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Erschienen in: International Journal of Mental Health and Addiction 3/2022

07.01.2021 | Original Article

Predicting the Contribution of Age at First Substance Use and Post-Traumatic Stress Disorder to Later Addiction Severity in a Clinical Sample from Sub-Saharan Africa: Implications for Prevention and Treatment

verfasst von: Boniface Harerimana, Michael Kerr, Richard Csiernik, Lauren C. Ng, Eugene Rutembesa, Cheryl Forchuk

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 3/2022

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Abstract

This study sought to examine the extent to which age at first substance use contributes to later addiction severity and how PTSD affects their relationships. The study enrolled 315 patients from tertiary addiction services in Rwanda. The participants’ mean age at first substance use was 18.64 years (SD = 6.1) old. Age at first substance use had a significant effect (β = − 0.130, p = .013) on later addiction severity. PTSD showed significant association with later addiction severity (β = 0.363; p = < .001). The variance explained by age at first substance use and PTSD increased from R2 adjusted = .013 to 14.7; 14.7, and this was statistically significant with F(8637) = 28.054, p < .001. The study demonstrates that early age at first substance use coupled to PTSD significantly predict more later addiction severity. This suggests prevention and clinical practice that aimed at improving addiction care outcomes should consider addessing potential consequences of associations between PTSD and addiction issues among persons seeking addiction treatment services.
Literatur
Zurück zum Zitat Adekunle, J. (2007). Culture and customs of Rwanda. USA: Greenwood, Publishing Group. Adekunle, J. (2007). Culture and customs of Rwanda. USA: Greenwood, Publishing Group.
Zurück zum Zitat Alexander, A. C., & Ward, K. D. (2018). Understanding postdisaster substance use and psychological distress using concepts from the self-medication hypothesis and social cognitive theory. Journal of Psychoactive Drugs, 50(2), 177–186.PubMedCrossRef Alexander, A. C., & Ward, K. D. (2018). Understanding postdisaster substance use and psychological distress using concepts from the self-medication hypothesis and social cognitive theory. Journal of Psychoactive Drugs, 50(2), 177–186.PubMedCrossRef
Zurück zum Zitat Behrendt, S., Wittchen, H. U., Höfler, M., Lieb, R., & Beesdo, K. (2009). Transitions from first substance use to substance use disorders in adolescence: is early onset associated with a rapid escalation? Drug and Alcohol Dependence, 99(1–3), 68–78.PubMedCrossRef Behrendt, S., Wittchen, H. U., Höfler, M., Lieb, R., & Beesdo, K. (2009). Transitions from first substance use to substance use disorders in adolescence: is early onset associated with a rapid escalation? Drug and Alcohol Dependence, 99(1–3), 68–78.PubMedCrossRef
Zurück zum Zitat Bovasso, G. B., Alterman, A. I., Cacciola, J. S., & Cook, T. G. (2001). Predictive validity of the Addiction Severity Index’s composite scores in the assessment of 2-year outcomes in a methadone maintenance population. Psychology of Addictive Behaviors, 15(3), 171–176.PubMedCrossRef Bovasso, G. B., Alterman, A. I., Cacciola, J. S., & Cook, T. G. (2001). Predictive validity of the Addiction Severity Index’s composite scores in the assessment of 2-year outcomes in a methadone maintenance population. Psychology of Addictive Behaviors, 15(3), 171–176.PubMedCrossRef
