Gender differences in help‐utilization and the 8‐year course of alcohol abuse

Timko, Christine; Moos, Rudolf H.; Finney, John W.; Connell, Ellen

doi:10.1046/j.1360-0443.2002.00099.x

Cited by 61 publications

(47 citation statements)

References 50 publications

(56 reference statements)

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“…Despite women's shorter interval between regular drug use and treatment entry Hernandez-Avila et al, 2004;McCance et al, 1999), however, several studies in clinical populations have found little difference in the likelihood or rate of treatment entry between women and men (Green et al, 2002;Timko et al, 2002). There are only a few studies that have directly examined gender differences in the likelihood of substance abuse treatment entry.…”

Section: Gender Disparities In Treatment Entry and Ever Receiving Trementioning

confidence: 99%

“…A secondary analysis of data from the prospective U.S. National Treatment Improvement Evaluation Study including 1,123 women and 2,019 men in 59 treatment facilities (Marsh et al, 2004) found that receipt of comprehensive services, including educational, housing, and income support, were related to post-treatment outcomes for both men and women. When gender differences have been found, adult women generally have had better outcomes than men, despite differences in populations targeted, type of treatment, problem drug, and treatment setting (de Leon and Jainchill, 1981;Hser et al, 2005;Fiorentine et al, 1997;Jarvis., 1992;Kosten et al, 1993;Kranzler et al, 1996;McKay et al, 2003;Nurco et al, 1988;Project MATCH, 1997;Rivers et al, 2001;Sanchez-Craig et al, 1991;Satre et al, 2004;Stephens et al, 1994;Timko et al, 2002). For example, while women had more severe family and social problems at treatment entry in a study of cocaine-dependent individuals admitted to an inpatient treatment program , there were no gender differences in family and social problems at follow-up, and women were more likely than men to have remained abstinent at six-month follow-up.…”

Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

881

782

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This paper reviews the literature examining characteristics associated with treatment outcome in women with substance use disorders. A search of the English language literature from 1975 to 2005 using Medline and PsycInfo databases found 280 relevant articles. Ninety percent of the studies investigating gender differences in substance abuse treatment outcomes were published since 1990, and of those, over 40% were published since the year 2000. Only 11.8% of these studies were randomized clinical trials. A convergence of evidence suggests that women with substance use disorders are less likely, over the lifetime, to enter treatment compared to their male counterparts. Once in treatment, however, gender is not a significant predictor of treatment retention, completion, or outcome. Gender-specific predictors of outcome do exist, however, and individual characteristics and treatment approaches can differentially affect outcomes by gender. While women-only treatment is not necessarily more effective than mixed-gender treatment, some greater effectiveness has been demonstrated by treatments that address problems more common to substance-abusing women or that are designed for specific subgroups of this population. There is a need to develop and test effective treatments for specific subgroups such as older women with substance use disorders, as well as those with co-occurring substance use and psychiatric disorders such as eating disorders. Future research on effectiveness and cost-effectiveness of gender-specific versus standard treatments, as well as identification of the characteristics of women and men who can benefit from mixed-gender versus single-gender treatments, would advance the field.

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Section: Gender Disparities In Treatment Entry and Ever Receiving Trementioning

confidence: 99%

Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

881

782

View full text Add to dashboard Cite

show abstract

“…Ainda que diferentes estudos não tenham conseguido chegar a conclusões consistentes e definitivas, características já associadas à adesão ao tratamento de alcoolistas incluem: o envolvimento de familiares ou pessoa próxima e significativa 4 ; ordenação judicial 5 ; gênero 6 ; idade 7 ; uso de outras substâncias psicoativas e psicopatologia comórbida 8,9 ; intensidade e duração do tratamento 10,11 . Aparentemente, descrença na gravidade clínica das conseqüências do uso de álcool pode resultar a falta de adesão ao tratamento 12 .…”

Section: Artigo Originalunclassified

“…Efetivamente, tratamento prévio 23 , maior número de internações para desintoxicação 6 , assim como maior freqüência ao AA 6,24 já foram identificados como preditores de bons resultados de tratamento. Por outro lado, pode-se supor que internações decorrentes de episódios de irritabilidade teriam sido buscadas por terceiros -em circunstâncias de ausência de autocrítica; a consciência da própria irritabilidade sob efeito do álcool -conforme referido anteriormente, na abordagem de sentimentos -resultaria mais alto nível de insight e, por conseguinte, de adesão ao tratamento.…”

