{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T19:31:06Z","timestamp":1780947066042,"version":"3.54.1"},"reference-count":63,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:00:00Z","timestamp":1743984000000},"content-version":"unspecified","delay-in-days":96,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Span. J. Psychol."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Adverse childhood experiences (ACEs) are prevalent in people with substance use disorder (SUD). The aims of this study were to determine the prevalence of ACEs in a specific sample of people with SUD and to analyze the specific characteristics of these patients according to gender. The studied sample consisted of 215 people seeking treatment for SUD in two clinical centers in Spain. Descriptive and comparison analyses were carried out, and a logistic regression analysis was conducted to identify the main variables related to ACEs. The prevalence of at least one ACE was 82.3%. Women reported a higher prevalence of family mental health problems (<jats:italic>p\u00a0=<\/jats:italic>\u00a0.045; <jats:italic>d\u00a0=<\/jats:italic>\u00a00.14) and sexual abuse (<jats:italic>p\u00a0&lt;<\/jats:italic>\u00a0.001; <jats:italic>d\u00a0=<\/jats:italic>\u00a00.43) than men. The group with \u22653 ACEs showed a higher severity profile for the addiction severity and psychopathological variables than the groups with 0 ACEs and 1\u20132 ACEs. Logistic regression showed that problems related to the group with \u22653 ACEs in the total sample were psychiatric and legal problems and lifetime suicidal ideation (in men, family\/social problems and lifetime suicidal ideation; in women, employment\/support problems). This study supports the high prevalence of ACEs in people with SUD and the cumulative effect of ACEs. In addition, gender is a relevant factor. The implementation of assessments and treatment for ACEs is necessary in SUD treatment programs.<\/jats:p>","DOI":"10.1017\/sjp.2025.6","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T07:13:56Z","timestamp":1744010036000},"source":"Crossref","is-referenced-by-count":2,"title":["Prevalence and Differential Profiles of People with Adverse Childhood Experiences in Treatment for Substance use Disorder"],"prefix":"10.1017","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7651-1400","authenticated-orcid":false,"given":"Leire","family":"Leza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5102-6556","authenticated-orcid":false,"given":"Jos\u00e9 J.","family":"L\u00f3pez-Go\u00f1i","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6119-2822","authenticated-orcid":false,"given":"Alfonso","family":"Arteaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5946-1934","authenticated-orcid":false,"given":"Javier","family":"Fern\u00e1ndez-Montalvo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,4,7]]},"reference":[{"key":"S113874162500006X_r46","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1111\/acps.13289","article-title":"A meta-analysis of the relationship between parental death in childhood and subsequent psychiatric disorder","volume":"143","author":"McKay","year":"2021","journal-title":"Acta Psychiatrica Scandinavica"},{"key":"S113874162500006X_r45","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1080\/00952990.2023.2171301","article-title":"Differential prevalence of Adverse Childhood Experiences (ACEs) by gender and substance used in individuals with cannabis, cocaine, opioid, and tobacco use disorders","volume":"49","author":"Martin","year":"2023","journal-title":"American Journal of Drug and Alcohol Abuse"},{"key":"S113874162500006X_r7","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1007\/s11920-012-0342-3","article-title":"Longitudinal outcomes for victims of child abuse","volume":"15","author":"Buckingham","year":"2013","journal-title":"Current Psychiatry Reports"},{"key":"S113874162500006X_r30","article-title":"Prevalence and differential profile of patients with substance use disorder who have suffered physical and\/or sexual abuse","volume":"37","author":"Haro","year":"2021","journal-title":"Journal of Interpersonal Violence"},{"key":"S113874162500006X_r2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2020.01.005"},{"key":"S113874162500006X_r48","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1177\/00912174231195751","article-title":"Adverse childhood experiences and early initiation of substance use: A survival analysis","volume":"59","author":"Meadows","year":"2023","journal-title":"International Journal of Psychiatry in Medicine"},{"key":"S113874162500006X_r61","doi-asserted-by":"publisher","DOI":"10.1016\/j.evopsy.2016.06.011"},{"key":"S113874162500006X_r33","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckz037"},{"key":"S113874162500006X_r54","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106489"},{"key":"S113874162500006X_r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ynstr.2018.100144"},{"key":"S113874162500006X_r21","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0749-3797(98)00017-8","article-title":"Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study","volume":"14","author":"Felitti","year":"1998","journal-title":"American Journal of Preventive Medicine"},{"key":"S113874162500006X_r1","first-page":"10","article-title":"Child