Zurück zum Zitat Chen, C.-Y., Storr, C. L., & Anthony, J. C. (2009). Early-onset drug use and risk for drug dependence problems. Addictive Behaviors, 34(3), 319–322.PubMedCrossRef Chen, C.-Y., Storr, C. L., & Anthony, J. C. (2009). Early-onset drug use and risk for drug dependence problems. Addictive Behaviors, 34(3), 319–322.PubMedCrossRef
Zurück zum Zitat Clark, D. B., Jones, B. L., Wood, D. S., & Cornelius, J. R. (2006). Substance use disorder trajectory classes: diachronic integration of onset age, severity, and course. Addictive Behaviors, 31(6), 995–1009.PubMedCrossRef Clark, D. B., Jones, B. L., Wood, D. S., & Cornelius, J. R. (2006). Substance use disorder trajectory classes: diachronic integration of onset age, severity, and course. Addictive Behaviors, 31(6), 995–1009.PubMedCrossRef
Zurück zum Zitat Cronbach, L. J., & Furby, L. (1970). How we should measure “change” or should we? Psychological Bulletin, 74(1), 68–80.CrossRef Cronbach, L. J., & Furby, L. (1970). How we should measure “change” or should we? Psychological Bulletin, 74(1), 68–80.CrossRef
Zurück zum Zitat Dawson, D. A., Grant, B. F., & Li, T. K. (2007). Impact of age at first drink on stress-reactive drinking. Alcoholism: Clinical and Experimental Research, 31(1), 69–77.CrossRef Dawson, D. A., Grant, B. F., & Li, T. K. (2007). Impact of age at first drink on stress-reactive drinking. Alcoholism: Clinical and Experimental Research, 31(1), 69–77.CrossRef
Zurück zum Zitat Degenhardt, L., Stockings, E., Patton, G., Hall, W. D., & Lynskey, M. (2016). The increasing global health priority of substance use in young people. The Lancet Psychiatry, 3(3), 251–264.PubMedCrossRef Degenhardt, L., Stockings, E., Patton, G., Hall, W. D., & Lynskey, M. (2016). The increasing global health priority of substance use in young people. The Lancet Psychiatry, 3(3), 251–264.PubMedCrossRef
Zurück zum Zitat Delahanty, D. L., Raimonde, A. J., & Spoonster, E. (2000). Initial posttraumatic urinary cortisol levels predict subsequent PTSD symptoms in motor vehicle accident victims. Biological Psychiatry, 48, 940–947.PubMedCrossRef Delahanty, D. L., Raimonde, A. J., & Spoonster, E. (2000). Initial posttraumatic urinary cortisol levels predict subsequent PTSD symptoms in motor vehicle accident victims. Biological Psychiatry, 48, 940–947.PubMedCrossRef
Zurück zum Zitat Dennis, M. L., Scott, C. K., Funk, R., & Foss, M. A. (2005). The duration and correlates of addiction and treatment careers. Journal of Substance Abuse Treatment, 28(2), S51-S62. doi:10 16/j.jsat.2004.1 0.013. Dennis, M. L., Scott, C. K., Funk, R., & Foss, M. A. (2005). The duration and correlates of addiction and treatment careers. Journal of Substance Abuse Treatment, 28(2), S51-S62. doi:10 16/j.jsat.2004.1 0.013.
Zurück zum Zitat DeWit, D. J., Adlaf, E. M., Offord, D. R., & Ogborne, A. C. (2000). Age at first alcohol use: a risk factor for the development of alcohol disorders. American Journal of Psychiatry, 157(5), 745–750.PubMedCrossRef DeWit, D. J., Adlaf, E. M., Offord, D. R., & Ogborne, A. C. (2000). Age at first alcohol use: a risk factor for the development of alcohol disorders. American Journal of Psychiatry, 157(5), 745–750.PubMedCrossRef
Zurück zum Zitat Donoghue, K., Rose, H., Boniface, S., Deluca, P., Coulton, S., Alam, M. F., et al. (2017). Alcohol consumption, early-onset drinking, and health-related consequences in adolescents presenting at emergency departments in England. Journal of Adolescent Health, 60(4), 438–446.CrossRef Donoghue, K., Rose, H., Boniface, S., Deluca, P., Coulton, S., Alam, M. F., et al. (2017). Alcohol consumption, early-onset drinking, and health-related consequences in adolescents presenting at emergency departments in England. Journal of Adolescent Health, 60(4), 438–446.CrossRef
