Addressing Gender-Based Violence in Drug Addiction Treatment: a Systematic Mapping Review

Romo-Avilés, Nuria; Tarriño-Concejero, Lorena; Pavón-Benítez, Laura; Marín-Torres, Jesús

doi:10.1007/s11469-023-01072-4

Cited by 4 publications

(2 citation statements)

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“…In the above study, it was found that Indigenous-based treatment services were the most likely to provide violence intervention, while solo practices, religiously affiliated healthcare centers and hospitals generally provided violence treatment options at a much lower rate ( 5 ). A recent review from Romo-Avilés and colleagues ( 20 ) documented under 20% of articles addressed gender based violence in studies offering addiction treatment, even though almost 60% of articles document the effects of violence seen among the populations served in treatment for drugs and alcohol. Almost two decades of research continually call out limited research that shows integrated treatment despite the clear link between violence and substance use.…”

Section: Introductionmentioning

confidence: 99%

“…This review considers intimate partner violence, sexual assault, stalking, child abuse, political and community violence, criminal violence, micro violence, and structural violence and oppression. A focus on treatment setting was chosen given the equivocal connection to relationships, violence, and offending, particularly for women ( 19 , 20 , 24 , 30 , 40 ).…”

Section: Introductionmentioning

confidence: 99%

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Histories of violence among clients seeking substance use disorder treatment: a systematic mapping review

Beeler,

Gerrish,

Aldred

et al. 2024

Front. Psychiatry

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IntroductionThere is a limited literature base regarding the intersection of drug and alcohol treatment, violence, and trauma. While research substantiates that exposure to violence and trauma impacts the propensity to misuse substances, the conceptualization in clinical trials and practice has largely been narrow and gendered, referring only to intimate partner or domestic violence. Our systematic mapping review explored a more inclusive and expansive review of survivors of and perpetrators of violence and trauma (e.g., intimate partner violence, sexual assault, stalking, child abuse, political and community violence, criminal violence, micro violence, structural violence, and oppression) to establish: 1) the types of treatment settings included in intervention studies, 2) the common indicators of success or common outcomes recorded, and 3) understanding who is seeking treatment for drug and alcohol use with histories of violence.MethodsA systematic mapping review was conducted to identify any peer-reviewed articles published from 2011 to 2022. The Web of Science database was searched using a broad set of Boolean search terms related to violence, substance use disorders, and treatment. Over 8,800 records were identified from the systematic review with a total of 48 articles meeting inclusion criteria. ResultsMost studies in this review included populations reporting perpetration of violence (n=23, 48%) versus participants reporting survival of trauma/violence (n=17, 35%). Results also indicated female identifying populations (n=19; 40%) were predominantly served, were treated in the US (n=33; 69%) and seen in an outpatient setting (n=24; 50%). Authors also were attentive to studies that included sexual and gender minorities and discovered only three studies (6%) explicitly acknowledging inclusion of transgender participants or participants in relationship with partners of the same sex; three more studies (6%) were focused on participants with histories of or engaging in sex work. DiscussionThis review outlines treatment and research implications directly situated in the gap of service delivery found in this review. Specifically, the results elucidate the impact on minoritized and excluded identities based on gender, sexual preference, criminal legal status and directions for research and treatment to increase inclusion, representation, and equity across research and treatment settings.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Histories of violence among clients seeking substance use disorder treatment: a systematic mapping review

Beeler,

Gerrish,

Aldred

et al. 2024

Front. Psychiatry

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Predictors of cocaine use disorder treatment outcomes: a systematic review

