Are experiences of sexual violence related to special needs in patients with substance use disorders? A study in opioid-dependent patients
| Autor: | Uwe Verthein, Lil Gromus, Bernd Schulte, Ingo Schäfer, Jens Reimer, Silke Pawils, Armita Atabaki, Marcus Sebastian Martens |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject Medicine (miscellaneous) Poison control Suicide Attempted Special needs Comorbidity Toxicology Suicide prevention Occupational safety and health Age Distribution Risk Factors Germany Injury prevention medicine Humans Family Interpersonal Relations Sex Distribution Psychiatry Crime Victims media_common Health Services Needs and Demand Sexual violence business.industry Mental Disorders Addiction Sex Offenses Human factors and ergonomics Opioid-Related Disorders Psychiatry and Mental health Clinical Psychology Socioeconomic Factors Case-Control Studies Female business Clinical psychology |
| Zdroj: | Addictive Behaviors. 39:1691-1694 |
| ISSN: | 0306-4603 |
| Popis: | A history of sexual violence has been related to more complex treatment needs in patients with substance use disorders (SUD). Most of the existing studies, however, included patients with various types of SUD, did not examine gender differences and focused on a small range of clinical domains. Our sample consisted of opioid-dependent outpatients treated during a three-year period in a German metropolitan region. The analysis was based on a local case register and included all patients for whom information on lifetime sexual violence was available (N = 3531; 68.3% males). In a case–control design, patients with a history of sexual violence were compared to patients without these experiences regarding a wide range of clinical and social factors indicative of potential needs. Almost two thirds (65.6%) of the female patients and 10.9% of the males reported experiences of sexual violence. Victims differed from non-victims across a variety of domains, including more psychiatric symptoms and suicide attempts, more legal problems, financial and family problems, as well as a higher use of services. In contrast to a previous study among alcohol-dependent patients, no gender differences became apparent. Our findings suggest that experiences of sexual violence are an indicator for more complex needs in opioid-dependent patients of both genders. In addition to integrated trauma-informed approaches, an effort needs to be made to link addiction facilities to further institutions to meet these complex needs. |
| Databáze: | OpenAIRE |
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