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Distinct Psychological Profiles Linking Childhood Adversity and Substance Misuse in High-Risk Young Adults.

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Title: Distinct Psychological Profiles Linking Childhood Adversity and Substance Misuse in High-Risk Young Adults.
Authors: van Zyl, Tara-Lynne, O'Neill, Tara, Rushe, Teresa
Source: Journal of Family Violence; May2023, Vol. 38 Issue 4, p633-645, 13p, 7 Charts
Subject Terms: ADVERSE childhood experiences, RISK-taking behavior, EXECUTIVE function, SUBSTANCE abuse, CANNABIS (Genus), CROSS-sectional method, CHILD abuse, RETROSPECTIVE studies, PUNISHMENT, REWARD (Psychology), FACTOR analysis, QUESTIONNAIRES, ANXIETY, LOGISTIC regression analysis
Geographic Terms: NORTHERN Ireland
Abstract: Adverse childhood experiences (ACEs) constitute a key determinant in the development of substance misuse. However, the understanding of how ACEs cultivate this risk lacks the specificity needed to inform effective prevention and intervention practices. This issue may be remedied by exploring the distinction between ACEs and their effects on development. The present study investigated whether distinct patterns of adversity are differentially associated with substance misuse along unique profiles of psychological variables, namely anxiety and punishment sensitivity – an internalizing profile – versus reward sensitivity and executive functioning – an externalizing profile. Using a cross-sectional retrospective design, 124 high-risk young adults completed assessments of childhood adversity and psychological functioning. We employed the ACE-IQ to capture extended ACEs such as community and collective violence, as our sample grew up in the post-conflict society of Northern Ireland. Exploratory Factor Analysis revealed three patterns of adversity co-occurrence – Childhood Maltreatment, Household Dysfunction and Community Adversity, all of which independently predicted different types of substance misuse. Childhood Maltreatment was significantly associated with heavy drug use probability; Household Dysfunction was associated with cannabis dependence probability; and Community Adversity was associated with both cannabis dependence and heavy drug use probability. Logistic regressions (all p <.05) showed that heavy drug use probability was predicted by Childhood Maltreatment and anxiety in one model, and by Community Adversity and reduced punishment sensitivity in another, suggesting that different types of ACEs were associated with partially distinct outcomes in this sample. These results support the proposal that different ACE subtypes confer distinct effects, which carries clinical implications for substance misuse prevention and intervention. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Family Violence is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Journal of Family Violence; May2023, Vol. 38 Issue 4, p633-645, 13p, 7 Charts
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  Data: Adverse childhood experiences (ACEs) constitute a key determinant in the development of substance misuse. However, the understanding of how ACEs cultivate this risk lacks the specificity needed to inform effective prevention and intervention practices. This issue may be remedied by exploring the distinction between ACEs and their effects on development. The present study investigated whether distinct patterns of adversity are differentially associated with substance misuse along unique profiles of psychological variables, namely anxiety and punishment sensitivity – an internalizing profile – versus reward sensitivity and executive functioning – an externalizing profile. Using a cross-sectional retrospective design, 124 high-risk young adults completed assessments of childhood adversity and psychological functioning. We employed the ACE-IQ to capture extended ACEs such as community and collective violence, as our sample grew up in the post-conflict society of Northern Ireland. Exploratory Factor Analysis revealed three patterns of adversity co-occurrence – Childhood Maltreatment, Household Dysfunction and Community Adversity, all of which independently predicted different types of substance misuse. Childhood Maltreatment was significantly associated with heavy drug use probability; Household Dysfunction was associated with cannabis dependence probability; and Community Adversity was associated with both cannabis dependence and heavy drug use probability. Logistic regressions (all p &lt;.05) showed that heavy drug use probability was predicted by Childhood Maltreatment and anxiety in one model, and by Community Adversity and reduced punishment sensitivity in another, suggesting that different types of ACEs were associated with partially distinct outcomes in this sample. These results support the proposal that different ACE subtypes confer distinct effects, which carries clinical implications for substance misuse prevention and intervention. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Journal of Family Violence is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder&#39;s express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10896-022-00397-3
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
        StartPage: 633
    Subjects:
      – SubjectFull: NORTHERN Ireland
        Type: general
      – SubjectFull: ADVERSE childhood experiences
        Type: general
      – SubjectFull: RISK-taking behavior
        Type: general
      – SubjectFull: EXECUTIVE function
        Type: general
      – SubjectFull: SUBSTANCE abuse
        Type: general
      – SubjectFull: CANNABIS (Genus)
        Type: general
      – SubjectFull: CROSS-sectional method
        Type: general
      – SubjectFull: CHILD abuse
        Type: general
      – SubjectFull: RETROSPECTIVE studies
        Type: general
      – SubjectFull: PUNISHMENT
        Type: general
      – SubjectFull: REWARD (Psychology)
        Type: general
      – SubjectFull: FACTOR analysis
        Type: general
      – SubjectFull: QUESTIONNAIRES
        Type: general
      – SubjectFull: ANXIETY
        Type: general
      – SubjectFull: LOGISTIC regression analysis
        Type: general
    Titles:
      – TitleFull: Distinct Psychological Profiles Linking Childhood Adversity and Substance Misuse in High-Risk Young Adults.
        Type: main
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            NameFull: van Zyl, Tara-Lynne
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            NameFull: O'Neill, Tara
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            NameFull: Rushe, Teresa
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            – D: 01
              M: 05
              Text: May2023
              Type: published
              Y: 2023
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              Value: 38
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            – TitleFull: Journal of Family Violence
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