El abuso sexual infantil y la relación con el desarrollo de comportamientos adictivos

Palabras clave

abuso sexual infantil
adicción y revisión sistemática child sexual abuse
addiction and systematic review

Cómo citar

Franco Jaén, S., Rodríguez González, J. M., & Del Río, F. J. (2020). El abuso sexual infantil y la relación con el desarrollo de comportamientos adictivos : Una revisión sistemática. Terapia Psicológica, 38(3), 317-338. https://doi.org/10.4067/S0718-48082020000300317


El Abuso Sexual Infantil (ASI) está relacionado con el desarrollo de comportamientos adictivos en la edad adulta. El presente estudio tuvo el objetivo de realizar una revisión sistemática sobre la relación que existe entre el ASI y el desarrollo de comportamientos adictivos con o sin sustancias. Se analizaron 36 artículos desde 2014 a 2018, que cumplieron los criterios de inclusión para formar parte de esta revisión. Este trabajo ha permitido visibilizar la escasa información existente acerca de la relación entre ASI y comportamientos adictivos. Se concluye que se necesita más investigación sistematizada que analice la relación existente entre el haber sido víctima de ASI y tener una adicción en la vida adulta, que se utilicen instrumentos específicos y validados para evaluar la posible presencia o ausencia de ASI en adultos y ser más específicos a la hora de considerar las variables que influyen en esta relación.



Almuneef, M., Qayad, M., Aleissa, M. & Albuhairan, F. (2014). Adverse childhood experiences, chronic diseases, and risky health behaviors in Saudi Arabian adults: a pilot study. Child Abuse & Neglect, 38, 1787-1793. https://doi.org/10.1016/j.chiabu.2014.06.003

Asociación Americana de Psiquiatría (2013). Guía de consulta de los criterios diagnósticos del DSM-5. Estados Unidos: Arlington, VA.

Baiden, P., Stewart, S.L. & den Dunnen, W. (2014). Childhood abuse and cannabis use among adolescents with mental health needs in Ontario, Canada, Journal of Substance Use, 19 (1-2), 18-24. https://doi.org/10.3109/14659891.2012.727522

Banducci, A.N., Hoffman, E.M., Lejuez, C.W. & Koenen, K. (2014). The impact of childhood abuse on inpatient substance users: specific links with risky sex, aggression and emotion dysregulation. Child Abuse & Neglect, 38, 928-938. https://doi.org/10.1016/j.chiabu.2013.12.007

Barth, J., Bermetz, L., Heim, e., Trelle, S. & Tonia, T. (2013). The current prevalence of child sexual abuse worldwide: A systematic review and meta-analysis. International Journal of Public Health, 58, 469-483. https://doi,org/10.1007/s00038-012-0426-1

Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T. & Zule, W. (2003). Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse & Neglect, 27, 169–190. https://doi.org/10.1016/s0145-2134(02)00541-0

Bremner, J.D., Bolus, R. & Mayer, E.A., 2007. Psychometric properties of the early trauma inventory-self report. Journal of Nervous and Mental Disease 195(3), 211–218. https://doi.org/10.1097/01.nmd.0000243824.84651.6c

Carey, C.E., Agrawal , A., Zhang , B., Conley , E. D., Degenhardt , L., Heath , A. C., Li, D., Lynskey, M.T., Martin, N.G., Montgomery , G.W., Wang , T., Bierut, L.J., Hariri, A.R., Nelson, E.C. & Bogdan, R. (2016). Monoacylglycerol lipase (MGLL) plymorphism rs 604300 interacts with childhood adversity to predict cannabis dependence symptoms and amygdala habituation: Evidence from an endocannabinoid system-level anlysis. Journal of Abnormal Psychology, 124 (4), 860-877. https://doi.org/10.1037/abn0000079

Chen G. & Gueta, K. (2016). Childhood Abuse and Drug Addiction Among Israeli Male Inmates. The Prison Journal, 96(5), 709-730. https://doi.org/10.1177/0032885516662637

Chen, Y., Liu, X., Huang, Y., Yu, H.J., Yuan, S., Ye, Y.L., Li, Q.X. & He, Q.Q. (2017). Association between Child Abuse and Health Risk Behaviors among Chinese College Students. Journal of Child and Family Studies, 26(5), 1380-1387. https://doi.org/10.1007/s10826-017-0659-y

