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Assessing Childhood...
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Löfberg, Andreas,1987-Linköpings universitet,Medicinska fakulteten,Centrum för social och affektiv neurovetenskap,Region Östergötland, Psykiatriska kliniken i Linköping
(author)
Assessing Childhood Maltreatment Exposure in Patients Without and With a Diagnosis of Substance Use Disorder
- Article/chapterEnglish2023
Publisher, publication year, extent ...
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2022-11-02
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Wolters Kluwer,2023
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-192050
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-192050URI
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https://doi.org/10.1097/adm.0000000000001091DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Objectives: Childhood maltreatment (CM), widely held as a risk factor for substance use disorders (SUDs), is commonly assessed using the Childhood Trauma Questionnaire (CTQ). Retrospective self-reports are, however, potentially subject to bias. We used a unique patient sample with prospectively documented CM to examine the performance of the CTQ and how this is affected by the presence of SUD.Methods: Analysis was based on a total of 104 individuals. Subjects with prospectively recorded CM were identified from a specialized childhood trauma unit in Linköping, Sweden (n = 55; 31 with SUD, 61% females; 24 without SUD, 71% females). Clinical controls had SUD but no CM (n = 25, 48% females). Healthy controls had neither SUD nor CM (n = 24, 54% females). We analyzed the agreement between retrospective CTQ scores and prospectively documented CM by κ analysis and assessed the performance of the CTQ to identify CM exposure using receiver operating characteristic (ROC) analysis.Results: Agreement between prospectively and retrospectively recorded CM exposure was poor for sexual abuse (36.6%, Cohen κ = 0.32, P = 0.008) and physical abuse (67.3%, κ = 0.35, P = 0.007). Overall CTQ performance was fair (ROC: area under the ROC curve = 0.78, optimal cutoff = 36.5, sensitivity = 0.65, specificity = 0.75). However, performance was excellent in the absence of SUD (area under the ROC curve = 0.93, cutoff = 32.0, sensitivity = 0.88, specificity = 0.88), but poor in participants with lifetime SUD (area under the ROC curve = 0.62, cutoff = 42.0, sensitivity = 0.60, specificity = 0.36).Conclusions: These data support the CTQ as a tool to assess CM exposure but suggest that it may be less useful in patients with SUD.
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Added entries (persons, corporate bodies, meetings, titles ...)
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Gustafsson, Per A.,1950-Linköpings universitet,Medicinska fakulteten,Centrum för social och affektiv neurovetenskap,Region Östergötland, Barn- och ungdomspsykiatriska kliniken Linköping(Swepub:liu)pergu19
(author)
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Gauffin, EmelieLinköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Psykiatriska kliniken i Linköping(Swepub:liu)emega39
(author)
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Perini, Irene,1983-Linköpings universitet,Medicinska fakulteten,Centrum för social och affektiv neurovetenskap(Swepub:liu)irepe41
(author)
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Heilig, Markus,1959-Linköpings universitet,Medicinska fakulteten,Centrum för social och affektiv neurovetenskap,Region Östergötland, Psykiatriska kliniken i Linköping,Region Östergötland, Barn- och ungdomspsykiatriska kliniken Linköping(Swepub:liu)marhe41
(author)
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Capusan, Andrea J.Linköpings universitet,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Psykiatriska kliniken i Linköping(Swepub:liu)andjo07
(author)
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Linköpings universitetMedicinska fakulteten
(creator_code:org_t)
Related titles
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In:Journal of addiction medicine: Wolters Kluwer17:3, s. 263-2701932-06201935-3227
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