Zurück zum Zitat Ertl, V., Saile, R., Neuner, F., & Catani, C. (2016). Drinking to ease the burden: a cross-sectional study on trauma, alcohol abuse and psychopathology in a post-conflict context. BMC Psychiatry, 16(1), 202.PubMedPubMedCentralCrossRef Ertl, V., Saile, R., Neuner, F., & Catani, C. (2016). Drinking to ease the burden: a cross-sectional study on trauma, alcohol abuse and psychopathology in a post-conflict context. BMC Psychiatry, 16(1), 202.PubMedPubMedCentralCrossRef
Zurück zum Zitat Francis, J. M., Grosskurth, H., Changalucha, J., Kapiga, S. H., & Weiss, H. A. (2014). Systematic review and meta-analysis: prevalence of alcohol use among young people in eastern Africa. Tropical Medicine & International Health, 19(4), 476–488.CrossRef Francis, J. M., Grosskurth, H., Changalucha, J., Kapiga, S. H., & Weiss, H. A. (2014). Systematic review and meta-analysis: prevalence of alcohol use among young people in eastern Africa. Tropical Medicine & International Health, 19(4), 476–488.CrossRef
Zurück zum Zitat Guttmannova, K., Bailey, J. A., Hill, K. G., Lee, J. O., Hawkins, J. D., Woods, M. L., & Catalano, R. F. (2011). Sensitive periods for adolescent alcohol use initiation: predicting the lifetime occurrence and chronicity of alcohol problems in adulthood. Journal of Studies on Alcohol and Drugs, 72(2), 221–231.PubMedPubMedCentralCrossRef Guttmannova, K., Bailey, J. A., Hill, K. G., Lee, J. O., Hawkins, J. D., Woods, M. L., & Catalano, R. F. (2011). Sensitive periods for adolescent alcohol use initiation: predicting the lifetime occurrence and chronicity of alcohol problems in adulthood. Journal of Studies on Alcohol and Drugs, 72(2), 221–231.PubMedPubMedCentralCrossRef
Zurück zum Zitat Hankins, C. A., Friedman, S. R., Zafar, T., & Strathdee, S. A. (2002). Transmission and prevention of HIV and sexually transmitted infections in war settings: implications for current and future armed conflicts. Aids, 16(17), 2245–2252.PubMedCrossRef Hankins, C. A., Friedman, S. R., Zafar, T., & Strathdee, S. A. (2002). Transmission and prevention of HIV and sexually transmitted infections in war settings: implications for current and future armed conflicts. Aids, 16(17), 2245–2252.PubMedCrossRef
Zurück zum Zitat Hanlon, C. A., & Canterberry, M. (2012). The use of brain imaging to elucidate neural circuit changes in cocaine addiction. Substance Abuse and Rehabilitation, 3, 115.PubMedPubMedCentralCrossRef Hanlon, C. A., & Canterberry, M. (2012). The use of brain imaging to elucidate neural circuit changes in cocaine addiction. Substance Abuse and Rehabilitation, 3, 115.PubMedPubMedCentralCrossRef
Zurück zum Zitat Harerimana, B. (2020). Developing and evaluating an integrated addiction recovery model for the persons' engagement and retention in the recovery process among clinical populations from Rwanda (a doctoral dissertation). Western University. Harerimana, B. (2020). Developing and evaluating an integrated addiction recovery model for the persons' engagement and retention in the recovery process among clinical populations from Rwanda (a doctoral dissertation). Western University.
Zurück zum Zitat Kelly, Y., Goisis, A., Sacker, A., Cable, N., Watt, R. G., & Britton, A. (2016). What influences 11-year-olds to drink? Findings from the Millennium Cohort Study. BMC Public Health, 16(1), 169.PubMedPubMedCentralCrossRef Kelly, Y., Goisis, A., Sacker, A., Cable, N., Watt, R. G., & Britton, A. (2016). What influences 11-year-olds to drink? Findings from the Millennium Cohort Study. BMC Public Health, 16(1), 169.PubMedPubMedCentralCrossRef
