Comorbidity among Oxford House residents

Majer, John M.; Jason, Leonard A.; Ferrari, Joseph R.; North, Carol S.

doi:10.1016/s0306-4603(01)00214-3

Cited by 41 publications

(34 citation statements)

References 12 publications

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“…Our TC population scored somewhat higher for the lifetime prevalence of any anxiety disorder. However, figures in the study of Franken and Hendriks [43] may reflect an underestimation because they did not report on PTSD, an anxiety diagnosis that seems to be very prevalent among the substance-abusing population [40]. Both our study and the study of Franken and Hendriks [43] found that the anxiety disorders were more common than the mood disorders.…”

Section: Tc Clients Compared To Other Populationscontrasting

confidence: 67%

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The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

et al. 2006

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There is a lack of research illustrating the extent of psychiatric problems in European TCs. Furthermore, there is a need to obtain more insight into gender differences concerning comorbidity in the TC population. In an attempt to respond to previous shortcomings, three specific goals were formulated for the current study. The primary aim was to explore the lifetime prevalence of affective disorders in European TC clients. The second aim was to focus on related gender differences. And finally, client characteristics measured by the EuropASI were related to mood and anxiety disorders measured by the SCID-I. Nine out of ten substance abusers treated in a European TC program have an affective disorder. Gender differences are noted for two anxiety disorders: men have more obsessive-compulsive disorders; women have more post-traumatic stress disorders. The study illustrates that not only gender but also other client characteristics should be taken into account when organizing treatment.

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Section: Tc Clients Compared To Other Populationscontrasting

confidence: 67%

“…Additionally, this study examined which characteristics measured by the EuropASI are related to the prevalence of any mood or anxiety disorder. It was expected that this could be of interest in organizing TC treatment [40].…”

Section: Discussionmentioning

confidence: 99%

The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

et al. 2006

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“…These men claimed that a psychological sense of community and a structured setting where successful abstinence from substance use was strictly enforced were reasons for choosing to reside in a OH. In addition, considerable psychiatric co-morbidity among OH residents has been found, consistent with other studies with substance abusers (Majer, Jason, Ferrari, & North, 2002). Majer et al also reported that 69.2% of the residents studied either remained residents or left the house on good terms.…”

supporting

confidence: 84%

Increasing the Number of Mutual Help Recovery Homes for Substance Abusers: Effects of Government Policy and Funding Assistance

et al. 2005

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As a form of aftercare, Oxford House (OH) is a recovery home that is democratically operated by residents, with no designated limit on length of stay. These homes are behaviorally based settings that provide clear consequences for any substance use or disruptive behavior. What is unique about these settings is that training, supervision, and implementation of the contingencies are provided by the residents. In order to increase the number of these mutual-help recovery homes, two groups of states utilized state funds to hire recruiters and set up a loan fund to establish new OHs. Using a multiple baseline design, findings indicated that this intervention involving the hiring of recruiters and a loan program was effective in facilitating increases in the number of U.S. OHs in each group of states. An immediate increase in the opening of new houses occurred when the intervention was introduced, resulting in the opening of 559 new OHs across these states.

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“…It is noteworthy that the higher prevalence of phobic disorders among women in the general population [34] could also in part explain the higher comorbidity with drug dependence among girls in the present and previous studies. Majer et al [35] found that, among substance users, the gender difference in the prevalence of major depression is not found in the general population, where depression rates are higher for women. The findings on gender difference in comorbidity of drug dependence and depression contradict previous studies [29] .…”

Section: Discussionmentioning

confidence: 99%

Drug-Dependent Boys Are More Depressed Compared to Girls: A Comorbidity Study of Substance Dependence and Mental Disorders

et al. 2008

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The present study investigated the comorbidity of alcohol and drug dependence with psychiatric disorders by gender in a clinical sample of 300 girls and 208 boys (age 12–17) admitted to psychiatric inpatient hospitalization between April 2001 and March 2006. Information on alcohol and drug dependence, psychiatric diagnoses and age at onset of these disorders was obtained from the Schedule for Affective Disorders and Schizophrenia for School Aged Children – Present and Lifetime. The results of logistic regression models revealed that behavioral disorders were associated with alcohol dependence among girls (odds ratio [OR] 7.1) and boys (OR 4.6). In addition, behavioral disorders were associated with drug dependence, the ORs being 18.4 in girls and 9.1 in boys. Although depressive disorders were associated with both alcohol (OR 3.1) and drug dependence (OR 3.8) among boys, no corresponding association was seen in girls. Our results suggest that physicians treating substance-dependent adolescents should focus not only on behavioral disorders, but also on the screening and treatment of underlying depressive disorders, especially among substance-dependent boys.

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Comorbidity among Oxford House residents

Cited by 41 publications

References 12 publications

The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

The Role of Gender Differences and Other Client Characteristics in the Prevalence of DSM-IV Affective Disorders Among a European Therapeutic Community Population

Increasing the Number of Mutual Help Recovery Homes for Substance Abusers: Effects of Government Policy and Funding Assistance

Drug-Dependent Boys Are More Depressed Compared to Girls: A Comorbidity Study of Substance Dependence and Mental Disorders

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