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. 2024 May 1:258:111253.
doi: 10.1016/j.drugalcdep.2024.111253. Epub 2024 Mar 6.

Interpersonal trauma, shame, and substance use: A systematic review

Prachi H Bhuptani  1 , Yongkuan Zhang  2 , Lauren Danzey  3 , Aanandita Bali  3 , Kirsten Langdon  3 , Lindsay M Orchowski  3
Affiliations

Interpersonal trauma, shame, and substance use: A systematic review

Prachi H Bhuptani et al. Drug Alcohol Depend. .

Abstract

Background: Interpersonal trauma is a risk factor for a wide array of adverse mental health outcomes, including substance use. Research has begun investigating the role of shame in the intersection between substance use and interpersonal trauma. The current systematic review summarizes the existing literature documenting the relation among shame, substance use, and interpersonal trauma.

Method: Articles were collected using a Boolean search strategy of terms related to interpersonal trauma, substance use, and shame across six databases. Independent search and screening by three researchers led to a final review of 27 articles, 15 of which were qualitative studies.

Results: Findings highlight robust associations among shame, interpersonal violence, and substance use across varied samples. Findings emphasize that increased shame is associated with greater substance use among survivors of interpersonal violence and elevated shame and greater interpersonal violence are present among individuals who use substances given the high prevalence rates. Burgeoning research suggests that shame mediates the relationship between interpersonal violence and substance use.

Conclusion: Results from our review suggest that shame may be an important treatment target for individuals presenting with substance use and a history of interpersonal violence. Future studies, with longitudinal designs, are needed to parse out the temporal relation among shame, substance use, and interpersonal violence.

Keywords: Alcohol; Drug; Interpersonal violence; Physical assault; Racism; Sexual assault; Shame.

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Conflict of interest statement

Declaration of Competing Interest No conflict declared.

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References

    1. Aakvaag HF, Thoresen S, Strom IF, Myhre M, & Hjemdal OK (2019). Shame Predicts Revictimization in Victims of Childhood Violence: A Prospective Study of a General Norwegian Population Sample. Psychological Trauma-Theory Research Practice and Policy, 11(1), 43–50. 10.1037/tra0000373 - DOI - PubMed
    1. Ahrens CE, Rios-Mandel LC, Isas L, & del Carmen Lopez M (2010). Talking about interpersonal violence: Cultural influences on Latinas’ identification and disclosure of sexual assault and intimate partner violence. Psychological Trauma: Theory, Research, Practice, and Policy, 2(4), 284–295. 10.1037/a0018605 - DOI
    1. Alisic E, Zalta AK, van Wesel F, Larsen SE, Hafstad GS, Hassanpour K, & Smid GE (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis. Br J Psychiatry, 204, 335–340. 10.1192/bjp.bp.113.131227 - DOI - PubMed
    1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing
    1. Ayalon L, & Gum AM (2011). The relationships between major lifetime discrimination, everyday discrimination, and mental health in three racial and ethnic groups of older adults. Aging & Mental Health, 15(5), 587–594. 10.1080/13607863.2010.543664 - DOI - PubMed

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