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Molested as children: a hidden contribution to substance abuse?

D J Rohsenow1, R Corbett, D Devine

  • 1Chemical Dependency Treatment Program, Mid-Maine Medical Center, Waterville 04901.

Journal of Substance Abuse Treatment
|January 1, 1988
PubMed
Summary

Routine inquiry significantly increases the reporting of child sexual abuse (CSA) among individuals with substance use disorders. Addressing CSA is crucial for effective substance abuse treatment and relapse prevention.

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Area of Science:

  • Psychiatry
  • Addiction Medicine
  • Public Health

Background:

  • Child sexual abuse (CSA) may be a significant, yet often overlooked, factor in substance use disorders.
  • Previous estimates of CSA prevalence among substance abusers may underestimate the true extent of the problem.
  • Direct assessment is critical for uncovering histories of CSA in patients with substance use disorders.

Purpose of the Study:

  • To compare the rates of disclosed child sexual abuse among inpatient substance abusers before and after implementing routine inquiry.
  • To highlight the impact of direct questioning on uncovering hidden histories of CSA in a clinical setting.

Main Methods:

  • Retrospective comparison of child sexual abuse (CSA) disclosure rates in an inpatient substance abuse treatment program.

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  • Data collected before and after the routine implementation of a direct question regarding CSA history.

    • Main Results:

    • Routine inquiry quadrupled the disclosure rate among adult men (4% to 42%).
    • Disclosure rates increased substantially among women (20% to 75%) and adolescents (42% of boys, 71-90% of girls).
    • Significant increases in reporting were observed across all demographics after routine inquiry.

    Conclusions:

    • Child sexual abuse (CSA) is highly prevalent among individuals with substance use disorders, often remaining undisclosed without direct assessment.
    • Routine inquiry is an effective method for identifying CSA histories in this population.
    • Addressing unresolved CSA is essential for comprehensive substance abuse treatment and preventing relapse.