Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Dec 29;5(12):e15882.
doi: 10.1371/journal.pone.0015882.

Patterns of childhood trauma and psychological distress among injecting heroin users in China

Affiliations

Patterns of childhood trauma and psychological distress among injecting heroin users in China

Zhen Wang et al. PLoS One. .

Abstract

Background: Childhood trauma has been reported as a possible cause of future substance abuse in some countries. This study reports the prevalence of childhood trauma and examines its association with psychological distress among injecting drug users from mainland China.

Methodology: The study was conducted in three government-operated drug rehabilitation facilities in Shanghai, China in 2007. The Early Trauma Inventory Self Report-Short Form (ETISR-SF) was used to evaluate 4 types (general, emotional, physical and sexual) and severity of childhood trauma, and the Symptom Checklist-90-Revised (SCL-90-R) to evaluate psychological distress.

Principal findings: Among 341 injecting drug users who completed the study, about 80% reported one or more types of childhood trauma, specifically 53% general trauma, 56% physical abuse, 36% emotional abuse and 26% sexual abuse. Compared to female injecting drug users, males reported significantly higher scores of general trauma and physical abuse, but lower sexual abuse scores. Hierarchical linear regression analyses showed that greater physical and emotional abuse in childhood predict greater current psychopathological distress among these injecting drug users in China.

Conclusions: The results reveal a high prevalence of childhood trauma among injecting drug users in China, and it is comparable to other similar studies in Western countries. It is important to consider the role of childhood trauma in the prevention and treatment of substance abuse.

PubMed Disclaimer

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

References

    1. Schaaf KK, McCanne TR. Relationship of childhood sexual, physical, and combined sexual and physical abuse to adult victimization and posttraumatic stress disorder. Child Abuse Negl. 1998;22:1119–1133. - PubMed
    1. Bifulco A, Bernazzani O, Moran PM, Ball C. Lifetime stressors and recurrent depression: preliminary findings of the Adult Life Phase Interview (ALPHI). Soc Psychiatry Psychiatr Epidemiol. 2000;35:264–275. - PubMed
    1. Kendler KS, Bulik CM, Silberg J, Hettema JM, Myers J, et al. Childhood sexual abuse and adult psychiatric and substance use disorders in women: an epidemiological and cotwin control analysis. Arch Gen Psychiatry. 2000;57:953–959. - PubMed
    1. Dube SR, Anda RF, Felitti VJ, Chapman DP, Williamson DF, et al. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the Adverse Childhood Experiences Study. JAMA. 2001;286:3089–3096. - PubMed
    1. MacMillan HL, Fleming JE, Streiner DL, Lin E, Boyle MH, et al. Childhood abuse and lifetime psychopathology in a community sample. Am J Psychiatry. 2001;158:1878–1883. - PubMed

Publication types

MeSH terms