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No studies to date have examined childhood maltreatment and treatment outcomes in CD. This study investigated self\u2010reported childhood maltreatment as it relates to treatment satisfaction and substance use relapse among CD patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 258 CD inpatients completed a self\u2010report questionnaire package, comprising the Childhood Trauma Questionnaire and the Inpatient Consumer Survey (ICS). Childhood maltreatment was assessed according to five subtypes and self\u2010perceived treatment satisfaction was rated across six ICS domains. Psychiatric diagnoses, substance use status and relapse data were retrieved via patient medical charts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Emotional neglect was associated with lower ratings across all ICS domains and physical neglect was associated with a lower rating for \u2018outcome of care\u2019. Childhood sexual abuse was associated with a greater likelihood of alcohol relapse. No other relationships were statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>The presence of childhood neglect (but not abuse) was more associated with overall treatment dissatisfaction, and sexual abuse alone increased the likelihood of alcohol relapse. These findings suggest some early adverse experiences in CD patients may increase negative experiences in treatment while others contribute to the risk of substance use. Broader longitudinal research is needed to examine the trajectory leading to negative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>This is the first study to report differential patterns of association by type of childhood maltreatment on negative outcomes in treatment among CD patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.13535","type":"journal-article","created":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T06:59:40Z","timestamp":1710917980000},"page":"516-524","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Adult self\u2010reported childhood maltreatment types are associated with treatment satisfaction and alcohol relapse in patients with comorbid substance use and mental health disorders"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1454-2535","authenticated-orcid":false,"given":"Karling R.","family":"Luciani","sequence":"first","affiliation":[{"name":"Institute of Mental Health, Department of Psychiatry University of British Columbia Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya K.","family":"Johal","sequence":"additional","affiliation":[{"name":"Institute of Mental Health, Department of Psychiatry University of British Columbia Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Chao","sequence":"additional","affiliation":[{"name":"Institute of Mental Health, Department of Psychiatry University of British Columbia Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina A.","family":"Thiessen","sequence":"additional","affiliation":[{"name":"Institute of Mental Health, Department of Psychiatry University of British Columbia Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian G.","family":"Sch\u00fctz","sequence":"additional","affiliation":[{"name":"Institute of Mental Health, Department of Psychiatry University of British Columbia Vancouver British Columbia Canada"},{"name":"BC Mental Health &amp; Substance Use Services Research Institute, PHSA Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,19]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"2019","article-title":"National survey on drug use and health: methodological summary and definitions","author":"SAMHSA","year":"2018","journal-title":"Center for behavioral health statistics and quality, substance abuse and mental health services administration"},{"key":"e_1_2_9_3_1","unstructured":"CanadaS.Canadian community health survey\u2013mental health 2013.https:\/\/www23.statcan.gc.ca\/. 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