Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study

Greenfield, Shelly F.; Sugarman, Dawn E.; Freid, Cathryn M.; Bailey, Genie L.; Crisafulli, Michele A.; Kaufman, Joseph J.; Wigderson, Sara; Connery, Hilary S.; Rodolico, John; Morgan‐López, Antonio A.; Fitzmaurice, Garrett M.

doi:10.1016/j.drugalcdep.2014.06.035

Cited by 51 publications

(42 citation statements)

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“…The larger, two-site Stage II trial compared WRG to GDC in an open enrollment (rolling admissions) group format, using a larger, more diverse sample. Results showed that the WRG was equally as effective as GDC 16 in this format, demonstrating that WRG is an effective gender-specific group therapy for women with SUDs heterogeneous with respect to substance of use, co-occurring psychiatric disorders and stage of life. In addition, the WRG can be delivered effectively in an open enrollment format typical of community practice.…”

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confidence: 86%

“…The WRG was compared to mixed-gender Group Drug Counseling (GDC) in a Stage I study 17 and a larger Stage II trial. 16 In both the Stage I and Stage II trials, women in the WRG and GDC demonstrated clinically relevant reductions in substance use after 12-weeks of group treatment. 16,17 However, women in the WRG Stage I trial continued reductions in substance use at 6-months post treatment whereas GDC women did not.…”

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confidence: 98%

“…16 In both the Stage I and Stage II trials, women in the WRG and GDC demonstrated clinically relevant reductions in substance use after 12-weeks of group treatment. 16,17 However, women in the WRG Stage I trial continued reductions in substance use at 6-months post treatment whereas GDC women did not. 17 The Stage I trial was limited by its single site, small sample, and semi-open group format.…”

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confidence: 98%

“…The Women’s Recovery Group (WRG) 16–18 was developed for women heterogeneous with respect to demographic and clinical characteristics, substance of use, and stage of life in order to reflect the diverse characteristics of treatment-seeking women with SUDs. The WRG is an efficacious manualized, weekly, 12-session, relapse-prevention group therapy that uses a cognitive behavioral approach and includes gender-specific content and single-gender group composition.…”

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confidence: 99%

“…The WRG is an efficacious manualized, weekly, 12-session, relapse-prevention group therapy that uses a cognitive behavioral approach and includes gender-specific content and single-gender group composition. 16–18 The all-women group composition of the WRG was hypothesized to enhance comfort and support for participants, facilitating group cohesion, while the women-focused content provided education specific to women with SUDs. These two components were hypothesized to synergize to enhance outcomes compared with a standard, mixed-gender recovery group.…”

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confidence: 99%

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Measuring affiliation in group therapy for substance use disorders in the Women's Recovery Group study: Does it matter whether the group is all-women or mixed-gender?

et al. 2016

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Background and Objectives A Stage II, two-site randomized clinical trial compared the manualized, single-gender Women’s Recovery Group (WRG) to mixed-gender group therapy (Group Drug Counseling; GDC) and demonstrated efficacy. Enhanced affiliation and support in the WRG is a hypothesized mechanism of efficacy. This study sought to extend results of the previous small Stage I trial that showed the rate of supportive affiliative statements occurred more frequently in WRG than GDC. Methods Participants (N=158; 100 women, 58 men) were 18 years or older, substance dependent, and had used substances within the past 60 days. Women were randomized to WRG (n=52) or GDC (n=48). Group therapy videos were coded by two independent raters; Rater 1 coded 20% of videos (n=74); Rater 2 coded 25% of videos coded by Rater 1 (n=19). Results The number of affiliative statements made in WRG was 66% higher than in GDC. Three of eight affiliative statement categories occurred more frequently in WRG than GDC: supportive, shared experience, and strategy statements. Discussion and Conclusions This larger Stage II trial provided a greater number of group therapy tapes available for analysis. Results extended our previous findings, demonstrating both greater frequency of all affiliative statements, as well as specific categories of statements, made in single-gender WRG than mixed-gender GDC. Scientific Significance Greater frequency of affiliative statements among group members may be one mechanism of enhanced support and efficacy in women-only WRG compared with standard mixed-gender group therapy for SUDs.

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confidence: 86%

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confidence: 98%

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confidence: 98%

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confidence: 99%

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confidence: 99%

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Measuring affiliation in group therapy for substance use disorders in the Women's Recovery Group study: Does it matter whether the group is all-women or mixed-gender?

et al. 2016

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Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013

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Comparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans

Stefanovics

Rosenheck

2019

Journal of Traumatic Stress

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Although most female veterans treated in specialized intensive Veterans Health Administration (VHA) posttraumatic stress disorder (PTSD) programs receive services in settings in which over 95% of participants are men, two programs include only women. Whether outcomes for women with PTSD are superior in women‐only programs has not been evaluated. National program evaluation data on 1,357 women veterans from 57 sites were collected at program entry and 4 months after discharge. With adjustment for differences in baseline characteristics, outcomes of women in two women‐only programs (n = 469) were compared with those from 55 mixed‐gender programs (n = 888), using mixed models with random effect for site. The primary outcome was total PTSD symptom level, with supplementary information on PTSD assessment subscales, substance use, and other outcomes. At program entry, female veterans in women‐only programs had lower scores on measures of total PTSD symptoms, p = .013, d = −0.24, and on several subscales. Adjusting for these differences, there were no significant differences between program types in terms of PTSD total score or scores on secondary measures. In women‐only programs, veterans had longer lengths of stay and were rated by their clinicians to have a higher level of commitment to therapy at discharge. Thus, women‐only programs did not show superior outcomes; however, compared to participants in mixed‐gender programs, those in women‐only programs had longer lengths of stay, higher levels of commitment to therapy, and were more likely to participate in posttreatment outcome assessments following discharge.

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Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study

Cited by 51 publications

References 40 publications

Measuring affiliation in group therapy for substance use disorders in the Women's Recovery Group study: Does it matter whether the group is all-women or mixed-gender?

Measuring affiliation in group therapy for substance use disorders in the Women's Recovery Group study: Does it matter whether the group is all-women or mixed-gender?

Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013

Comparing Outcomes of Women‐Only and Mixed‐Gender Intensive Posttraumatic Stress Disorder Treatment for Female Veterans

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