Palazón-Llecha,

Caparrós,

Trujols

et al. 2024

Syst Rev

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Background Psychosocial approaches are the first-line treatments for cocaine dependence, although they still present high dropout and relapse rates. Thus, there is a pressing need to understand which variables influence treatment outcomes to improve current treatments and prevent dropout and relapse rates. The aim of this study is to explore predictors of treatment retention and abstinence in CUD. Methods This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched three databases—PubMed, PsychINFO and Web of Science—for randomized clinical trials (RCTs) published in English and Spanish from database inception through April 1, 2023. We selected all studies that met the inclusion criteria (adults aged ≥ 18, outpatient treatment, CUD as main addiction, and no severe mental illness) to obtain data for the narrative synthesis addressing cocaine abstinence and treatment retention as main outcome variables. After data extraction was completed, risk of bias was assessed using the Cochrane risk-of-bias tool for randomized trials (RoB-2). Results A total of 566 studies were screened, and, of those, 32 RCTs were included in the synthesis. Younger age, more years of cocaine use, and craving levels were significant predictors of relapse and treatment dropout. Fewer withdrawal symptoms, greater baseline abstinence, greater treatment engagement, and more self-efficacy were all predictors of longer duration of abstinence. The role of impulsivity as a predictor of CUD is unclear due to conflicting data, although the evidence generally suggests that higher impulsivity scores can predict more severe addiction and withdrawal symptoms, and earlier discontinuation of treatment. Conclusion Current evidence indicates which variables have a direct influence on treatment outcomes, including well-studied cocaine use-related variables. However, additional variables, such as genetic markers, appear to have a high impact on treatment outcomes and need further study. Systematic review registration This systematic review is registered at PROSPERO (ID: CRD42021271847). This study was funded by the Spanish Ministry of Science, Innovation and Universities, Instituto Carlos III (ISCIII) (FIS PI20/00929) and FEDER funds and Fundació Privada Hospital de la Santa Creu i Sant Pau (Pla d’acció social 2020).

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Predictors of Cocaine Use Disorder Treatment Outcomes: a Systematic Review

Palazón-Llecha,

Caparrós,

Trujols

et al. 2023

Preprint

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Background: Cocaine use disorder (CUD) is a complex condition in which multiple variables can alter the course of the addiction. Treatment retention rates with current treatment approaches are low. Thus, the aim of this study is to explore predictors of treatment retention and abstinence in CUD. Methods: This systematic review was performed according the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched three databases—PubMed, PsychINFO and Web of Science—for randomized clinical trials published in English and Spanish from database inception through April 1, 2023. We selected all studies that met the inclusion criteria (adults aged ≥18, outpatient treatment, CUD as main addiction, and no severe mental illness) to obtain data for a narrative synthesis. After data extraction was completed, risk of bias was assessed using the Cochrane risk-of-bias tool for randomized trials (RoB-2). Results: A total of 566 studies were screened, and, of those, 32 were included in the synthesis. Younger age, more years of cocaine use, and craving levels were significant predictors of relapse and treatment dropout. Fewer withdrawal symptoms, greater baseline abstinence, greater treatment engagement, and more self-efficacy were all predictors of longer duration of abstinence. The role of impulsivity as a predictor of CUD is unclear due to conflicting data, although the evidence generally suggests that higher impulsivity scores can predict more severe addiction and withdrawal symptoms, and earlier discontinuation of treatment. Conclusion: The treatment of CUD is complex due to the numerous interconnected variables that can influence treatment outcomes. Consequently, it is important to identify and evaluate the factors that predict abstinence and treatment retention in order to select the most appropriate treatment approach. Finally, this study was funded by the Spanish Ministry of Science, Innovation and Universities, Instituto Carlos III (ISCIII) (FIS PI20/00929) and FEDER funds and Fundació Privada Hospital de la Santa Creu i Sant Pau (Pla d’acció social 2020). Systematic Review registration: This systematic review is registered at PROSPERO (ID: CRD42021271847).

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Addressing Gender-Based Violence in Drug Addiction Treatment: a Systematic Mapping Review

Cited by 4 publications

References 70 publications

Histories of violence among clients seeking substance use disorder treatment: a systematic mapping review

Histories of violence among clients seeking substance use disorder treatment: a systematic mapping review

Predictors of cocaine use disorder treatment outcomes: a systematic review

Predictors of Cocaine Use Disorder Treatment Outcomes: a Systematic Review

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