Women with alcohol problems: do they relapse for reasons different to their male counterparts?

Saunders, Bill; Baily, Sally; Phillips, Michael; Allsop, Steve

doi:10.1111/j.1360-0443.1993.tb02028.x

Cited by 42 publications

(29 citation statements)

References 19 publications

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“…Females with substance use disorders differ significantly from males with substance use disorders in terms of the risk factors for, and natural history of, substance use problems, reasons for relapse, presenting problems, and motivations for treatment (Davis, 1994;Hodgins et al, 1997;Hughes et al, 1995;Pelissier et al, 2003;Saunders et al, 1993). As a result, it is generally asserted that substance abuse treatment for women, particularly pregnant women and women with dependent children, must differentially address these complex psychosocial issues (Jansson et al, 1996;Knight et al, 1999;Nelson-Zlupko et al, 1995;SAMHSA, 1993;Volpicelli et al, 2000).…”

Section: Rationale For Gender-specific Treatment For Womenmentioning

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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Section: Rationale For Gender-specific Treatment For Womenmentioning

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

View full text Add to dashboard Cite

show abstract

“…Women may benefit from a style of treatment that is less structured and less rigid (Hodgins, el-Guebaly, & Addington, 1997). Historically, treatment programs have been designed for men, therefore male cultural norms have dominated treatment programs, including norms for group discussion (Hodgins et al, 1997;Saunders et al, 1993). In mixed gender groups, women tend to be less verbally expressive and more likely to yield to interruptions than when in same-sex groups (Hodgins et al, 1997), which can result in adverse effects, including dropout (Copeland & Hall, 1992).…”

Section: Gender-specific Substance Abuse Treatment For Womenmentioning

confidence: 99%

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

Niccols

Dell

Clarke

2009

Int J Ment Health Addiction

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In many cultures, approximately one third of people with drug dependence are women of childbearing age. Substance use among pregnant and parenting women is a major public health concern. Aboriginal people have some of the highest rates of substance abuse in Canada, increasing concern for detrimental health impacts, including those for women and their children. For many women, substance abuse offers a means of coping with trauma, such as childhood abuse, partner violence, and, for Aboriginal women, the intergenerational effects of colonization. In this paper, we review treatment issues for Aboriginal mothers with substance use problems and their children. We discuss gender-specific issues in substance abuse, the need for women-specific treatment, the impact of substance abuse on children and parenting, the additional risks for Aboriginal women and children, and the need for integrated programs (those that integrate pregnancy-, parenting-, and child-related services with women-specific addiction treatment). We describe New Choices as an example of an integrated program, review research on existing treatment for Aboriginal mothers with substance use issues, and describe Sheway as a promising integrated program for Aboriginal women with substance abuse issues and their young children. There are few treatment programs specifically for Aboriginal mothers with substance use issues and their children and very little research on their effectiveness. Based on our review of existing evidence, we offer recommendations for future research and practice.

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“…A sample of 44 women and 50 men attending an alcohol treatment facility operated by the Western Australian Alcohol and Drug Authority were studied (29). A range of demographic, social, and psychological measures were observed to determine whether women and men relapse for different reasons.…”

Section: Example 2 Do Men and Women Relapse Into Alcoholism For Diffmentioning

confidence: 99%

Censoring Issues in Survival Analysis

Leung

Elashoff

Afifi

1997

Annu. Rev. Public Health

267

181

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A key characteristic that distinguishes survival analysis from other areas in statistics is that survival data are usually censored. Censoring occurs when incomplete information is available about the survival time of some individuals. We define censoring through some practical examples extracted from the literature in various fields of public health. With few exceptions, the censoring mechanisms in most observational studies are unknown and hence it is necessary to make assumptions about censoring when the common statistical methods are used to analyze censored data. In addition, we present situations in which censoring mechanisms can be ignored. The effects of the censoring assumptions are demonstrated through actual studies.

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Women with alcohol problems: do they relapse for reasons different to their male counterparts?

Cited by 42 publications

References 19 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

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

Censoring Issues in Survival Analysis

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