Thursday, July 18, 2019

Study finds that adverse childhood experiences increase risk of opioid addiction, relapse after treatment

A newly published study quantifies how trauma experienced during childhood, called adverse childhood experiences, can lead rural people to become addicted to opioids. Common ACEs include having an alcoholic or depressed parent, and being abused or neglected.

Researchers from the University of Tennessee and the University of Memphis conducted an in-depth study of 87 patients seeking opioid addiction treatment at a rural medical clinic. All the patients were white and 75 percent were male; almost half of them reported four or more adverse childhood events. A higher number of ACEs correlated to an increased risk of addiction relapse: every additional ACE increased the odds of relapse by 17%, according to the study.

On he other hand, each treatment visit reduced the odds of a relapse by 2%. Relapses occurred in 54% of patients, and the highest relapse rate happened after the first clinic.

Lead author Karen Derefinko said the study shows the lasting impact of ACEs, Jane Stevens reports for ACEs Connection.

"This study will help practitioners understand the importance of providing trauma-informed treatment," Derefinko told Stevens. "Because of the stigma associated with drug use, it’s hindered health care workers’ understanding of why people use drugs and has led to an assumption that they’re bad people. This shows that trauma-informed care and providing resources does impact how well people can do. It’s also validating for patients and gives them a lot of hope."

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