Barriers and facilitators for alcohol treatment for women: Are there more or less for rural women?

Small, Jeon; Curran, Geoffrey M.; Booth, Brenda M.

doi:10.1016/j.jsat.2010.03.002

Cited by 53 publications

(46 citation statements)

References 73 publications

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“…Women experience a unique set of barriers to seeking treatment as compared to men, such as more opposition and less support from family and friends (Beckman & Amaro, 1986; Small, Curran, & Booth, 2010), more unemployment (Substance Abuse and Mental Health Services Administration, 2010), greater economic barriers, family responsibilities, and increased stigma and social disapproval (Brady & Ashley, 2005; Covington, 2002). Furthermore, perception of alcohol problems as unsuited to femininity may lead to secrecy about and delay in seeking help for drinking and related problems (Downing, 1991; Jakobsson, Hensing, & Spak, 2005).…”

Section: Introductionmentioning

confidence: 99%

Women's motivators for seeking treatment for alcohol use disorders

Grosso

Epstein

McCrady

et al. 2013

Addictive Behaviors

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This study examined types of internal and external motivation for seeking treatment and the predictive utility of different types of motivation among 180 women with an alcohol use disorder (AUD) participating in a two-armed trial testing different individual and couple therapies for AUDs. Reasons for seeking treatment were coded for type of internal or external motivation. Most women (97%) cited internal reasons for seeking help, including: concern about progression of AUD (61.1%), health (43.3%), mental health (38.9%), and family (38.3%). Occupational concerns, an internal motivator cited by 6% of women, were associated with better drinking outcomes; interpersonal-family concerns were associated with poorer outcomes. Some motivators for seeking treatment may not be related to sustained changes in drinking, suggesting that understanding motivators for treatment may be inadequate to maintain change. Reasons for help-seeking may need to be addressed in treatment to produce long-lasting change.

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Section: Introductionmentioning

confidence: 99%

Women's motivators for seeking treatment for alcohol use disorders

Grosso

Epstein

McCrady

et al. 2013

Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…They are less likely to have health insurance and more likely to suffer from decreased mobility. Women tend to experience greater stigma and shame from having alcohol use disorders and so may delay their attempts to seek treatment (Small, Curran, & Booth, 2010). …”

mentioning

confidence: 99%

Age-based differences in treatment outcome among alcohol-dependent women.

Al-Otaiba

Epstein

McCrady

et al. 2012

Psychology of Addictive Behaviors

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The literature suggests that women are at higher risk for negative consequences from alcohol use than men and that these risks are compounded by age. The current study investigated how alcohol dependent women from different age groups might differ in terms of baseline functioning and treatment response. The sample consisted of 181 participants drawn from 2 randomized clinical trials of cognitive behavioral treatments for alcohol dependent women. Demographic and psychopathology data were obtained at baseline using the SCID (Structured Clinical Interview for DSM disorders) I for Axis I disorders and the SCID II or Personality Disorders Questionnaire for Axis II disorders. Social networks data were collected using the Important People and Activities Interview. Drinking data were collected at baseline and follow-up using the Timeline Follow Back Interview. Analyses of Variance (ANOVAs) revealed that older women had better psychosocial functioning in terms of being better educated and reporting fewer Axis I disorders. Also, older women had more supportive social networks in terms of more people, a smaller percentage of heavy drinkers, and a non-drinking spouse. Older women reported a less severe lifetime substance use history with a later age of first drink, later onset of alcohol use disorders, fewer lifetime abuse/dependence items, and less drug use. However, they reported drinking more frequently and more heavily over the 90 days prior to treatment. Finally, older women were more compliant with treatment and responded better by reducing drinking frequency and percentage of heavy drinking days. Suggestions to enhance treatment efficacy for younger women are made as well as suggestions for future research.

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“…Research has shown that patients who receive primary care services in rural clinics have fewer specialty care encounters in general and significantly lower odds of specialty, mental health, and ancillary visits compared to patients seen in primary care clinics in urban areas . Studies have also described multiple barriers to accessing substance use treatment in rural settings, including limited availability of treatment services, insufficient funding, transportation barriers, stigma‐related barriers, and a lack of interagency collaboration …”

Section: Discussionmentioning

confidence: 99%