Trauma exposure across the lifespan among individuals engaged in treatment with medication for opioid use disorder: differences by gender, PTSD status, and chronic pain

Study Title: Trauma Exposure Among Individuals in Medication Treatment for Opioid Use Disorder

Background

Little is known about the lifetime trauma exposure of individuals in medication treatment for opioid use disorder (MOUD). A recent study examined the prevalence of lifetime trauma and differences based on gender, PTSD status, and chronic pain.

Methods

A cross-sectional study analyzed baseline data from 303 participants enrolled in a randomized controlled trial of a mind-body intervention as an adjunct to MOUD. Measures included the Trauma Life Events Questionnaire (TLEQ), the Brief Pain Inventory (BPI), and the Posttraumatic Stress Disorder Checklist (PCL-5).

Results

Findings revealed a high prevalence of lifetime trauma among individuals in MOUD, with significant differences in trauma exposure by gender, PTSD status, and chronic pain. Women reported more intimate partner violence and adult sexual assault, while men reported more physical assault and witnessing trauma. Participants with chronic pain had significantly more traumatic events in childhood compared to those without chronic pain.

Conclusion

The study underscores the need for comprehensive assessment and mental health services to address trauma among individuals in MOUD treatment.

Trial Registration

NCT04082637

Practical Solutions and Value

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