Zurück zum Zitat King, K. M., & Chassin, L. (2007). A prospective study of the effects of age of initiation of alcohol and drug use on young adult substance dependence. Journal of Studies on Alcohol and Drugs, 68(2), 256–265.PubMedCrossRef King, K. M., & Chassin, L. (2007). A prospective study of the effects of age of initiation of alcohol and drug use on young adult substance dependence. Journal of Studies on Alcohol and Drugs, 68(2), 256–265.PubMedCrossRef
Zurück zum Zitat Lagerberg, T. V., Sundet, K., Aminoff, S. R., Berg, A. O., Ringen, P. A., Andreassen, O. A., & Melle, I. (2011). Excessive cannabis use is associated with earlier age at onset in bipolar disorder. European Archives of Psychiatry and Clinical Neuroscience, 261(6), 397–405.PubMedPubMedCentralCrossRef Lagerberg, T. V., Sundet, K., Aminoff, S. R., Berg, A. O., Ringen, P. A., Andreassen, O. A., & Melle, I. (2011). Excessive cannabis use is associated with earlier age at onset in bipolar disorder. European Archives of Psychiatry and Clinical Neuroscience, 261(6), 397–405.PubMedPubMedCentralCrossRef
Zurück zum Zitat Leeies, M., Pagura, J., Sareen, J., & Bolton, J. M. (2010). The use of alcohol and drugs to self-medicate symptoms of posttraumatic stress disorder. Depression and Anxiety, 27(8), 731–736.PubMedCrossRef Leeies, M., Pagura, J., Sareen, J., & Bolton, J. M. (2010). The use of alcohol and drugs to self-medicate symptoms of posttraumatic stress disorder. Depression and Anxiety, 27(8), 731–736.PubMedCrossRef
Zurück zum Zitat Lunsford, T. R., & Lunsford, B. R. (1995). The research sample, part I: sampling. JPO: Journal of Prosthetics and Orthotics, 7(3), 17A. Lunsford, T. R., & Lunsford, B. R. (1995). The research sample, part I: sampling. JPO: Journal of Prosthetics and Orthotics, 7(3), 17A.
Zurück zum Zitat Maimaris, W., & McCambridge, J. (2014). Age of first drinking and adult alcohol problems: a systematic review of prospective cohort studies. Journal of Epidemiology and Community Health, 68(3), 268–274.PubMedCrossRef Maimaris, W., & McCambridge, J. (2014). Age of first drinking and adult alcohol problems: a systematic review of prospective cohort studies. Journal of Epidemiology and Community Health, 68(3), 268–274.PubMedCrossRef
Zurück zum Zitat Mandavia, A., Robinson, G. G., Bradley, B., Ressler, K. J., & Powers, A. (2016). Exposure to childhood abuse and later substance use: indirect effects of emotion dysregulation and exposure to trauma. Journal of Traumatic Stress, 29(5), 422–429.PubMedPubMedCentralCrossRef Mandavia, A., Robinson, G. G., Bradley, B., Ressler, K. J., & Powers, A. (2016). Exposure to childhood abuse and later substance use: indirect effects of emotion dysregulation and exposure to trauma. Journal of Traumatic Stress, 29(5), 422–429.PubMedPubMedCentralCrossRef
Zurück zum Zitat McCann, M., Perra, O., McLaughlin, A., McCartan, C., & Higgins, K. (2016). Assessing elements of a family approach to reduce adolescent drinking frequency: parent-adolescent relationship, knowledge management, and keeping secrets. Addiction, 111(5), 843–853.PubMedPubMedCentralCrossRef McCann, M., Perra, O., McLaughlin, A., McCartan, C., & Higgins, K. (2016). Assessing elements of a family approach to reduce adolescent drinking frequency: parent-adolescent relationship, knowledge management, and keeping secrets. Addiction, 111(5), 843–853.PubMedPubMedCentralCrossRef
Zurück zum Zitat McGahan, P. L., Griffith, J. A., Parente, R., & McLellann, A. T. (1986). Composite scores manual. PA: Treatment Research Institute Philadelphia. McGahan, P. L., Griffith, J. A., Parente, R., & McLellann, A. T. (1986). Composite scores manual. PA: Treatment Research Institute Philadelphia.
