The intervening role of urgency on the association between childhood maltreatment, PTSD, and substance-related problems

Rebecca Mirhashem, Holley C. Allen, Zachary Adams, Katherine van Stolk-Cooke, Alison Legrand, Matthew Price

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A range of risk factors lead to opioid use and substance-related problems (SRP) including childhood maltreatment, elevated impulsivity, and psychopathology. These constructs are highly interrelated such that childhood maltreatment is associated with elevated impulsivity and trauma-related psychopathology such as posttraumatic stress disorder (PTSD), and impulsivity—particularly urgency—and PTSD are related. Prior work has examined the association between these constructs and substance-related problems independently and it is unclear how these multi-faceted constructs (i.e., maltreatment types and positive and negative urgency) are associated with one another and SRP. The current study used structural equation modeling (SEM) to examine the relations among childhood maltreatment, trait urgency, PTSD symptoms, and SRP in a sample of individuals with a history of opioid use. An initial model that included paths from each type of childhood maltreatment, positive and negative urgency, PTSD and SRP did not fit the data well. A pruned model with excellent fit was identified that suggested emotional abuse, positive urgency, and negative urgency were directly related to PTSD symptoms and only PTSD symptoms were directly related to SRP. Furthermore, significant indirect effects suggested that emotional abuse and negative urgency were related to SRP via PTSD symptom severity. These results suggest that PTSD plays an important role in the severity of SRP.

Original languageEnglish (US)
Pages (from-to)98-103
Number of pages6
JournalAddictive Behaviors
Volume69
DOIs
StatePublished - Jun 1 2017

Fingerprint

Post-Traumatic Stress Disorders
Opioid Analgesics
Impulsive Behavior
Psychopathology
Wounds and Injuries

Keywords

  • Childhood maltreatment
  • Opioid addiction
  • PTSD

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health

Cite this

The intervening role of urgency on the association between childhood maltreatment, PTSD, and substance-related problems. / Mirhashem, Rebecca; Allen, Holley C.; Adams, Zachary; van Stolk-Cooke, Katherine; Legrand, Alison; Price, Matthew.

In: Addictive Behaviors, Vol. 69, 01.06.2017, p. 98-103.

Research output: Contribution to journalArticle

Mirhashem, Rebecca ; Allen, Holley C. ; Adams, Zachary ; van Stolk-Cooke, Katherine ; Legrand, Alison ; Price, Matthew. / The intervening role of urgency on the association between childhood maltreatment, PTSD, and substance-related problems. In: Addictive Behaviors. 2017 ; Vol. 69. pp. 98-103.
@article{ed6d485dc44e4a429d9392f66550e460,
title = "The intervening role of urgency on the association between childhood maltreatment, PTSD, and substance-related problems",
abstract = "A range of risk factors lead to opioid use and substance-related problems (SRP) including childhood maltreatment, elevated impulsivity, and psychopathology. These constructs are highly interrelated such that childhood maltreatment is associated with elevated impulsivity and trauma-related psychopathology such as posttraumatic stress disorder (PTSD), and impulsivity—particularly urgency—and PTSD are related. Prior work has examined the association between these constructs and substance-related problems independently and it is unclear how these multi-faceted constructs (i.e., maltreatment types and positive and negative urgency) are associated with one another and SRP. The current study used structural equation modeling (SEM) to examine the relations among childhood maltreatment, trait urgency, PTSD symptoms, and SRP in a sample of individuals with a history of opioid use. An initial model that included paths from each type of childhood maltreatment, positive and negative urgency, PTSD and SRP did not fit the data well. A pruned model with excellent fit was identified that suggested emotional abuse, positive urgency, and negative urgency were directly related to PTSD symptoms and only PTSD symptoms were directly related to SRP. Furthermore, significant indirect effects suggested that emotional abuse and negative urgency were related to SRP via PTSD symptom severity. These results suggest that PTSD plays an important role in the severity of SRP.",
keywords = "Childhood maltreatment, Opioid addiction, PTSD",
author = "Rebecca Mirhashem and Allen, {Holley C.} and Zachary Adams and {van Stolk-Cooke}, Katherine and Alison Legrand and Matthew Price",
year = "2017",
month = "6",
day = "1",
doi = "10.1016/j.addbeh.2017.02.012",
language = "English (US)",
volume = "69",
pages = "98--103",
journal = "Addictive Behaviors",
issn = "0306-4603",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - The intervening role of urgency on the association between childhood maltreatment, PTSD, and substance-related problems

AU - Mirhashem, Rebecca

AU - Allen, Holley C.

AU - Adams, Zachary

AU - van Stolk-Cooke, Katherine

AU - Legrand, Alison

AU - Price, Matthew

PY - 2017/6/1

Y1 - 2017/6/1

N2 - A range of risk factors lead to opioid use and substance-related problems (SRP) including childhood maltreatment, elevated impulsivity, and psychopathology. These constructs are highly interrelated such that childhood maltreatment is associated with elevated impulsivity and trauma-related psychopathology such as posttraumatic stress disorder (PTSD), and impulsivity—particularly urgency—and PTSD are related. Prior work has examined the association between these constructs and substance-related problems independently and it is unclear how these multi-faceted constructs (i.e., maltreatment types and positive and negative urgency) are associated with one another and SRP. The current study used structural equation modeling (SEM) to examine the relations among childhood maltreatment, trait urgency, PTSD symptoms, and SRP in a sample of individuals with a history of opioid use. An initial model that included paths from each type of childhood maltreatment, positive and negative urgency, PTSD and SRP did not fit the data well. A pruned model with excellent fit was identified that suggested emotional abuse, positive urgency, and negative urgency were directly related to PTSD symptoms and only PTSD symptoms were directly related to SRP. Furthermore, significant indirect effects suggested that emotional abuse and negative urgency were related to SRP via PTSD symptom severity. These results suggest that PTSD plays an important role in the severity of SRP.

AB - A range of risk factors lead to opioid use and substance-related problems (SRP) including childhood maltreatment, elevated impulsivity, and psychopathology. These constructs are highly interrelated such that childhood maltreatment is associated with elevated impulsivity and trauma-related psychopathology such as posttraumatic stress disorder (PTSD), and impulsivity—particularly urgency—and PTSD are related. Prior work has examined the association between these constructs and substance-related problems independently and it is unclear how these multi-faceted constructs (i.e., maltreatment types and positive and negative urgency) are associated with one another and SRP. The current study used structural equation modeling (SEM) to examine the relations among childhood maltreatment, trait urgency, PTSD symptoms, and SRP in a sample of individuals with a history of opioid use. An initial model that included paths from each type of childhood maltreatment, positive and negative urgency, PTSD and SRP did not fit the data well. A pruned model with excellent fit was identified that suggested emotional abuse, positive urgency, and negative urgency were directly related to PTSD symptoms and only PTSD symptoms were directly related to SRP. Furthermore, significant indirect effects suggested that emotional abuse and negative urgency were related to SRP via PTSD symptom severity. These results suggest that PTSD plays an important role in the severity of SRP.

KW - Childhood maltreatment

KW - Opioid addiction

KW - PTSD

UR - http://www.scopus.com/inward/record.url?scp=85013018590&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85013018590&partnerID=8YFLogxK

U2 - 10.1016/j.addbeh.2017.02.012

DO - 10.1016/j.addbeh.2017.02.012

M3 - Article

VL - 69

SP - 98

EP - 103

JO - Addictive Behaviors

JF - Addictive Behaviors

SN - 0306-4603

ER -