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Developmental trajectories to heroin dependence: Theoretical and clinical issues
Author(s) -
Darke Shane,
Torok Michelle,
Ross Joanne
Publication year - 2017
Publication title -
journal of applied social psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 111
eISSN - 1559-1816
pISSN - 0021-9029
DOI - 10.1111/jasp.12434
Subject(s) - heroin , psychology , psychopathology , psychosocial , neglect , psychological intervention , substance abuse , erikson's stages of psychosocial development , developmental psychology , clinical psychology , psychiatry , drug
Abstract We have built up a great deal of insight into the early developmental trajectories that lead to heroin use. These cluster under five domains: social disadvantage, parental drug use/psychopathology, childhood abuse and neglect, early onset psychopathology and antisocial behaviors, and a developmental sequence of drug onsets. While not all heroin users have these risk factors, the broad clinical picture shows these early correlates to be the predominant presentation. We discuss each of the early psychosocial correlates of heroin dependence, as well as possible early interventions. Given the chronicity of heroin dependence, interventions to prevent heroin use emerging would reduce the considerable burden of disease associated with the disorder.