Early Life Stress as Factor for Use of Psychoactive Substances: Integrative Review  

作　　者：Larissa Bessani Hidalgo Gimenez Renata Cristina de Campos Pereira Silveira Danilo Caetano Albino da Silva Edilaine Cristina da Silva Gherardi-Donato Larissa Bessani Hidalgo Gimenez;Renata Cristina de Campos Pereira Silveira;Danilo Caetano Albino da Silva;Edilaine Cristina da Silva Gherardi-Donato(Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirao Preto, Brazil;Departament of Fundamental Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirao Preto, Brazil;Itapevi Diagnostic Imaging Center, São Paulo, Brazil)

机构地区：[1]Department of Psychiatric Nursing and Human Sciences, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirao Preto, Brazil [2]Departament of Fundamental Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirao Preto, Brazil [3]Itapevi Diagnostic Imaging Center, São Paulo, Brazil

出　　处：《Open Journal of Nursing》2016年第11期921-936,共17页护理学期刊（英文）

摘　　要：Purpose: To identify, analyze and synthetize the scientific evidences that support Early Life Stress (ELS) diagnosis using the Childhood Trauma Questionnaire (CTQ), since it assumes the use of psychoactive substances later in adolescence and adulthood. Individuals that experienced some form of childhood stress may present, in adulthood, consequences that manifest into mental disorders such as problematic use of psychoactive substances. Methods: An integrative review of the literature on the subject in the databases: PubMed, Web of Science, LILACS and Psycinfo, regards studies that have been indexed in the last ten years (2003-2014). Combination of controlled and uncontrolled factors in the use and abuse of psychoactive substances, CTQ and ELS adapted to each database. Findings: The alcohol was the most used drug by the participating subjects of these research;mostly, the use of psychoactive drugs, started when they were still in adolescence;ELS and the later use of psychoactive drugs can be found more frequently in female;the lack of internal resources for dealing with stress in adulthood after ELS occurrence may have as a consequence the use of psychoactive drugs as a coping mechanism. Conclusions: It was possible to identify scientific evidences that support the ELS diagnosis, measured by the CTQ, as a determining factor for the use and abuse of alcohol and/or other psychoactive drugs in adolescence and adulthood. Implications: Investigate the ELS as a strategy to improve the therapeutic project of patients in nursing care, which will be built based on scientific evidence, so it can be more effective.Purpose: To identify, analyze and synthetize the scientific evidences that support Early Life Stress (ELS) diagnosis using the Childhood Trauma Questionnaire (CTQ), since it assumes the use of psychoactive substances later in adolescence and adulthood. Individuals that experienced some form of childhood stress may present, in adulthood, consequences that manifest into mental disorders such as problematic use of psychoactive substances. Methods: An integrative review of the literature on the subject in the databases: PubMed, Web of Science, LILACS and Psycinfo, regards studies that have been indexed in the last ten years (2003-2014). Combination of controlled and uncontrolled factors in the use and abuse of psychoactive substances, CTQ and ELS adapted to each database. Findings: The alcohol was the most used drug by the participating subjects of these research;mostly, the use of psychoactive drugs, started when they were still in adolescence;ELS and the later use of psychoactive drugs can be found more frequently in female;the lack of internal resources for dealing with stress in adulthood after ELS occurrence may have as a consequence the use of psychoactive drugs as a coping mechanism. Conclusions: It was possible to identify scientific evidences that support the ELS diagnosis, measured by the CTQ, as a determining factor for the use and abuse of alcohol and/or other psychoactive drugs in adolescence and adulthood. Implications: Investigate the ELS as a strategy to improve the therapeutic project of patients in nursing care, which will be built based on scientific evidence, so it can be more effective.

关 键 词：Childhood Trauma Questionnaire Early Life Stress Evidence-Based Practice Substance Abuse 

分 类 号：R57[医药卫生—消化系统]