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Interpersonal trauma, shame, and substance use: A systematic review
Prachi H Bhuptani1, Yongkuan Zhang2, Lauren Danzey1
1Rhode Island Hospital, Providence, RI, USA; Brown University, Providence, RI, USA.
Drug and Alcohol Dependence
|March 29, 2024
Summary
Interpersonal trauma survivors with substance use disorders often experience shame. Shame may mediate the link between trauma and substance use, suggesting it as a key treatment target.
Area of Science:
- Psychology
- Psychiatry
- Public Health
Background:
- Interpersonal trauma is a significant risk factor for mental health issues, including substance use disorders.
- Shame is increasingly recognized as a critical factor linking interpersonal trauma and substance use.
- This systematic review synthesizes current research on the relationship between shame, substance use, and interpersonal trauma.
Approach:
- A comprehensive literature search was conducted across six databases using a Boolean strategy.
- Keywords included terms related to interpersonal trauma, substance use, and shame.
- The review analyzed 27 articles, with a focus on 15 qualitative studies.
Key Points:
- Strong associations exist between shame, interpersonal violence, and substance use across diverse populations.
- Higher levels of shame correlate with increased substance use in interpersonal violence survivors.
- Research indicates that shame may act as a mediator in the relationship between interpersonal violence and substance use.
Conclusions:
- Shame appears to be a crucial therapeutic target for individuals with co-occurring substance use disorders and histories of interpersonal violence.
- Longitudinal studies are necessary to fully understand the temporal dynamics between shame, substance use, and interpersonal violence.
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