The role of substance abuse in the lives of childhood trauma survivors
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Weihua Zhang, PhD, APRN; Linda Grabbe, PhD, PMHN-BC, FNP-BC
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- Alpha Epsilon
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Purpose: Traumatic events early in life have been associated with substance abuse problems and mental health disorders (Adverse childhood experiences study, 2013). The development of addictions is a result of complex interactions among genes, environment, chronic stress, and neurobiology (Stephens & Wand, 2012). For persons who have experienced severe childhood abuse or neglect, there are fundamental changes in brain development (DeBellis et al., 1999), and many individuals deal with lifelong mental health problems such as depression, anxiety, post-traumatic stress disorder, and emotion dysregulation. One theory of substance use associated with mental distress is "self-medication," that is, persons with mental health conditions use substances for short-term benefit--relief from stress and psychological pain. This qualitative, descriptive study aims 1) to summarize critical childhood events for a sample of 8 women trauma survivors, who were in treatment for addiction, and 2) to identify the experience and meanings of substance use in their lives.
Methods: Life narratives of 8 women trauma survivors in recovery from addiction were audiorecorded and transcribed. The transcripts were coded, summarized, and clustered into themes. NVivo software was used for data management. The different meanings of trauma and drugs and alcohol use will be presented.
Results: These women experienced significant levels of abuse and neglect during childhood. Alcohol was predominantly the first substance they used. Early adolescence was marked by a lack of nurturance from significant figures, leaving home, and early involvement in drug or street culture. The perceptions of the women regarding their drug use will be presented.
Conclusion: Insights gained from this research may serve to inform preventative interventions for both mental health and substance use disorders in this high-risk population.
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Childhood Trauma; Substance Abuse |
Name | 25th International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Hong Kong |
Date | 2014 |
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