Evaluating multiple outcomes and gender differences in alcoholism treatment

Schneider, Kathleen; Kviz, Frederick J.; Isola, Miriam; Filstead, William J.

doi:10.1016/0306-4603(94)00037-y

Cited by 70 publications

(36 citation statements)

References 37 publications

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“…On the other hand, marriage contributes for a shorter time to relapse among women and indicates that women using alcohol, compared to men, are more likely to marry partners who consume alcoholic beverage heavily 5,6 . In Brazil, the rate of illiteracy for men and women aged 15 years old and above was estimated to be 11.3% and 10.8%, respectively 7 and the average of the study in Brazil is 7.4 years 8 .…”

Section: Discussionmentioning

confidence: 99%

Alcohol-dependent patients receiving specialised outpatient care: an overview of gender issues

Elbreder

Silva

Laranjeira

2010

J. bras. psiquiatr.

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rESUMo objetivo: O objetivo do presente estudo, com foco no gênero, foi avaliar dependentes de álcool em termos de variáveis sociodemográficas, relacionadas ao consumo de álcool e intervenções terapêuticas. Métodos: Este é um estudo retrospectivo transversal com 1.051 pacientes (833 homens e 218 mulheres), com diagnóstico de síndrome de dependência do álcool, de acordo com o CID-10, que procuraram tratamento pela primeira vez em um serviço especializado, entre 2000 e 2006. resultados: Os resultados mostraram que as mulheres, comparadas aos homens, eram desempregadas e sem companheiro, além de ter melhor nível educacional, iniciarem o consumo alcoólico mais tardiamente, necessitarem menos do programa de desintoxicação alcoólica ambulatorial, consumirem mais bebidas fermentadas, apresentarem menos comorbidades psiquiátricas e usarem menos medicamentos coadjuvantes durante o tratamento. Conclusão: Pode-se afirmar que existem algumas peculiaridades que permeiam ambos os gêneros e o consumo alcoólico. É necessário ampliar o foco nas características de cada população, a fim de facilitar intervenções terapêuticas mais ajustadas, de acordo com as especificidades.

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Section: Discussionmentioning

confidence: 99%

Alcohol-dependent patients receiving specialised outpatient care: an overview of gender issues

Elbreder

Silva

Laranjeira

2010

J. bras. psiquiatr.

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“…This practice may have inadvertently reduced the number of female admissions. Prior research had shown that women are more likely than men to report psychologic distress and problems (Brown, Alterman, Rutherford, Cacciola, & Zaballero, 1993;Dansky, Byrne, & Brady, 1999;Davis & DiNitto, 1996;Grella & Joshi, 1999;McLellan et al, 1992;Schneider, Kviz, Isola, & Filstead, 1995); this may have led to a higher rate of exclusion of women versus men during the screening process. Interestingly, the two samples were otherwise similar in demographic characteristics, a finding that is inconsistent with earlier reports (Carroll et al, 1994(Carroll et al, , 1999.…”

Section: Demographic Characteristicsmentioning

confidence: 95%

Comparison of demographic and clinical characteristics between opioid-dependent individuals admitted to a community-based treatment setting and those enrolled in a research-based treatment setting

Carroll¹,

Kidorf²,

Strain³

et al. 2007

Journal of Substance Abuse Treatment

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Despite the significant developments in pharmacotherapy and behavioral treatments for addiction, the dissemination of new treatment methods into the community has been slow. It has been pointed out that treatments developed in research settings may be impractical in community treatment settings, which might help explain the transition lag. Screening and recruitment of participants for research studies might partially explain this, as there is evidence that substance-abusing individuals who participate in clinical research are different on a number of measures from treatment seekers. However, no study has directly compared treatment seekers with research participants drawn from similar populations using prospective methods. This study compared the demographic characteristics, drug use and psychosocial problem severity levels, and personality traits of opioid-dependent individuals seeking help in a community setting (n = 502) with those of opioid-dependent individuals in a primarily research-based drug abuse treatment setting (n = 459); both settings offered a similar set of treatment services (opioid agonist medication and counseling). Although the overall findings revealed numerous similarities between the groups, differences were also observed. Most notably, there were significantly fewer women in the research sample than in the community-based treatment sample. Other differences included a modest but statistically significant increase in psychosocial problem severity levels in the community-based treatment sample and higher drug use problem severity levels in the research sample. Interestingly, many of these differences were strongest in women as compared with men.

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“…This theoretical framework recognizes that the consequences of alcohol and drug abuse differ among women and men in terms of physiological effects, social consequences, and forms of psychological impairment (Schneider, Kviz, Isola, & Filstead, 1995;Sullivan, 1994). Relational theory underscores the importance of interpersonal relationships in women's addiction, treatment, and recovery.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Intervention with high-risk alcohol and drug-abusing mothers: I. Administrative strategies of the Seattle model of paraprofessional advocacy

Grant

Ernst

Streissguth

1999

J. Community Psychol.

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Administrative components of an effective home visitation program for highrisk alcohol and drug-abusing mothers are described. In this program, the home visitors are paraprofessional advocates who have an historical and cultural background in common with clients, excellent problem-solving skills, and a strong belief in the promise of a difficult clientele. Paraprofessionals can be dynamic members of the community provider system when they build long-term relationships with families, firmly link clients with professionals in the community, and establish strong communication networks among service providers around individual clients. Components of the program important to job satisfaction and retention of paraprofessionals include comprehensive and ongoing training, individualized supervision and consistent feedback from evaluation and administrative staff, group support, encouragement of creativity, and community recognition.

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Evaluating multiple outcomes and gender differences in alcoholism treatment

Cited by 70 publications

References 37 publications

Alcohol-dependent patients receiving specialised outpatient care: an overview of gender issues

Alcohol-dependent patients receiving specialised outpatient care: an overview of gender issues

Comparison of demographic and clinical characteristics between opioid-dependent individuals admitted to a community-based treatment setting and those enrolled in a research-based treatment setting

Intervention with high-risk alcohol and drug-abusing mothers: I. Administrative strategies of the Seattle model of paraprofessional advocacy

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