Section: Tratamento Anterior Ou Atualunclassified

Fatores associados à adesão a um programa de tratamento de alcoolistas

Ribeiro

Garcia

et al. 2008

J. bras. psiquiatr.

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Palavras-chaveAlcoolismo, adesão, avaliação de alcoolistas, diagnóstico. resumo objetivo: A medida da adesão tem sido considerada alternativa objetiva e versátil para avaliação do resultado do tratamento de alcoolistas. Este estudo avaliou fatores associados à adesão de alcoolistas atendidos em um programa ambulatorial. método: Foram estudados 300 alcoolistas que concluíram a fase de avaliação do programa e avaliada a associação da adesão dos pacientes ao tratamento a todas as mais de mil variáveis do banco de dados do programa, utilizando o teste qui-quadrado de Pearson (p < 0,1). resultados: Entre as variáveis que se associaram positivamente à adesão foram identificadas: ter filhos; relação conjugal estável; afirmar problemas psicológicos; ter sofrido esquecimento ou fraqueza recentemente; sentir-se irritado quando alcoolizado; beber sozinho; apresentar comorbidade psiquiátrica; já ter procurado tratamento para alcoolismo, tratamento em psiquiatria; uso anterior de antidepressivos etc. Associaram-se negativamente: reduzir consumo por influência familiar; sentir-se auto-suficiente, expansivo, insatisfeito quando sóbrio; sentir-se auto-suficiente ou conformado quando alcoolizado; início do consumo com idade acima da média do grupo; ter-se envolvido em agressão física com amigos etc. conclusão: Os resultados sugerem a necessidade de desenvolvimento de estratégias diferenciadas para o cuidado de determinados grupos de pacientes e contribuem para a simplificação das rotinas de avaliação de alcoolistas.

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“…Alcoholism treatment programmes are also economically efficient if the patient remained sober up to 12 months (7,8). On the other hand, to the best of our knowledge, few studies researched prognostic factors for stabile abstinence and long-term benefits (more than five years) of treatment due to complexity of factors influencing the outcomes (9)(10)(11), or the studies used very specific populations (e.g. adolescents, young adults, specific co-morbid conditions) (e.g.…”

Section: Introductionmentioning

confidence: 99%

A temporal profile of pro-abstinence-oriented constructs from the modified theory of planed behavior in a Slovenian clinical sample of treated alcoholics – an 18-year follow-up

Radovanović¹,

Rus-Makovec²

2018

Slovenian Journal of Public Health

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Original scientific articleIntroduction: Using the modified Theory of Planned Behaviour (mTPB), different indicators of therapeutic success were studied to understand pro-abstinence behavioural orientation during an 18-year after-care period following a 3-month intensive alcoholism treatment. The indicators were: perceived needs satisfaction (NS), normative differential (ND), perceived alcohol utility (UT), beliefs about treatment programme benefits (BE) and behavioural intentions (BI). Methods:The sample of 167 patients who consecutively started an intensive alcoholism treatment programme has been followed-up for 18 years, using standardised ailed instruments at the end of the treatment, and in the years 4-5, 9 and 18 of follow-up. The last data collection was completed by 32 subjects in 2010. The analysis followed the standard explore-analyse-explore approach. After the initial descriptive exploration of data, multivariate analysis of variance (MANOVA) in SPSS statistical package was set to explore between-groups and within-groups differences over time.Results: At the between-group level, BI remained stable at the same level as at the end of the treatment programme, whereas BE and UT robustly changed over time and levelled off after 10 years of follow-up. NS and ND show a trend of pro-abstinent orientation and level off after 10 years of follow-up, although the trend is not significant. The same results were confirmed by the within-subject level. Conclusions:Studied constructs stabilised after ten years of follow-up, apart from BI. The latter suggests that BI level needed for completion of an intensive treatment programme suffices for the maintenance of abstinence when accompanied by the change in perception of alcohol usefulness. Radovanović M, Rus-Makovec M. A temporal profile of pro-abstinence-oriented constructs from the modified theory of planed behavior in a Slovenian clinical sample of treated alcoholics -an 18-year follow-up. Uvod: Z uporabo konstruktov iz prilagojene Teorije načrtovanega vedenja smo raziskovali kazalnike terapevtskega uspeha po intenzivnem zdravljenju sindroma odvisnosti od alkohola in v obdobju

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Gender differences in help‐utilization and the 8‐year course of alcohol abuse

Cited by 61 publications

References 50 publications

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Fatores associados à adesão a um programa de tratamento de alcoolistas

A temporal profile of pro-abstinence-oriented constructs from the modified theory of planed behavior in a Slovenian clinical sample of treated alcoholics – an 18-year follow-up

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