Coddington R.D. (1972). The significance of life events as etiologic factors in the diseases of children—II a study of a normal population. Journal of Psychosomatic Research, 16, 205-213. https://doi.org/10.1016/0022-3999(72)90045-1

Daigre, C., Rodríguez-Cintas, L., Tarifa, N., Rodríguez-Martos, L., Grau-López, L., Berenguer, M., Casas, M. & Roncero, C. (2015). History of sexual, emotional or physical abuse and psychiatric comorbidity in substance-dependent patients. Psychiatry Research, 229(3), 743–749. https://doi.org/10.1016/j.psychres.2015.08.008

Dion, J., Cantinotti, M., Ross, A. & Collin-Vézina, D. (2015). Sexual abuse, residential shooling and probable pathological gambling among Indigenous Peoples. Child Abuse & Neglect, 44, 56-65. https://doi.org/10.1016/j.chiabu.2015.03.004

Echeburúa, E. & Guerricaechevarría, C. (1998). Abuso sexual en la infancia. En M. A. Vallejo (Eds.), Manual de Terapia de Conducta (pp. 563-601). Madrid: Dykinson..

Elhammady, M., Awara, M., Aty, A.A. & Moselby H.F. (2014). Self-reported Child Sexual Abuse, Physical Abuse and Parental Histrory of Drug Misuse in Opioid Dependence Syndrome. Addictive Disorders & Their Treatment, 13(4). https://doi.org/10.1097/ADT.0b013e31829bb3b9

El Mhamdi, S., Lemieux, A., Bouanene, I., Ben Salah, A., Nakajima, M., Salem, K.B. & Al'Absi, M. (2017). Gender differences in adverse childhook experiences, collective violence, and the risk for addictive behaviors among university students in Tunisia. The address for the corresponding author was captured as affiliation for all authors. Preventive Medicine, 99, 99-104. https://doi.org/10.1016/j.ypmed.2017.02.011

Fernández-Montalvo, J., López-Goñi, J.J. & Arteaga, A. (2015). Psychological, Physical and Sexual Abuse in Addicted Patients Who Undergo Treatment. Journal of Interpersonal Violence, 30(8), 1279-1298. https://doi.org/10.1177/0886260514539843

Fernández-Montalvo, J., López-Goñi, J.J., Arteaga, A., Cacho, R. & Azanza P. (2015). Therapeutic Progression in Abused Women Following a Drug-Addiction Treatment Program. Journal of Interpersonal Violence, 32(13), 2046-2056. https://doi.org/10.1177/0886260515591980

Finkelhor, D. (1979). Sexually Victimized Children. Nueva York: Free Press.

Hamilton-Wright, S., Woodhall-Melnik, J., Guilcher, S.J.T., Schuler, A., Wendaferew, A., Hwang, S.W. & Matheson F.I. (2016). Gambling in the landscape of adversity in youth: reflections from men who live with poverty and homelessness. International Journal of Environmental Research and Public Health, 13(9), 854. https://doi.org/10.3390/ijerph13090854

Hammersley, R., Dalgarno, P., McCollum, S., Reid, M., Strike, Y., Smith, A., Wallace, J., Smart, A., Jack, M., Thompson, A. & Liddell, D. (2015). Trauma in the childhood stories of people who have injected drugs. Addiction Research and Theory, 24(2), 135-151. https://doi.org/10.3109/16066359.2015.1093120

Hooper, L. M., Stockton, P., Krupnick, J. L. & Green, B. L. (2011). Development, use and psychometric properties of the Trauma History Questionnaire. Journal of Loss and Trauma, 16, 258-283. https://doi.org/10.1080/15325024.2011.572035.

