Gender Considerations in Addiction: Implications for Treatment

Polak, Kathryn; Haug, Nancy A.; Drachenberg, Haroldo E.; Svikis, Dace S.

doi:10.1007/s40501-015-0054-5

Cited by 46 publications

(30 citation statements)

References 100 publications

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“…Fourth, less than a third of participants were women, making it difficult to describe potential gender differences in barriers and facilitators. Based on prior research (Polak, Haug, Drachenberg, & Svikis, 2015; Tuchman, 2010), women may experience additional barriers to transition, such as child care and mental health needs, which we found in the current study. The unique transition-related needs and barriers among women and men are important to explore in future research.…”

Section: Discussionmentioning

confidence: 69%

Barriers and facilitators to successful transition from long-term residential substance abuse treatment

Manuel

Yuan

Herman

et al. 2017

Journal of Substance Abuse Treatment

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Although residential substance abuse treatment has been shown to improve substance use and other outcomes, relapse is common. This qualitative study explores factors that hinder and help individuals during the transition from long-term residential substance abuse treatment to the community. Semi-structured interviews were conducted with 32 individuals from residential substance abuse treatment. Based on the socio-ecological model, barriers and facilitators to transition were identified across five levels: individual, interpersonal, organizational, community, and policy. The major results indicate that primary areas of intervention needed to improve outcomes for these high-risk individuals include access to stable housing and employment, aftercare services and positive support networks; expanded discharge planning services and transitional assistance; and funding to address gaps in service delivery and to meet individuals’ basic needs. This study contributes to the literature by identifying transition barriers and facilitators from the perspectives of individuals in residential treatment, and by using the socio-ecological model to understand the complexity of this transition at multiple levels. Findings identify potential targets for enhanced support post-discharge from residential treatment.

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Section: Discussionmentioning

confidence: 69%

Barriers and facilitators to successful transition from long-term residential substance abuse treatment

Manuel

Yuan

Herman

et al. 2017

Journal of Substance Abuse Treatment

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“…Due to the large discrepancy between men and women in the physiological, psychological, behavioural, and neurobiological factors involved in drug use (Becker et al, 2017), sex differences need to be taken into account in assessment and treatment of substance use disorders. The need for considerations based on sex, is further highlighted by studies using gender-specific treatment programs for drug addiction that have shown better outcomes than mixedgender programs (Polak et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Sex differences in the amplification of responding to an alcohol-predictive cue by an alcohol-associated context

Segal¹,

Valyear²,

Chaudhri³

2020

Preprint

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BackgroundIn male rats, physical contexts that are associated with alcohol can invigorate responding to a discrete, alcohol-predictive conditioned stimulus (CS), and amplify priming-induced reinstatement. Here, we examined these effects as a function of biological sex.MethodsMale and female Long-Evans rats were acclimated to drinking ethanol (EtOH, 15% v/v) in their home cages. Next, they were trained to associate an auditory CS (10 s; white noise; 15 trials per session) with EtOH delivery (0.2 ml per CS; 3.0 ml per session) into a fluid port for oral intake. Training occurred in a distinctive context containing specific visual, olfactory, and tactile stimuli. During alternating sessions rats were exposed to a second context where they did not receive EtOH. At test, CS presentations occurred in both contexts without EtOH delivery. Rats then underwent extinction using repeated unreinforced presentations of the CS in both contexts. An alcohol-primed reinstatement test was then conducted, in which 0.2 ml of EtOH was presented both at the start of the session and during the first CS presentation, after which no EtOH was delivered for the remainder of the session.ResultsAt both test and reinstatement, male rats made significantly more CS port-entries in the context associated with alcohol delivery than in the context in which alcohol was never experienced. Unlike males, female rats made a similar number of CS port-entries at test in both the alcohol context and the neutral context. The reinstatement observed in female rats was not affected by context.ConclusionsThese findings identify novel sex differences in the capacity of an alcohol-associated context to modulate responding to a discrete, alcohol-predictive cue.

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“… 39 Within these mainstream clinical settings, providers should be culturally competent to meet the needs of transgender people. 13 , 81 Such integrated care should also be amended and developed to be culturally sensitive to transgender persons. For instance, although some trans-specific issues may be intertwined in an individual's substance use, providers need to be educated about identifying when gender issues are peripheral and not relevant to substance use treatment as to not overstate the entire transgender experience as a risk factor.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Interventions to Reduce Problematic Substance Use Among Transgender Individuals: A Call to Action

Glynn

Berg

2017

Transgender Health

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Persons who are transgender (i.e., individuals who are assigned one sex at birth, but who do not identify with that sex) are at elevated risk for developing problematic substance use. Recent studies indicate that transgender persons have high rates of alcohol use, illicit drug use, and nonmedical use of prescription drugs and evince more severe misuse of these substances compared with nontransgender individuals. Despite the high rates of substance use among transgender persons and the multiple conceptual and narrative recommendations for substance use treatments, there is a lack of consensus or awareness of empirically tested interventions and programs effective for this population. Thus, it is critical to examine current substance use interventions for transgender individuals to identify gaps in the field and to immediately put forth efforts to reduce problematic substance use. This systematic review is the first to attempt a comprehensive identification and synthesis of the available evidence on interventions for reducing problematic substance use among transgender persons. Reflective of the state of the field regarding transgender care for substance use, we found a deficiency of studies to include in this systematic review (n=2). Perhaps the most important conclusion of this review is that well-designed, theoretically informed culturally sensitive research focused on developing and rigorously testing interventions for substance use among transgender individuals is alarmingly scarce. This review discusses barriers to intervention design and synthesizes treatment recommendations for future work.

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Gender Considerations in Addiction: Implications for Treatment

Cited by 46 publications

References 100 publications

Barriers and facilitators to successful transition from long-term residential substance abuse treatment

Barriers and facilitators to successful transition from long-term residential substance abuse treatment

Sex differences in the amplification of responding to an alcohol-predictive cue by an alcohol-associated context

A Systematic Review of Interventions to Reduce Problematic Substance Use Among Transgender Individuals: A Call to Action

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