Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders

Lori Keyser-Marcus, Anika Alvanzo, Traci Rieckmann, Leroy Thacker, Allison Sepulveda, Alyssa Forcehimes, Leila Z. Islam, Monica Leisey, Maxine Stitzer, Dace S. Svikis

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Individuals with substance use disorders are often plagued by psychiatric comorbidities and histories of physical and/or sexual trauma. Males and females, although different in their rates of expressed trauma and psychiatric symptomatology, experience comparable adverse consequences, including poorer substance abuse treatment outcomes, diminished psychosocial functioning, and severe employment problems. The goal of the current study was to examine the relationships between trauma history, lifetime endorsement of psychiatric symptoms, and gender in a sample of individuals participating in outpatient substance abuse treatment. Study participants (N = 625) from six psychosocial counseling and five methadone maintenance programs were recruited as part of a larger study conducted through the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN). Study measures included lifetime trauma experience (yes/no), type of trauma experienced (sexual, physical, both), lifetime depression/anxiety, and lifetime suicidal thoughts/attempts (as measured by the Addiction Severity Index–Lite [ASI-Lite]). Lifetime endorsement of psychiatric symptoms was compared between individuals with and without trauma history. The role of gender was also examined. Results indicated that the experience of trauma was associated with an increase in lifetime report of psychiatric symptoms. Experience of physical and combined physical and sexual trauma consistently predicted positive report of psychiatric symptoms in both males and females, even when controlling for demographic and treatment-related variables. Employment outcomes, however, were not predicted by self-reported history of lifetime trauma.

Original languageEnglish (US)
Pages (from-to)3-24
Number of pages22
JournalJournal of Interpersonal Violence
Volume30
Issue number1
DOIs
StatePublished - Jan 27 2015

Fingerprint

Substance-Related Disorders
Mental Health
Psychiatry
Wounds and Injuries
National Institute on Drug Abuse (U.S.)
Methadone
Comorbidity
Counseling
Outpatients
Anxiety
Demography
Clinical Trials
Depression
Therapeutics

Keywords

  • alcohol and drugs
  • mental health and violence
  • with Hx of abuse, alcohol, and drugs

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Medicine(all)

Cite this

Keyser-Marcus, L., Alvanzo, A., Rieckmann, T., Thacker, L., Sepulveda, A., Forcehimes, A., ... Svikis, D. S. (2015). Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders. Journal of Interpersonal Violence, 30(1), 3-24. https://doi.org/10.1177/0886260514532523

Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders. / Keyser-Marcus, Lori; Alvanzo, Anika; Rieckmann, Traci; Thacker, Leroy; Sepulveda, Allison; Forcehimes, Alyssa; Islam, Leila Z.; Leisey, Monica; Stitzer, Maxine; Svikis, Dace S.

In: Journal of Interpersonal Violence, Vol. 30, No. 1, 27.01.2015, p. 3-24.

Research output: Contribution to journalArticle

Keyser-Marcus, L, Alvanzo, A, Rieckmann, T, Thacker, L, Sepulveda, A, Forcehimes, A, Islam, LZ, Leisey, M, Stitzer, M & Svikis, DS 2015, 'Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders', Journal of Interpersonal Violence, vol. 30, no. 1, pp. 3-24. https://doi.org/10.1177/0886260514532523
Keyser-Marcus L, Alvanzo A, Rieckmann T, Thacker L, Sepulveda A, Forcehimes A et al. Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders. Journal of Interpersonal Violence. 2015 Jan 27;30(1):3-24. https://doi.org/10.1177/0886260514532523
Keyser-Marcus, Lori ; Alvanzo, Anika ; Rieckmann, Traci ; Thacker, Leroy ; Sepulveda, Allison ; Forcehimes, Alyssa ; Islam, Leila Z. ; Leisey, Monica ; Stitzer, Maxine ; Svikis, Dace S. / Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders. In: Journal of Interpersonal Violence. 2015 ; Vol. 30, No. 1. pp. 3-24.
@article{29b8e2b51ed948a5973f87bd2361ef86,
title = "Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders",
abstract = "Individuals with substance use disorders are often plagued by psychiatric comorbidities and histories of physical and/or sexual trauma. Males and females, although different in their rates of expressed trauma and psychiatric symptomatology, experience comparable adverse consequences, including poorer substance abuse treatment outcomes, diminished psychosocial functioning, and severe employment problems. The goal of the current study was to examine the relationships between trauma history, lifetime endorsement of psychiatric symptoms, and gender in a sample of individuals participating in outpatient substance abuse treatment. Study participants (N = 625) from six psychosocial counseling and five methadone maintenance programs were recruited as part of a larger study conducted through the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN). Study measures included lifetime trauma experience (yes/no), type of trauma experienced (sexual, physical, both), lifetime depression/anxiety, and lifetime suicidal thoughts/attempts (as measured by the Addiction Severity Index–Lite [ASI-Lite]). Lifetime endorsement of psychiatric symptoms was compared between individuals with and without trauma history. The role of gender was also examined. Results indicated that the experience of trauma was associated with an increase in lifetime report of psychiatric symptoms. Experience of physical and combined physical and sexual trauma consistently predicted positive report of psychiatric symptoms in both males and females, even when controlling for demographic and treatment-related variables. Employment outcomes, however, were not predicted by self-reported history of lifetime trauma.",
keywords = "alcohol and drugs, mental health and violence, with Hx of abuse, alcohol, and drugs",
author = "Lori Keyser-Marcus and Anika Alvanzo and Traci Rieckmann and Leroy Thacker and Allison Sepulveda and Alyssa Forcehimes and Islam, {Leila Z.} and Monica Leisey and Maxine Stitzer and Svikis, {Dace S.}",
year = "2015",
month = "1",
day = "27",
doi = "10.1177/0886260514532523",
language = "English (US)",
volume = "30",
pages = "3--24",
journal = "Journal of Interpersonal Violence",
issn = "0886-2605",
publisher = "SAGE Publications Inc.",
number = "1",

