Telescoping of Alcoholism in Women Alcoholics

Piazza, Nick J.; Vrbka, Jean L.; Yeager, Rebecca D.

doi:10.3109/10826088909047272

Cited by 204 publications

(149 citation statements)

References 10 publications

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“…31 However, given gender-related biases in these populations, 11,32 these findings cannot be generalized to other women. Therefore, for this review, data from the most generalizable studies relating to each subtopic were selected and reviewed.…”

Section: Study Selection and Data Extractionmentioning

confidence: 86%

Medical risks for women who drink alcohol

et al. 1998

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OBJECTIVE:To summarize for clinicians recent epidemiologic evidence regarding medical risks of alcohol use for women.METHODS: MEDLINE and PsychINFO, 1990 through 1996, were searched using key words "women" or "woman," and "alcohol." MEDLINE was also searched for other specific topics and authors from 1980 through 1996. Data were extracted and reviewed regarding levels of alcohol consumption associated with mortality, cardiovascular disease, alcoholrelated liver disease, injury, osteoporosis, neurologic symptoms, psychiatric comorbidity, fetal alcohol syndrome, spontaneous abortion, infertility, menstrual symptoms, breast cancer, and gynecologic malignancies. Gender-specific data from cohort studies of general population or large clinical samples are primarily reviewed. MAIN RESULTS:Women develop many alcohol-related medical problems at lower levels of consumption than men, probably reflecting women's lower total body water, gender differences in alcohol metabolism, and effects of alcohol on postmenopausal estrogen levels. Mortality and breast cancer are increased in women who report drinking more than two drinks daily. Higher levels of alcohol consumption by women are associated with increased menstrual symptoms, hypertension, and stroke. Women who drink heavily also appear to have increased infertility and spontaneous abortion. Adverse fetal effects occur after variable amounts of alcohol consumption, making any alcohol use during pregnancy potentially harmful. CONCLUSIONS:In general, advising nonpregnant women who drink alcohol to have fewer than two drinks daily is strongly supported by the epidemiologic literature, although specific recommendations for a particular woman should depend on her medical history and risk factors. L ess than three quarters of women in the UnitedStates drink alcohol, and those who do drink consume fewer drinks and less absolute alcohol than men. 1 However, at similar levels of self-reported alcohol consumption, the risk of psychosocial problems or dependence is greater for women than men (for definitions, see Appendix A). [2][3][4][5][6] Women also appear to develop alcohol abuse and dependence after fewer years of drinking than men. 7 Although only 4% to 5% of women in the U.S. general population meet criteria for past-year alcohol abuse or dependence, 8,9 9% of female primary care patients in some studies have reported recent heavy drinking or alcohol-related problems. 10,11 Many heavy drinkers decrease consumption following brief interventions that include explicit advice about safe drinking limits. [12][13][14] In addition, offering feedback about specific risks or consequences of their drinking to patients who drink heavily can help motivate them to decrease alcohol consumption or seek treatment. 15,16 Physicians report they would be more likely to advise patients about safe drinking practices if they were more confident of their knowledge about safe levels of alcohol consumption. 17 Women who drink more than two drinks daily on average, or who frequently drink five or more d...

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Section: Study Selection and Data Extractionmentioning

confidence: 86%

Medical risks for women who drink alcohol

et al. 1998

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“…For substance use disorders, including alcohol, opioid, and cannabis dependence, females advance more rapidly from use to regular use to first treatment episode than do their male counterparts (Dawson, 1996;Hernandez-Avila et al, 2004;Johnson et al, 2005;Orford and Keddie, 1985;Piazza et al, 1989;Randall et al, 1999). In addition, when they enter treatment, in spite of fewer years of use and smaller quantities of substances used, their substance abuse symptom severity is generally equivalent to that of males (Hernandez-Avila et al, 2004;Piazza et al, 1989;Randall et al, 1999). Even with fewer years of substance use, at treatment entry, females average more medical, psychiatric, and adverse social consequences of their substance use disorders than males.…”

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

882

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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“…The accelerated development of addiction in females, the so-called "telescoping effect" (T.E. ), was first described in alcoholism by Lisansky 33 and confirmed by Piazza et al 34 , as well as observed in opioid addiction by Anglin et al 35 . Other authors have also described T.E.…”

Section: Course and Evolutionmentioning

confidence: 94%

“…in alcoholism occurs in the interval between the age at which they first experienced alcohol-related problems and the time they sought treatment 34,39,40 . Lewis et al 41 described that women start to drink later than men but develop problems in the first 2 years of alcohol use.…”

Section: Course and Evolutionmentioning

confidence: 99%

Pathological gambling in women: a review

et al. 2002

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Pathological gambling was only recently recognized as a psychiatric disorder (DSM-III, APA, 1980). Most studies of pathological gambling include only male subjects. Despite the paucity of information, it is likely that at least one-third of pathological gamblers are women. The objective of this article is to review clinical and epidemiological characteristics of female gamblers as compared to their male counterparts. MEDLINE and PsycINFO were searched for investigational studies and reviews of the past 10 years on clinical (sociodemographic, course and progression, psychiatric comorbidities, genetics, and personality) and epidemiological aspects of female gamblers. Other relevant articles were also selected from reference lists. It is concluded that the current literature indicates some common characteristics in female and male gamblers, but it also indicates the possibility that each gender may carry etiopathogenic differences that when better understood should lead to improved treatment and prevention strategies.

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Telescoping of Alcoholism in Women Alcoholics

Cited by 204 publications

References 10 publications

Medical risks for women who drink alcohol

Medical risks for women who drink alcohol

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

Pathological gambling in women: a review

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