Zurück zum Zitat McLellan, A. T., Luborsky, L., Cacciola, J., Griffith, J., Evans, F., Barr, H. L., & OʼBrien, C. P. (1985). New data from the Addiction Severity Index: reliability and validity in three centres. Journal of Nervous and Mental Disease., 173, 412–423.PubMedCrossRef McLellan, A. T., Luborsky, L., Cacciola, J., Griffith, J., Evans, F., Barr, H. L., & OʼBrien, C. P. (1985). New data from the Addiction Severity Index: reliability and validity in three centres. Journal of Nervous and Mental Disease., 173, 412–423.PubMedCrossRef
Zurück zum Zitat McLellan, A. T., Cacciola, J. C., Alterman, A. I., Rikoon, S. H., & Carise, C. (2006). The Addiction Severity Index at 25: origins, contributions and transitions. The American Journal on Addictions, 15(2), 113–124.PubMedCrossRef McLellan, A. T., Cacciola, J. C., Alterman, A. I., Rikoon, S. H., & Carise, C. (2006). The Addiction Severity Index at 25: origins, contributions and transitions. The American Journal on Addictions, 15(2), 113–124.PubMedCrossRef
Zurück zum Zitat Munyandamutsa, N., Nkubamugisha, P. M., Gex-Fabry, M., & Eytan, A. (2012). Mental and physical health in Rwanda 14 years after the genocide. Social Psychiatry and Psychiatric Epidemiology, 47(11), 1753–1761.PubMedCrossRef Munyandamutsa, N., Nkubamugisha, P. M., Gex-Fabry, M., & Eytan, A. (2012). Mental and physical health in Rwanda 14 years after the genocide. Social Psychiatry and Psychiatric Epidemiology, 47(11), 1753–1761.PubMedCrossRef
Zurück zum Zitat Naal, H., El Jalkh, T., & Haddad, R. (2018). Adverse childhood experiences in substance use disorder outpatients of a Lebanese addiction centre. Psychology, Health & Medicine, 23(9), 1137–1144.CrossRef Naal, H., El Jalkh, T., & Haddad, R. (2018). Adverse childhood experiences in substance use disorder outpatients of a Lebanese addiction centre. Psychology, Health & Medicine, 23(9), 1137–1144.CrossRef
Zurück zum Zitat Nestler, E. J. (2008). Transcriptional mechanisms of addiction: role of ΔFosB. Philosophical Transactions of the Royal Society B: Biological Sciences, 363(1507), 3245–3255.CrossRef Nestler, E. J. (2008). Transcriptional mechanisms of addiction: role of ΔFosB. Philosophical Transactions of the Royal Society B: Biological Sciences, 363(1507), 3245–3255.CrossRef
Zurück zum Zitat Nestler, E. J. (2014). Epigenetic mechanisms of drug addiction. Neuropharmacology, 76, 259–268.PubMedCrossRef Nestler, E. J. (2014). Epigenetic mechanisms of drug addiction. Neuropharmacology, 76, 259–268.PubMedCrossRef
Zurück zum Zitat Neugebauer, R., Fisher, P. W., Turner, J. B., Yamabe, S., Sarsfield, J. A., & Stehling-Ariza, T. (2009). Posttraumatic stress reactions among Rwandan children and adolescents in the early aftermath of genocide. International Journal of Epidemiology, 38(4), 1033–1045.PubMedCrossRef Neugebauer, R., Fisher, P. W., Turner, J. B., Yamabe, S., Sarsfield, J. A., & Stehling-Ariza, T. (2009). Posttraumatic stress reactions among Rwandan children and adolescents in the early aftermath of genocide. International Journal of Epidemiology, 38(4), 1033–1045.PubMedCrossRef
Zurück zum Zitat Newton, N. C., O'Leary-Barrett, M., & Conrod, P. J. (2011). Adolescent substance misuse: neurobiology and evidence-based interventions Behavioral Neurobiology of Alcohol Addiction (pp. 685–708). Berlin, Springer. Newton, N. C., O'Leary-Barrett, M., & Conrod, P. J. (2011). Adolescent substance misuse: neurobiology and evidence-based interventions Behavioral Neurobiology of Alcohol Addiction (pp. 685–708). Berlin, Springer.