}

TY - JOUR

T1 - Trauma, Gender, and Mental Health Symptoms in Individuals With Substance Use Disorders

AU - Keyser-Marcus, Lori

AU - Alvanzo, Anika

AU - Rieckmann, Traci

AU - Thacker, Leroy

AU - Sepulveda, Allison

AU - Forcehimes, Alyssa

AU - Islam, Leila Z.

AU - Leisey, Monica

AU - Stitzer, Maxine

AU - Svikis, Dace S.

PY - 2015/1/27

Y1 - 2015/1/27

N2 - Individuals with substance use disorders are often plagued by psychiatric comorbidities and histories of physical and/or sexual trauma. Males and females, although different in their rates of expressed trauma and psychiatric symptomatology, experience comparable adverse consequences, including poorer substance abuse treatment outcomes, diminished psychosocial functioning, and severe employment problems. The goal of the current study was to examine the relationships between trauma history, lifetime endorsement of psychiatric symptoms, and gender in a sample of individuals participating in outpatient substance abuse treatment. Study participants (N = 625) from six psychosocial counseling and five methadone maintenance programs were recruited as part of a larger study conducted through the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN). Study measures included lifetime trauma experience (yes/no), type of trauma experienced (sexual, physical, both), lifetime depression/anxiety, and lifetime suicidal thoughts/attempts (as measured by the Addiction Severity Index–Lite [ASI-Lite]). Lifetime endorsement of psychiatric symptoms was compared between individuals with and without trauma history. The role of gender was also examined. Results indicated that the experience of trauma was associated with an increase in lifetime report of psychiatric symptoms. Experience of physical and combined physical and sexual trauma consistently predicted positive report of psychiatric symptoms in both males and females, even when controlling for demographic and treatment-related variables. Employment outcomes, however, were not predicted by self-reported history of lifetime trauma.

AB - Individuals with substance use disorders are often plagued by psychiatric comorbidities and histories of physical and/or sexual trauma. Males and females, although different in their rates of expressed trauma and psychiatric symptomatology, experience comparable adverse consequences, including poorer substance abuse treatment outcomes, diminished psychosocial functioning, and severe employment problems. The goal of the current study was to examine the relationships between trauma history, lifetime endorsement of psychiatric symptoms, and gender in a sample of individuals participating in outpatient substance abuse treatment. Study participants (N = 625) from six psychosocial counseling and five methadone maintenance programs were recruited as part of a larger study conducted through the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN). Study measures included lifetime trauma experience (yes/no), type of trauma experienced (sexual, physical, both), lifetime depression/anxiety, and lifetime suicidal thoughts/attempts (as measured by the Addiction Severity Index–Lite [ASI-Lite]). Lifetime endorsement of psychiatric symptoms was compared between individuals with and without trauma history. The role of gender was also examined. Results indicated that the experience of trauma was associated with an increase in lifetime report of psychiatric symptoms. Experience of physical and combined physical and sexual trauma consistently predicted positive report of psychiatric symptoms in both males and females, even when controlling for demographic and treatment-related variables. Employment outcomes, however, were not predicted by self-reported history of lifetime trauma.

KW - alcohol and drugs

KW - mental health and violence

KW - with Hx of abuse, alcohol, and drugs

UR - http://www.scopus.com/inward/record.url?scp=84911934212&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84911934212&partnerID=8YFLogxK

U2 - 10.1177/0886260514532523

DO - 10.1177/0886260514532523

M3 - Article

VL - 30

SP - 3

EP - 24

JO - Journal of Interpersonal Violence

JF - Journal of Interpersonal Violence

SN - 0886-2605

IS - 1

ER -