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Adverse childhood experiences (ACEs) are known to increase the risk of substance use problems later in life. New research from George Mason University's College of Public Health suggests that the specific types of adversity a young person faces may be associated with different vulnerabilities to those risks.
The study, led by social work Professor Sunny Shin, examined patterns of ACEs among young adults and their relationship to factors associated with substance use disorders, including hopelessness, impulsivity and cravings for alcohol or drugs in response to both positive and negative emotions.
Researchers identified three distinct patterns of ACE exposure: relatively low exposure, a pattern characterized by emotional abuse and exposure to multiple forms of adversity.
The study, published in the Journal of Child & Adolescent Substance Use, found that young adults in the emotional abuse group reported greater hopelessness than those with relatively few ACEs, while those exposed to multiple forms of adversity reported stronger cravings for alcohol or drugs during negative emotions.
"Understanding these nuanced differences could help us tailor prevention and intervention strategies to individuals' specific needs," Shin said. "Someone struggling with hopelessness may benefit from interventions that promote positive coping skills, while someone experiencing substance cravings during emotional distress may benefit from strategies focused on emotion regulation and distress tolerance."
Research on ACEs has traditionally emphasized cumulative risk: as the number of adverse experiences increases, so does vulnerability to a range of health problems later in life, including substance use disorders.
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