Evidence map›Paper›PMID 30540023›Full record

ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)

Early childhood maltreatment experience and later sexual behavior in Brazilian adults undergoing treatment for substance dependence.

Alessandra Diehl, Jales Clemente, Sandra C Pillon, Paulo R H Santana, Claudio J da Silva, Jair de J Mari

Abstract read
In one paragraph

Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Relationship between Childhood Maltreatment and Risky Sexual Behaviors: A Meta-Analysis.International journal of environmental research and public health · 2019
    Pooled it
  2. Article
  3. The Role of Attachment, Childhood Traumatic Experiences and Gender in Men and Women with Compulsive Sexual Behavior Symptoms.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Observational
  9. Childhood maltreatment and health outcomes.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alessandra DiehlDepartamento de Psiquiatria,Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Jales ClementeDepartamento de Psiquiatria,Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Sandra C PillonDepartamento de Enfermagem Psiquiátrica e Ciências Humanas, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da Organização Pan-Americana de Saúde (OPAS)/Organização Mundial da Saúde (OMS) para o Desenvolvimento da Pesquisa em Enfermagem, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.
Paulo R H SantanaInstituto Bairral, Itapira, SP, Brazil.
Claudio J da SilvaDepartamento de Psiquiatria,Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Jair de J MariDepartamento de Psiquiatria,Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the prevalence of early childhood maltreatment and associations with later sexual behavior among adult substance users.

methodsA cross-sectional study enrolled 134 substance dependents who sought outpatient care in São Paulo, Brazil. Childhood trauma prevalence was assessed using the Childhood Trauma Questionnaire (CTQ). The Sexual Addiction Screening Test (SAST), drug of choice (DOC), and sexual behavior were also investigated.

resultsThe sample was composed predominantly of single adult males (76.1%), with alcohol as the DOC (73.9%). Experiences of emotional neglect (88.1%), emotional abuse (80.6%), physical neglect (78.4%), physical abuse (64.2%), and sexual abuse (31.3%) were prevalent. Women were more likely to have been sexually abused (OR 2.9, 95%CI 1.15-7.61) and physically abused (OR 3.7, 95%CI 1.31-10.6) in childhood. Those who were sexually abused in adulthood were more likely to have suffered physical abuse in childhood (OR 6.9, 95%CI 1.45-11.8). The odds of having been sexually abused in childhood were higher among subjects who reported to have exchanged sexual favors for drugs (OR 5.7, 95%CI 1.35-9.64) and to have been sexually abused in adulthood (OR 6.1, 95%CI 5.2-12.36).

conclusionPhysical and sexual abuse in childhood are highly prevalent in substance-dependent adults, and are associated with sexual revictimization and high-risk sexual behavior in adulthood.

Indexed as

AdolescentAdultBehavior, AddictiveBrazilChildChild AbuseCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsSex FactorsSexual BehaviorSex WorkSocioeconomic Factors

Identifiers

PMID30540023
PMCPMC6794126

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.