abuse and physical health in adulthood","volume":"27","author":"Afifi","year":"2016","journal-title":"Health Reports"},{"key":"S113874162500006X_r9","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1080\/21683603.2018.1548397","article-title":"Prevalence of adverse childhood experiences in school-aged youth: A systematic review (1990\u20132015)","volume":"8","author":"Carlson","year":"2020","journal-title":"International Journal of School and Educational Psychology"},{"key":"S113874162500006X_r17","first-page":"1","volume-title":"SCL-90-R: Administration, scoring and procedures manual-II for the (revised) version and other instruments of the psychopathology rating scale series","author":"Derogatis","year":"1992"},{"key":"S113874162500006X_r63","unstructured":"World Health Organization. (2018). Adverse childhood experiences international questionnaire (ACE-IQ) (pp. 245\u2013258)."},{"key":"S113874162500006X_r31","doi-asserted-by":"crossref","DOI":"10.1002\/9781118548387","volume-title":"Applied logistic regression","author":"Hosmer","year":"2013"},{"key":"S113874162500006X_r57","volume-title":"Designing and conducting survey research","author":"Rea","year":"1992"},{"key":"S113874162500006X_r40","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2016.1253746"},{"key":"S113874162500006X_r11","article-title":"Associations between adverse childhood experiences and health outcomes in adults aged 18\u201359 years","volume":"14","author":"Chang","year":"2019","journal-title":"Plos One"},{"key":"S113874162500006X_r18","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.3.564"},{"key":"S113874162500006X_r41","doi-asserted-by":"crossref","first-page":"108563","DOI":"10.1016\/j.drugalcdep.2021.108563","article-title":"Adverse childhood experiences (ACEs) and substance use disorder (SUD): A scoping review","volume":"221","author":"Leza","year":"2021","journal-title":"Drug and Alcohol Dependence"},{"key":"S113874162500006X_r5","volume-title":"Valoraci\u00f3n de la gravedad de la adicci\u00f3n: Aplicaci\u00f3n a la gesti\u00f3n cl\u00ednica y monitorizaci\u00f3n de los tratamientos","author":"Bobes","year":"2007"},{"key":"S113874162500006X_r35","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1111\/jan.12329","article-title":"Adverse childhood experiences: Towards a clear conceptual meaning","volume":"70","author":"Kalmakis","year":"2014","journal-title":"Journal of Advanced Nursing"},{"key":"S113874162500006X_r47","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-198001000-00006"},{"key":"S113874162500006X_r34","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-032816-045005"},{"key":"S113874162500006X_r53","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.12552"},{"key":"S113874162500006X_r49","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.03.016"},{"key":"S113874162500006X_r39","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1159\/000259089","article-title":"EuropASI: European adaptation of a multidimensional assessment instrument for drug and alcohol dependence","volume":"1","author":"Kokkevi","year":"1995","journal-title":"European Addiction Research"},{"key":"S113874162500006X_r58","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.07.007"},{"key":"S113874162500006X_r8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.07.022"},{"key":"S113874162500006X_r59","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1007\/s00038-019-01273-6","article-title":"Adversity in childhood and young adulthood predicts young adult depression","volume":"64","author":"Stern","year":"2019","journal-title":"International Journal of Public Health"},{"key":"S113874162500006X_r10","doi-asserted-by":"publisher","DOI":"10.1097\/JAN.0000000000000233"},{"key":"S113874162500006X_r6","first-page":"201","article-title":"\u00cdndice europeo de severidad de la adicci\u00f3n: EuropASI. Versi\u00f3n espa\u00f1ola [European Addiction Severity Index: EuropASI. Spanish version]","volume":"1996","author":"Bobes","year":"1996","journal-title":"Actas de la IV Reuni\u00f3n Interregional de Psiquiatr\u00eda"},{"key":"S113874162500006X_r56","doi-asserted-by":"crossref","first-page":"2439122","DOI":"10.1080\/22423982.2024.2439122","article-title":"Prevalence of adverse childhood experiences among individuals in treatment for substance use disorder: Are ACE associated differently across type of abuse and quantity of consumption?","volume":"84","author":"Poulsen","year":"2025","journal-title":"International Journal of Circumpolar Health"},{"key":"S113874162500006X_r29","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2019.1708618"},{"key":"S113874162500006X_r32","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/S2468-2667(17)30118-4","article-title":"The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis","volume":"2","author":"Hughes","year":"2017","journal-title":"Lancet Public Health"},{"key":"S113874162500006X_r50","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.socscimed.2018.03.043","article-title":"Poor mental health among low-income women in the US: The roles of adverse childhood and adult experiences","volume":"206","author":"Mersky","year":"2018","journal-title":"Social Science and Medicine"},{"key":"S113874162500006X_r19","first-page":"495","article-title":"The genetic basis of addictive