History of abuse and drinking outcomes following inpatient alcohol treatment: a prospective study

Greenfield, Shelly F.; Kolodziej, Monika E.; Sugarman, Dawn E.; Muenz, Larry R.; Vagge, Lisa M.; He, Donghong; Weiss, Roger D.

doi:10.1016/s0376-8716(02)00072-8

Cited by 75 publications

(78 citation statements)

References 25 publications

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“…Although some previous research supports a positive association between childhood trauma and treatment outcome following inpatient alcohol treatment, no gender differences were found and the association was no longer significant when current disorders and specific demographic variables (e.g., education level and marital status) were included in multivariate analyses (Greenfield et al, 2002). Thus, a comprehensive examination of the various forms of childhood trauma and the influence of gender on relapse to cocaine in individuals with primary cocaine dependence has not been conducted thus far.…”

Section: Introductionmentioning

confidence: 75%

“…Finally, the study focused on individuals with primary cocaine dependence without additional psychiatric co-morbidity, and therefore, the findings may not be generalizable to patients with co-morbid psychiatric disorders. For instance, Greenfield et al (2002) found that the association between sexual abuse and relapse to alcohol was no longer significant after accounting for current disorders and specific demographic variables.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Severity of childhood trauma is predictive of cocaine relapse outcomes in women but not men

Hyman¹,

Paliwal²,

Chaplin³

et al. 2008

Drug and Alcohol Dependence

143

116

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We prospectively examined the gender-specific effects of childhood trauma on cocaine relapse outcomes in an inpatient sample of treatment engaged cocaine dependent adults. Cocaine dependent men (n = 70) and women (n = 54) participating in inpatient treatment for cocaine dependence were assessed on severity of childhood trauma and followed for 90 days after discharge from treatment. Greater severity of childhood emotional abuse was associated with an increased risk of relapse in women. Severity of emotional abuse, sexual abuse, and overall childhood trauma was associated with the number of days cocaine was used during follow-up in women, as was the association of severity of physical abuse and overall childhood trauma with the average amount of cocaine used per occasion. No associations between childhood trauma and cocaine relapse outcomes were found in men. These findings demonstrate that childhood trauma increases the likelihood of cocaine relapse and drug use escalation after initial relapse in women but not in men. Comprehensive assessments of childhood trauma and specialized treatments that address trauma-related pathophysiology could be of benefit in improving cocaine treatment outcomes in women.

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Section: Introductionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Severity of childhood trauma is predictive of cocaine relapse outcomes in women but not men

Hyman¹,

Paliwal²,

Chaplin³

et al. 2008

Drug and Alcohol Dependence

143

116

View full text Add to dashboard Cite

show abstract

“…Substance-using women have a higher incidence of sexual and physical traumatic victimization than their male counterparts (Green et al, 2002;Greenfield et al, 2002;O'Hare, 1995;Wallen, 1992). A study that examined the specialized treatment needs of substance-abusing women with PTSD (Najavits et al, 1998) reviewed outcome data for Seeking Safety, a cognitive-behavioral group intervention designed specifically for this population.…”

Section: Gender-specific Treatment and Its Relationship To Special Nementioning

confidence: 99%

“…Because this paper focuses on treatment outcomes, we excluded studies of general characteristics and epidemiology of women with substance use disorders that have been reported and reviewed elsewhere Brennan et al, 1993;Bulik et al, 2004;Greenfield et al, 2002;Hanna and Grant, 1997;Holdcraft and Iacono, 2004;Pelissier and Jones, 2005;Regier et al, 1990). Previous reviews of the literature on women and substance abuse treatment outcomes have generally focused on gender differences and included studies of mixed-gender samples (Brady and Randall, 1999;Lex, 1991;Pelissier and Jones, 2005;Sinha and Rounsaville, 2002;Toneatto et al, 1992), or have focused on outcomes in women without a gender comparison (Ashley et al, 2003;Orwin et al, 2001).…”

Section: Introductionmentioning

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

866

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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“…However, little research has examined the outcomes of these detoxification procedures [186,187]. Because of the evidence of noradrenergic dysregulation in PTSD and alcohol withdrawal, clinical trials of different medication during detoxification are recommended [85,106,188].…”

Section: Post-traumatic Stress Disorder and Alcohol Dependencymentioning

confidence: 99%

Literature review: connections between trauma and substance abuse

Mulvihill¹,

Ford‐Gilboe²,

Berman³

et al. 2017

Ment Health Addict Res

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History of abuse and drinking outcomes following inpatient alcohol treatment: a prospective study

Cited by 75 publications

References 25 publications

Severity of childhood trauma is predictive of cocaine relapse outcomes in women but not men

Severity of childhood trauma is predictive of cocaine relapse outcomes in women but not men

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

Literature review: connections between trauma and substance abuse

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