Objective: The present study aimed to investigate the relationship between childhood maltreatment and substance use propensity among adolescents, with a specific focus on the mediating role of psychological distress. Method: This study employed a descriptive-correlational design using structural equation modeling (SEM). The statistical population comprised all senior high school students in Mahabad during the 2024–2025 academic year. From this population, a sample of 200 students was selected via cluster random sampling. Data collection instruments included the childhood trauma questionnaire-short form, the addiction potential scale, and the depression, anxiety, and stress Scale. Data analysis was performed using SEM. Results: The findings revealed that childhood maltreatment had a significant direct effect on adolescents' propensity for substance use. Additionally, psychological distress exhibited a significant direct relationship with substance use propensity. Furthermore, psychological distress played a significant mediating role in the indirect relationship between childhood maltreatment and substance use propensity. Conclusion: Based on these findings, therapeutic interventions should address the root causes of addiction, incorporating the treatment of childhood maltreatment and psychological distress alongside conventional substance use disorder treatments. Moreover, early identification and prevention strategies, encompassing education and social support, can mitigate the long-term impacts of childhood maltreatment, thereby reducing the likelihood of subsequent addiction.
Type of Study:
Research |
Subject:
Special Received: 2025/08/31 | Accepted: 2026/06/13 | Published: 2026/06/23