Zurück zum Zitat Newton-Howes, G., & Boden, J. (2016). Relation between age of first drinking and mental health and alcohol and drug disorders in adulthood: evidence from a 35- year cohort study. Addiction, 111(4), 637–644.PubMedCrossRef Newton-Howes, G., & Boden, J. (2016). Relation between age of first drinking and mental health and alcohol and drug disorders in adulthood: evidence from a 35- year cohort study. Addiction, 111(4), 637–644.PubMedCrossRef
Zurück zum Zitat Osaki, H., Mshana, G., Mbata, D., Kapiga, S., & Changalucha, J. (2018). Social space and alcohol use initiation among youth in northern Tanzania. PLoS One, 13(9), e0202200.PubMedPubMedCentralCrossRef Osaki, H., Mshana, G., Mbata, D., Kapiga, S., & Changalucha, J. (2018). Social space and alcohol use initiation among youth in northern Tanzania. PLoS One, 13(9), e0202200.PubMedPubMedCentralCrossRef
Zurück zum Zitat Passetti, F., Verdejo-Garcia, A., & Abou-Saleh, M. (2013). Comparatively preserved impulse control in late-onset opiate users. Psychopharmacology, 230(3), 499–505.PubMedCrossRef Passetti, F., Verdejo-Garcia, A., & Abou-Saleh, M. (2013). Comparatively preserved impulse control in late-onset opiate users. Psychopharmacology, 230(3), 499–505.PubMedCrossRef
Zurück zum Zitat Ralston, L. (2014). Trafficking and fragility in West Africa. The World Bank. Ralston, L. (2014). Trafficking and fragility in West Africa. The World Bank.
Zurück zum Zitat Raphael, K. (1987). Recall bias: a proposal for assessment and control. International Journal of Epidemiology, 16(2), 167–170.PubMedCrossRef Raphael, K. (1987). Recall bias: a proposal for assessment and control. International Journal of Epidemiology, 16(2), 167–170.PubMedCrossRef
Zurück zum Zitat Richardson, H. N., Lee, S. Y., O’dell, L. E., Koob, G. F., & Rivier, C. L. (2008). Alcohol self-administration acutely stimulates the hypothalamic-pituitary-adrenal axis, but alcohol dependence leads to a dampened neuroendocrine state. European Journal of Neuroscience, 28, 1641–1653.PubMedCrossRef Richardson, H. N., Lee, S. Y., O’dell, L. E., Koob, G. F., & Rivier, C. L. (2008). Alcohol self-administration acutely stimulates the hypothalamic-pituitary-adrenal axis, but alcohol dependence leads to a dampened neuroendocrine state. European Journal of Neuroscience, 28, 1641–1653.PubMedCrossRef
Zurück zum Zitat Ruggiero, K. J., Del Ben, K., Scotti, J. R., & Rabalais, A. E. (2003). Psychometric properties of the PTSD checklist—civilian version. Journal of Traumatic Stress, 16(5), 495–502.PubMedCrossRef Ruggiero, K. J., Del Ben, K., Scotti, J. R., & Rabalais, A. E. (2003). Psychometric properties of the PTSD checklist—civilian version. Journal of Traumatic Stress, 16(5), 495–502.PubMedCrossRef
Zurück zum Zitat Schaal, S., & Elbert, T. (2006). Ten years after the genocide: trauma confrontation and posttraumatic stress in Rwandan adolescents. Journal of Traumatic Stress, 19(1), 95–105.PubMedCrossRef Schaal, S., & Elbert, T. (2006). Ten years after the genocide: trauma confrontation and posttraumatic stress in Rwandan adolescents. Journal of Traumatic Stress, 19(1), 95–105.PubMedCrossRef
Zurück zum Zitat Schroeder, M. A., Lander, J., & Levine-Silverman, S. (1990). Diagnosing and dealing with multicollinearity. Western Journal of Nursing Research, 12(2), 175–187.PubMedCrossRef Schroeder, M. A., Lander, J., & Levine-Silverman, S. (1990). Diagnosing and dealing with multicollinearity. Western Journal of Nursing Research, 12(2), 175–187.PubMedCrossRef
Zurück zum Zitat Sintov, N. D., Kendler, K. S., Walsh, D., Patterson, D. G., & Prescott, C. A. (2009). Predictors of illicit substance dependence among individuals with alcohol dependence. Journal of Studies on Alcohol and Drugs, 70(2), 269–278.PubMedPubMedCentralCrossRef Sintov, N. D., Kendler, K. S., Walsh, D., Patterson, D. G., & Prescott, C. A. (2009). Predictors of illicit substance dependence among individuals with alcohol dependence. Journal of Studies on Alcohol and Drugs, 70(2), 269–278.PubMedPubMedCentralCrossRef
Zurück zum Zitat Smith, A. A. H., & Vedaste, B. (2016). ’In principle, yes, in application, no’: Rwandan nurses’ support for integration of mental health services. Africa Journal of Nursing and Midwifery, 18(1), 170–182.CrossRef Smith, A. A. H., & Vedaste, B. (2016). ’In principle, yes, in application, no’: Rwandan nurses’ support for integration of mental health services. Africa Journal of Nursing and Midwifery, 18(1), 170–182.CrossRef
Zurück zum Zitat Stanton, B. (2019). Exploring craving among individuals with co-occurring trauma and substance use disorders (doctoral dissertation). Azusa Pacific University. Stanton, B. (2019). Exploring craving among individuals with co-occurring trauma and substance use disorders (doctoral dissertation). Azusa Pacific University.