disorders","volume":"35","author":"Ducci","year":"2012","journal-title":"Psychiatric Clinics"},{"key":"S113874162500006X_r38","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1780-1"},{"key":"S113874162500006X_r12","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.04.024"},{"key":"S113874162500006X_r36","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.drugalcdep.2013.10.014","article-title":"Exposure to the Lebanon War of 2006 and effects on alcohol use disorders: The moderating role of childhood maltreatment","volume":"134","author":"Keyes","year":"2014","journal-title":"Drug and Alcohol Dependence"},{"key":"S113874162500006X_r27","volume-title":"Statistical methods in education and psychology","author":"Glass","year":"1970"},{"key":"S113874162500006X_r4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.17.1652"},{"key":"S113874162500006X_r20","first-page":"325","article-title":"Escala de Inadaptaci\u00f3n: Propiedades psicom\u00e9tricas en contextos cl\u00ednicos","volume":"26","author":"Echebur\u00faa","year":"2000","journal-title":"An\u00e1lisis y Modificaci\u00f3n de Conducta"},{"key":"S113874162500006X_r28","doi-asserted-by":"crossref","first-page":"102614","DOI":"10.1016\/j.janxdis.2022.102614","article-title":"Adverse childhood experiences, adult anxiety and social capital among women in rural Kenya","volume":"91","author":"Goodman","year":"2022","journal-title":"Journal of Anxiety Disorders"},{"key":"S113874162500006X_r24","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1080\/03630242.2016.1160967","article-title":"Gender differences in treatment progress of drug-addicted patients","volume":"57","author":"Fern\u00e1ndez-Montalvo","year":"2017","journal-title":"Women and Health"},{"key":"S113874162500006X_r15","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.02.001"},{"key":"S113874162500006X_r23","doi-asserted-by":"publisher","DOI":"10.1177\/0886260514539843"},{"key":"S113874162500006X_r60","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2019.104249"},{"key":"S113874162500006X_r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.08.008"},{"key":"S113874162500006X_r43","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.jsat.2011.09.011","article-title":"Predictive validity of the EuropASI: Clinical diagnosis or composite scoring?","volume":"42","author":"L\u00f3pez-Go\u00f1i","year":"2012","journal-title":"Journal of Substance Abuse Treatment"},{"key":"S113874162500006X_r37","doi-asserted-by":"publisher","DOI":"10.1002\/da.20751"},{"key":"S113874162500006X_r26","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1080\/10826080801922231","article-title":"Evaluation of a therapeutic community treatment program: A long-term follow-up study in Spain","volume":"43","author":"Fern\u00e1ndez-Montalvo","year":"2008","journal-title":"Substance Use and Misuse"},{"key":"S113874162500006X_r44","doi-asserted-by":"publisher","DOI":"10.1080\/14659891.2023.2213322"},{"key":"S113874162500006X_r42","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1038\/s41390-020-01264-x","article-title":"The social ecology of childhood and early life adversity","volume":"89","author":"Lopez","year":"2021","journal-title":"Pediatric Research"},{"key":"S113874162500006X_r51","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2013.07.011"},{"key":"S113874162500006X_r55","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1176\/appi.ajp.2011.10111704","article-title":"The Columbia-suicide severity rating scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults","volume":"168","author":"Posner","year":"2011","journal-title":"American Journal of Psychiatry"},{"key":"S113874162500006X_r3","first-page":"5","article-title":"Evaluaci\u00f3n de variables que pueden contribuir al \u00e9xito del tratamiento en comunidad terap\u00e9utica [Evaluation of variables that may contribute to the success of treatment in a therapeutic community]","volume":"21","author":"Aguilar","year":"1998","journal-title":"Anales del Sistema Sanitario de Navarra"},{"key":"S113874162500006X_r22","doi-asserted-by":"publisher","DOI":"10.3109\/16066350903324826"},{"key":"S113874162500006X_r25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2013.12117.x"},{"key":"S113874162500006X_r14","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen","year":"1988"},{"key":"S113874162500006X_r62","unstructured":"World Health Organization. (2011). Adverse childhood experiences international questionnaire: Pilot study review and finalization meeting. http:\/\/www.who.int\/violence_injury_prevention\/violence\/activities\/adverse_childhood_experiences\/global_research_network_may_2011.pdf."},{"key":"S113874162500006X_r52","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2018.1469781"}],"container-title":["The Spanish Journal of Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S113874162500006X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T07:15:57Z","timestamp":1744010157000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S113874162500006X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":63,"alternative-id":["S113874162500006X"],"URL":"https:\/\/doi.org\/10.1017\/sjp.2025.6","relation":{},"ISSN":["1138-7416","1988-2904"],"issn-type":[{"value":"1138-7416","type":"print"},{"value":"1988-2904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e7"}}