Imperatori, C., Innamorati, M., Lamis D. A., Farina, B., Pompili, M., Contardi, A. & Fabbricatore, M. (2016). Childhood trauma in obese and overweight women with food addiction and clinical-level of binge eating. Child abuse & Neglect, 58, 180-190. https://doi.org/10.1016/j.chiabu.2016.06.023

Jaisoorya, T.S., Beena, K.V., Beena, M., Ellangovan, K., Thennarassu, K., Bowden-Jones, H., Benegal, V. & George, S. (2016). Do High School Students in India Gamble? A Study of Problem Gambling and Its Correlates. Journal of Gambling Studies, 33(2), 449-460. https://doi.org/10.1007/s10899-016-9651-5

Kim B.N., Park, S. & Park, M.H. (2017). The relationship of Sexual Abuse with Self-Esteem, Depression, and Problematic Internet Use in Korean Adolescents. Psychiatry Investigation, 14(3), 372. https://doi.org/10.4306/pi.2017.14.3.372

Kjoesnes, R., Waal, H., Hauff, E. & Gossop, M. (2017). Severe trauma among substance users in opioid maintenance treatment: users assessment of worst trauma and clinical assessment of PTSD. Heroin addiction & related clinical problems, 19(1), 5-12.

Kok, T., de Haan, H., van der Meer, M., Najavits, L. & de Jong, C. (2015). Assesing traumatic experiences in screening for PTSD in substance use disorder patients: What is the gain in addition to PTSD symptons? Psychiatry Research, 226(1), 328-332. https://doi.org/10.1016/j.psychres.2015.01.014

Kuksis, M., Di Prospero C., Hawken, E.R. & Finch S. (2017). The correlation between trauma, PTSD, and substance abuse in a community sample seeking outpatient treatment for addiction. Canadian Jounal of Addiction, 8(1), 18-24. https://doi.org/10.1097/02024458-201706000-00005

Lotzin, A., Haupt, L., Von Schönfels, J., Wingenfeld, K. & Schäfer, I. (2016). Profiles of Childhood Trauma in Patients with Alcohol Dependence and their associations with Addiction-Related Problems. Alcoholism Clinical & Experimental Research, 40(3). https://doi.org/10.1111/acer.12990

Lozano-Verduzco, I., Romero-Mendoza, M. & Marín-Navarrete, R. (2016). Violence narratives of Mexican women treated in mutual-aid residential centers for addiction treatment. Substance Abuse: Treatment, Prevention, and Policy. 11(1). https://doi.org/10.1186/s13011-016-0083-0

Luxenberg, T., Spinazzola, J., & van der Kolk, B. (2001). Complex trauma and the Disorders of Extreme Stress (DESNOS) diagnosis, part one: Assessment. Directions in Psychiatry, 21, 373-393. https://tinyurl.com/y475jhfl

Meyer, I., Muenzenmaier, K., Cancienne, J. & Struening, E. (1996). Reliability and validity of a measure of sexual and physical abuse histories among women with serious mental illness. Child Abuse & Neglect, 20, 213–219. https://doi.org/10.1016/S0145-2134(95)00137-9

Nijenhuis, E.R.S., VanderHart, O. & Kruger, K., 2002. The psychometric characteristics of the traumatic experiences checklist (TEC): first findings among psychiatric outpatients. Clinical Psychology y Psychotherapy 9, 200–210. https://doi.org/10.1002/cpp.332

Nunes-Neto, P.R., Köhler, C.A., Schuch, F.B., Solmi, M., Quevedo, J., Maes, M., Murru, A., Vieta, E., McIntyre, R.S., McElroy, S.L., Gearhardt, A.N., Stubbs, B. & Carvalho A.F. (2017). Food addiction: prevalence, psychopathological correlates and associations with quality of life in a large sample. Journal of Psychiatric Research, 96, 145-152. https://doi.org/10.1016/J.JPSYCHIRES.2017.10.003

O'Cleirigh, C., Dale, S.K., Elsesser, S., Pantalone D.W., Mayer K.H., Bradford, J.B. & Safren, S.A (2015). Sexual minority specific and related traumatic experiences are associated with increased risk for smoking among gay and bisexual men. Journal of Psychosomatic Research, 78(5), 472-477. https://doi.org/10.1016/j.jpsychores.2015.02.004

Ogai, Y., Senoo, E., Gardner, F.C., Haraguchi, A., Saito, T., Morita, N. & Ikeda K. (2015). Association between Experience of child abuse and severity of drug addiction measured by the addiction severity index among japanese drug-dependent patients. International Journal of Environmental Research and Public Health, 12, 2781-2792. https://doi.org/10.3390/ijerph120302781

