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Childhood Maltreatment and Risky Substance Use Behaviors: The Mediating Roles of Posttraumatic Stress Symptoms & Callous Unemotional Traits.
Subst Use Misuse. 2021; 56(3):388-395.SU

Abstract

Background: A robust relationship has been established between childhood maltreatment and risky substance use. Posttraumatic stress symptoms and callous-unemotional (CU) traits, both of which can be consequences of childhood maltreatment, have been implicated as potential mediators of this relationship, but despite phenotypic overlap have not been examined within the same model. Objective: The current cross-sectional study examined the indirect effect of childhood maltreatment severity on risky drug and alcohol use behaviors though PTSS and CU traits. Methods: Undergraduates (n = 355, 54.4% female) with childhood maltreatment histories completed questionnaires regarding childhood maltreatment, PTSS, substance use behaviors, and CU traits. Path modeling was utilized to examine indirect effects of childhood maltreatment on risky alcohol and drug use behaviors. Results: Overall the model demonstrated good fit. PTSS and CU traits were found to fully mediate the childhood maltreatment severity to risky alcohol use behaviors, with PTSS demonstrating a trending mediational effect to risky drug usage. Results support multiple pathways to risky alcohol use for individuals with childhood maltreatment histories through PTSS and CU traits, suggesting both PTSS as well as CU traits as potential targets of intervention for alcohol misuse among individuals with childhood maltreatment experiences.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Ellis RA
Psychology Department, Northern Illinois University, DeKalb, Illinois, USA.
Awada SR
Psychology Department, Northern Illinois University, DeKalb, Illinois, USA.
Orcutt HK
Psychology Department, Northern Illinois University, DeKalb, Illinois, USA.
Shelleby EC
Psychology Department, Northern Illinois University, DeKalb, Illinois, USA.

MeSH

ChildChild AbuseConduct DisorderCross-Sectional StudiesEmotionsFemaleHumansMaleStress Disorders, Post-TraumaticSubstance-Related Disorders

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33426983

Citation

Ellis, Robyn A., et al. "Childhood Maltreatment and Risky Substance Use Behaviors: the Mediating Roles of Posttraumatic Stress Symptoms & Callous Unemotional Traits." Substance Use & Misuse, vol. 56, no. 3, 2021, pp. 388-395.
Ellis RA, Awada SR, Orcutt HK, et al. Childhood Maltreatment and Risky Substance Use Behaviors: The Mediating Roles of Posttraumatic Stress Symptoms & Callous Unemotional Traits. Subst Use Misuse. 2021;56(3):388-395.
Ellis, R. A., Awada, S. R., Orcutt, H. K., & Shelleby, E. C. (2021). Childhood Maltreatment and Risky Substance Use Behaviors: The Mediating Roles of Posttraumatic Stress Symptoms & Callous Unemotional Traits. Substance Use & Misuse, 56(3), 388-395. https://doi.org/10.1080/10826084.2020.1868519
Ellis RA, et al. Childhood Maltreatment and Risky Substance Use Behaviors: the Mediating Roles of Posttraumatic Stress Symptoms & Callous Unemotional Traits. Subst Use Misuse. 2021;56(3):388-395. PubMed PMID: 33426983.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Childhood Maltreatment and Risky Substance Use Behaviors: The Mediating Roles of Posttraumatic Stress Symptoms & Callous Unemotional Traits. AU - Ellis,Robyn A, AU - Awada,Samantha R, AU - Orcutt,Holly K, AU - Shelleby,Elizabeth C, Y1 - 2021/01/10/ PY - 2021/1/12/pubmed PY - 2021/6/25/medline PY - 2021/1/11/entrez KW - PTSS KW - alcohol use KW - callous-unemotional traits KW - childhood maltreatment KW - drug use SP - 388 EP - 395 JF - Substance use & misuse JO - Subst Use Misuse VL - 56 IS - 3 N2 - Background: A robust relationship has been established between childhood maltreatment and risky substance use. Posttraumatic stress symptoms and callous-unemotional (CU) traits, both of which can be consequences of childhood maltreatment, have been implicated as potential mediators of this relationship, but despite phenotypic overlap have not been examined within the same model. Objective: The current cross-sectional study examined the indirect effect of childhood maltreatment severity on risky drug and alcohol use behaviors though PTSS and CU traits. Methods: Undergraduates (n = 355, 54.4% female) with childhood maltreatment histories completed questionnaires regarding childhood maltreatment, PTSS, substance use behaviors, and CU traits. Path modeling was utilized to examine indirect effects of childhood maltreatment on risky alcohol and drug use behaviors. Results: Overall the model demonstrated good fit. PTSS and CU traits were found to fully mediate the childhood maltreatment severity to risky alcohol use behaviors, with PTSS demonstrating a trending mediational effect to risky drug usage. Results support multiple pathways to risky alcohol use for individuals with childhood maltreatment histories through PTSS and CU traits, suggesting both PTSS as well as CU traits as potential targets of intervention for alcohol misuse among individuals with childhood maltreatment experiences. SN - 1532-2491 UR - https://www.unboundmedicine.com/medline/citation/33426983/Childhood_Maltreatment_and_Risky_Substance_Use_Behaviors:_The_Mediating_Roles_of_Posttraumatic_Stress_Symptoms_&_Callous_Unemotional_Traits_ DB - PRIME DP - Unbound Medicine ER -