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Can a History of Childhood Trauma Impact the Effectiveness of Treatment in Individuals with Alcohol Use Disorders? A 2.5- and 5-Year Follow-up
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. Karolinska Institutet, Sweden; Inland Norway University of Applied Sciences, Norway.ORCID iD: 0000-0002-0013-2965
Number of Authors: 32025 (English)In: International Journal of Mental Health and Addiction, ISSN 1557-1874, E-ISSN 1557-1882, Vol. 23, p. 1108-1123Article in journal (Refereed) Published
Abstract [en]

Experienced childhood trauma (CT) is prevalent in individuals with alcohol use disorders (AUDs). Few studies examine how experienced CT afects alcohol-treatment outcome. This study accordingly investigates whether experienced CT independently afects treatment outcome 2.5- and 5-years post-treatment, controlling for other signifcant variables, such as self-efcacy, self-directedness, and mental health. Participants (n = 349) with AUDs (without severe psychiatric comorbidity or drug dependence) were recruited from three alcohol-treatment settings and followed up 2.5- and 5 years after treatment initiation. The group with experienced CT had more mental health problems, less self-efcacy, and less self-directedness. Multiple and logistic regressions were conducted using the outcome variables total number of DSM-IV criteria and abstinence. The results indicated that CT did not independently afect treatment outcome. Individuals with AUDs and experienced CT beneftted the same from alcohol treatment as those without such experience; however, studies should also examine groups with AUD and psychiatric comorbidity.

Place, publisher, year, edition, pages
2025. Vol. 23, p. 1108-1123
Keywords [en]
Childhood trauma, Individuals with AUD, Mental health, Self-efcacy, Self-directedness, Treatment outcome, Follow-u
National Category
Psychology
Identifiers
URN: urn:nbn:se:su:diva-222654DOI: 10.1007/s11469-023-01158-zISI: 001079201600002Scopus ID: 2-s2.0-105003926306OAI: oai:DiVA.org:su-222654DiVA, id: diva2:1805030
Funder
University of GothenburgAvailable from: 2023-10-16 Created: 2023-10-16 Last updated: 2025-05-20Bibliographically approved

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Wennberg, Peter

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