Zurück zum Zitat Thege, B. K., Horwood, L., Slater, L., Tan, M. C., Hodgins, D. C., & Wild, T. C. (2017). Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review. BMC Psychiatry, 17(1), 164.CrossRef Thege, B. K., Horwood, L., Slater, L., Tan, M. C., Hodgins, D. C., & Wild, T. C. (2017). Relationship between interpersonal trauma exposure and addictive behaviors: a systematic review. BMC Psychiatry, 17(1), 164.CrossRef
Zurück zum Zitat Townsend, L., Flisher, A. J., Gilreath, T., & King, G. (2006). A systematic literature review of tobacco use among adults 15 years and older in sub-Saharan Africa. Drug and Alcohol Dependence, 84(1), 14–27.PubMedCrossRef Townsend, L., Flisher, A. J., Gilreath, T., & King, G. (2006). A systematic literature review of tobacco use among adults 15 years and older in sub-Saharan Africa. Drug and Alcohol Dependence, 84(1), 14–27.PubMedCrossRef
Zurück zum Zitat Van de Mortel, T. F. (2008). Faking it: social desirability response bias in self-report research. Australian Journal of Advanced Nursing, The, 25(4), 40. Van de Mortel, T. F. (2008). Faking it: social desirability response bias in self-report research. Australian Journal of Advanced Nursing, The, 25(4), 40.
Zurück zum Zitat Veeranki, S. P., John, R. M., Ibrahim, A., Pillendla, D., Thrasher, J. F., Owusu, D., Ouma, A. E. O., & Mamudu, H. M. (2017). Age of smoking initiation among adolescents in Africa. International Journal of Public Health, 62(1), 63–72.PubMedCrossRef Veeranki, S. P., John, R. M., Ibrahim, A., Pillendla, D., Thrasher, J. F., Owusu, D., Ouma, A. E. O., & Mamudu, H. M. (2017). Age of smoking initiation among adolescents in Africa. International Journal of Public Health, 62(1), 63–72.PubMedCrossRef
Zurück zum Zitat Wittchen, H. U., Behrendt, S., Höfler, M., Perkonigg, A., Lieb, R., Bühringer, G., & Beesdo, K. (2008). What are the high-risk periods for incident substance use and transitions to abuse and dependence? Implications for early intervention and prevention. International Journal of Methods in Psychiatric Research, 17(S1), S16–S29.PubMedCrossRef Wittchen, H. U., Behrendt, S., Höfler, M., Perkonigg, A., Lieb, R., Bühringer, G., & Beesdo, K. (2008). What are the high-risk periods for incident substance use and transitions to abuse and dependence? Implications for early intervention and prevention. International Journal of Methods in Psychiatric Research, 17(S1), S16–S29.PubMedCrossRef
Zurück zum Zitat World Health Organization, 2014. Global status report on alcohol and health, 2014: World Health Organization.Geneva: WHO Press. World Health Organization, 2014. Global status report on alcohol and health, 2014: World Health Organization.Geneva: WHO Press.
Metadaten
Titel
Predicting the Contribution of Age at First Substance Use and Post-Traumatic Stress Disorder to Later Addiction Severity in a Clinical Sample from Sub-Saharan Africa: Implications for Prevention and Treatment
verfasst von
Boniface Harerimana
Michael Kerr
Richard Csiernik
Lauren C. Ng
Eugene Rutembesa
Cheryl Forchuk
Publikationsdatum
07.01.2021
Verlag
Springer US
Erschienen in
International Journal of Mental Health and Addiction / Ausgabe 3/2022
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-020-00449-z

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Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

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