigo MP, Correa Rojas JD, Jara Sánchez D, Cirilo Acero IB, Aguirre Morales MT. Propiedades psicométricas de la Escala de Calidad de vida de Olson y Barnes en estudiantes limeños (ECVOB). Health Addict Salud Drog [Internet]. 6 de agosto de 2020 Disponible en: https://doi.org/10.21134/haaj.v20i2.545
14. Hernandez A, Gallardo-Pujol D, Pereda N, Arntz A, Bernstein DP, Gaviria AM, Labad A, Valero J, Gutiérrez-Zotes JA. Initial Validation of the Spanish Childhood Trauma Questionnaire-Short Form. J Interpers Violence [Internet]. 24 de diciembre de 2012;28(7):1498-518. Disponible en: https://doi.org/10.1177/0886260512468240
15. ProQuest | Better research, better learning, better insights. [Internet]. Validación inicial del “Childhood trauma questionnaire-Short Form” versión española en Chile - ProQuest. Disponible en: https://www.proquest.com/openview/3da66aac636cffea90432d9c2a3167f3/1?pq-origsite=gscholar&cbl=44156
16. Rivero N, Martínez-Pampliega A, Olson DH. Spanish Adaptation of the FACES IV Questionnaire: Psychometric Characteristics. Fam J [Internet]. Julio de 2010;18(3):288-96. Disponible en: https://doi.org/10.1177/1066480710372084
17. Soto-Brandt G, Portilla Huidobro R, Huepe Artigas D, Rivera-Rei Á, Josefina Escobar M, Salas Guzmán N, Canales-Johnson A, Ibáñez A, Martínez Guzmán C, Castillo-Carniglia Á. Evidencia de validez en Chile del Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Adicciones [Internet]. 1 de diciembre de 2014;26(4):291. Disponible en: https://doi.org/10.20882/adicciones.27
18. SciELO Colombia- Scientific Electronic Library Online [Internet]. Adaptación y validación del Faces-20-ESP: Re-conociendo el funcionamiento familiar en Chillán, Chile. Disponible en: http://www.scielo.org.co/scielo.php?pid=S1692-715X2012000100014&script=sci_arttext
19. Fonseca Pedrero E, Pérez Álvarez M, Al-Halabí Díaz S, Inchausti Gómez F, López Navarro E, Muñiz Fernández J, et al. Tratamientos psicológicos empíricamente apoyados para la infancia y adolescencia : estado de la cuestión. Psicothema [Internet]. 2021; Available from: https://hdl.handle.net/11162/211825
20. Cruz-Salmerón VH, Martínez-Martínez ML, Garibay-López L, Camacho-Calderón N. Comparación del perfil de funcionamiento familiar en los adolescentes con y sin drogadicción de un colegio de bachilleres. Atención Primaria [Internet]. 2011 Feb 1 [cited 2022 Jun 3];43(2):89–94. Available from: https://www.sciencedirect.com/science/article/pii/S0212656710001988#bib12
21. Pérez del Río F. En qué cambian los pacientes drogodependientes a los seis meses de tratamiento en la comunidad terapéutica. Rev Asoc Esp Neuropsiquiatr [Internet]. 2012; 32(114):287–303. Disponible en: http://dx.doi.org/10.4321/s0211-57352012000200006
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