Childhood Emotional Abuse Linked to Adult PTSD, Opioid Misuse

New research reveals that children who were emotionally abused are more likely to engage in rash, risky behavior in adolescence and to suffer post-traumatic stress disorder (PTSD) as adults.

Moreover, opioid use appears to offered a refuge from PTSD for this group — while causing a host of new problems.

The severity of the PTSD was directly linked to the severity of their opioid-related problems.

In the study, University of Vermont scientists analyzed and cross referenced the results of a series of psychological tests administered to a sample of 84 individuals with a history of problem opioid use who had also suffered childhood trauma.

Earlier research has found that a high percentage of adults who abuse substances were maltreated in a variety of ways as children.

But few previous studies have investigated the causes of opioid addiction specifically, and no earlier ones narrowed the link among opioid users to emotional abuse.

Investigators discovered emotional abuse was much more strongly correlated with survey participants’ problem opioid use, than childhood sexual and physical abuse or other kinds of maltreatment such as neglect.

The findings are published in the journal Addictive Behaviors.

“If a person is being physically or sexually abused, it’s easier to put the blame on the person doing the abuse,” said Dr. Matthew Price, the paper’s senior author.

“With emotional abuse, the abuser is saying ‘You are the problem.’ Being called names, being told you’re not good enough, being told no one cares about you undermines your ability to cope with difficult emotions.

“To protect themselves from strong emotions and from trauma cues that can bring on PTSD symptoms, people with this kind of childhood experience frequently adopt a strategy of avoidance, which can include opioid use.”

Investigators explain that the findings suggest why some opioid abusers don’t respond to substance abuse counseling or PTSD treatment. Moreover, the research points the way toward potentially more productive therapies.

Drug addiction and mental health issues are often treated separately by different kinds of specialists, Price said. “Mental health counselors will frequently say, ‘Deal with your drug issues first, then come to see me.'”

The study suggests “we should really start to explore more integrated treatment,” Price said.

“If a patient has had severe emotional abuse and they have a tendency to act out when they’re feeling upset, and then they turn to opioids to deal with the resulting PTSD, it makes sense to address the emotional component and the drug problems at the same time.”

In the study, participants were interviewed about their childhood experiences and then given a battery of psychological tests that measured the type and extent of any maltreatment they had experienced as children.

They were also queried on the extent to which their opioid use was causing life problems, the severity of their addiction, the extent of their impulsive behavior, and the extent and severity of their PTSD.

The researchers used a sophisticated statistical method known as structural equation modeling, or SEM, to make connections between the data sets each of the individual tests brought to light. The model revealed the pathway from childhood emotional abuse to rash adolescent behavior to PTSD to opioid abuse.

Source: University of Vermont/EurekAlert
 
Photo: New research suggests that emotional abuse may be at the root of the problems suffered by many opioid addicts, a finding that signals new treatment approaches. Credit: Brian Jenkins.