Potthast, N., Neuner, F. & Catani, C. (2014). The contribution of emotional maltreatment to alcohol dependence in a tretament-seeking sample. Addictive Behaviors, 39, 949-958. https://doi.org/10.1016/j.addbeh.2014.01.015

Regier, P.S., Monge, Z.A., Franklin, T.R., Wetherill, R.R., Teitelman, A., Jagannathan, K., Suh, J.J., Wang, Z., Young, K.A., Gawrysiak, M., Langleben, D.D., Kampman, K.M., O’Brien C.P. & Childress A.R. (2016). Emotional, physical and sexual abuse are associated with a heightened limbic response to cocaine cues. Addiction Biology, 22(6), 1768-1777. https://doi.org/10.1111/adb.12445

Saddichha, S., Werker, G.R., Schuetz, C. & Krausz, M.R. (2015). Stimulants and Cannabis Use Among a Marginalized Population in British Columbia, Canada: Role of Trauma an Incarceration. Comparative Criminology, 59(13), 1487-1498. https://doi.org/10.1177/0306624X14541661

Sartor, C.E. & O'Malley, S.S. (2016). Brief Report: A Web-Based Pilot Study of Childhood Sexual Abuse, Recent Stressful Events and Alcohol Use in Women. The American Journal on Addictions, 25, 184-187. https://doi.org/10.1111/ajad.12348

Schäfer, I., Pawils, S., Driessen, M., Härter, M., Hillemacher, T., Klein, M., Muehlhan, M., Ravens-Sieberer, U., Schäfer, M., Scherbaum, N., Schneider, B., Thomasius, R., Wiedemann, K., Wegscheider, K. & Barnow, S. (2017). Understanding the role of childhood abuse and neglect as a cause and consequence of substance abuse: the German CANSAS network. European Journal of Psychotraumatology, 8(1), Art. ID. 1304114 https://doi.org/10.1080/20008198.2017.1304114

Schneeberger, A.R., Huber, C.G., Seixas, A., Muenzenmaier, H., Lang, U.E., Castille, D., Larkin, S. & Link, B.G. (2014). Alcohol consumption and the use of health care services in people with severe mental illness and stressful childhood experiences. Journal of Addictive Diseases, 36(2), 97-104. https://doi.org/10.1080/10550887.2017.1280311

Shin, S.H., Hassamal, S. & Peasley, L. (2015). Examining the Role of Psychological Distress in Linking Childhood Maltreatment and Alcohol Use in Young Adulthood. The American Journal on Addictions, 24, 625-636. https://doi.org/10.1111/ajad.12276

Sugarman, D.E., Kaufman, J.S., Trucco, E.M., Brown, J.C. & Greenfield, S.F. (2014). Predictors of Drinking and functional outcomes for men and women following inpatient alcohol treatment. The American Journal on Addictions, 23, 226-233. https://doi.org/10.1111/j.1521-0391.2014.12098.x

Simpson, T. L. & Miller, W. R. (2002). Concomitance between childhood sexual and physical abuse and substance use problems. A review. Clinical Psychology Review, 22(1), 27-77. https://doi.org/10.1016/S0272-7358(00)00088-X

Urrutia, G. & Bonfill, X. (2010). Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Medicina Clínica, 135(11), 507–511. https://doi.org/10.1016/j.medcli.2010.01.015

Valenzuela, M. & Sachdev, P. (2007). Assessment of complex mental activity across the lifespan: development of the Lifetime of Experiences Questionnaire (LEQ). Psychological Medicine, 37, 1015-1025. https://doi.org/10.1017/S003329170600938X

Weathers, F.W., Blake, D.D., Schnurr, P.P., Kaloupek, D.G., Marx, B.P. & Keane, T.M. (2013). The Life Events Checklist for DSM-5 (LEC-5). https://tinyurl.com/yxt5ahrd

Winham, K.M., Golder, S., Renn, T., Higgins, G.E., Engstrom, M. & Logan, T.K. (2015). Chilhood Victimization, Attachment, Psychological Distress and Substance Use Among Women on Probation And Parole. American Orthopsychiatric Association, 85(2), 145-158. https://doi.org/10.1037/ort0000038

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