Patterns and Predictors of Treatment Seeking After Onset of a Substance Use Disorder

Kessler, Ronald C.; Aguilar‐Gaxiola, Sergio; Berglund, Patricia A.; Caraveo-Anduaga, Jorge J.; DeWit, David J.; Greenfield, Shelly F.; Kolody, Bohdan; Olfson, Mark; Vega, William A.

doi:10.1001/archpsyc.58.11.1065

Cited by 147 publications

(105 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies with shorter time periods following disease onset (e.g., 1-8 years), or broad definitions of treatment-entry (e.g., ever telling a professional about your problem), have generally shown a lack of gender difference in treatment entry (Kessler, 2001;Mojtabai, 2005;Timko et al, 2005;Wu and Ringwalt, 2004), while population-based surveys examining a longer time period from onset of disease (greater than 8 years) demonstrate a lower lifetime probability of ever entering treatment for alcohol use disorders among women compared to men (Dawson, 1996). While the gap between treatment entry and need for substance abuse treatment for men and women both men and women is supported by low rates of having ever received treatment, the data support that this discrepancy is more pronounced over the lifetime for women than men with substance use disorders (Brady and Ashley, 2005;Dawson, 1996;Hansen et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…An earlier population-based survey of individuals with substance use disorders from three countries (United States, Canada, and Mexico) examined the correlates of treatment seeking for substance use disorders (Kessler et al, 2001). No gender differences were found in this survey among those who ever reported seeking treatment.…”

Section: Gender Disparities In Treatment Entry and Ever Receiving Trementioning

confidence: 94%

See 1 more Smart Citation

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

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

890

782

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Gender Disparities In Treatment Entry and Ever Receiving Trementioning

confidence: 94%

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

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

890

782

View full text Add to dashboard Cite

show abstract

“…Early onset of psychiatric problems has been associated with higher odds of dependence; having experienced anxiety or affective disorders increases the likelihood of a substance abuse disorder by between 3 and 10 times (Medina-Mora, Borges, Benjet, Lara, & Berglund, 2007;Medina-Mora et al, 2008;Kessler et al, 2001).…”

Section: The Drug Scene In Mexico and The Road Aheadmentioning

confidence: 99%

The Drug Scene in Mexico and the Road Ahead

Medina‐Mora

Real

2013

Adicciones

View full text Add to dashboard Cite

Mexico is a country affected by drugs in every aspect: it is a drug producing country of heroin, marihuana and methamphetamines, mainly for external markets but also for the growing internal demand; it is a transit country for cocaine that has found its way through the Central American and Mexican corridor on its way to external markets and for the internal supply. As a result of the increasing availability of substances and a favorable social environment, it has become a consuming country; drug experimentation use and dependence of illegal drugs, although still low, have increased. The abuse/ dependence of legal substances such as alcohol and tobacco are the main substance abuse problems; only the abuse of pharmaceuticals remains low and relatively stable, mainly as a result of low availability for medical purposes and therefore limited scope for deviation. Social costs are considerable, as happens in other countries in the region, violence being the most prevailing characteristic of the drug scene, increasing from 2008 onwards.Within these important challenges for health and security, it is also true that significant, continuous efforts have been made by demand reduction programs at the national level since1972 and adapted to the changing circumstances. This editorial seeks to tell the story of drug transitions in Mexico and the programs that have been implemented and discusses areas of opportunity for a new approach.Key words: Mexico, drugs, epidemiology, social determinants, public policy.México es un país afectado por las drogas en todos los aspectos: es un país productor de drogas como la heroína, la marihuana y las metanfetaminas, principalmente para los mercados externos, aunque también hay una demanda interna en crecimiento; es un país de tránsito para la cocaína, que ha encontrado una vía, a través del corredor de Centro América y México, en su camino hacia los mercados tanto externos como para el abastecimiento interno. Y, como resultado de la creciente disponibilidad de sustancias y de un entorno social favorable, ha devenido un país consumidor donde el uso experimental y la dependencia a las drogas ilegales, aunque siguen siendo bajos, se han incrementado. El abuso/dependencia de sustancias legales como el alcohol y el tabaco son los principales problemas de abuso de sustancias; sólo el abuso de los medicamentos se mantiene bajo y relativamente estable, principalmente como resultado de la baja disponibilidad para fines médicos y, por lo tanto, con poco margen para la desviación. Los costos sociales son considerables y, como ocurre en otros países de la región, la violencia es la característica dominante en el mundo de las drogas, viéndose incrementada a partir de 2008.Dentro de estos importantes retos para la salud y la seguridad, es cierto también que se han realizado esfuerzos continuos y significativos, desde 1972, mediante programas de reducción de la demanda a nivel nacional y adaptados a las circunstancias cambiantes. Este editorial pretende relatar la historia de las transiciones de la droga ...

show abstract

“…Olfson, Kessler, Berglund, and Lin (1998) found that persons with substance use disorders were more likely to postpone treatment seeking than other persons with diagnosable psychiatric illnesses. Kessler et al (2001) and Wang, Berglund, Olfson, and Kessler (2004) found that a typical treatment delay for persons with alcohol use disorder was at least a decade.…”

Section: Introductionmentioning

confidence: 99%

Person-related and treatment-related barriers to alcohol treatment

Saunders

Zygowicz

D'Angelo

2006

Journal of Substance Abuse Treatment

157

117

View full text Add to dashboard Cite

Treatment underutilization by persons with alcohol use disorder is well-documented. This study examined barriers to treatment at the latter stages of the treatment-seeking process, which was conceptualized as recognizing the problem, deciding that change is necessary, deciding that professional help is required, and seeking care. All participants identified themselves as having a drinking problem that was severe enough to warrant treatment. Differences between those who had (Treatment Seekers) and those who had not (Comparison Controls) sought treatment were evaluated, including the experience of person-related (e.g., shame) and treatment-related (e.g., cost) barriers. Person-related barriers were more commonly endorsed by both groups than treatment-related barriers. Comparison Controls were more likely to endorse both types of barriers, especially the preference for handling the problem without treatment. Treatment-related barriers were less relevant than person-related barriers at the latter stage of help seeking. The significance of barriers endured after accounting for other differences, such as drinking-related negative consequences. Treatment implications are discussed.

show abstract

Patterns and Predictors of Treatment Seeking After Onset of a Substance Use Disorder

Abstract: Background:We studied survey respondents aged 18 through 54 years to determine consistent predictors of treatment seeking after onset of a DSM-III-R substance use disorder.

Cited by 147 publications

References 37 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

The Drug Scene in Mexico and the Road Ahead

Person-related and treatment-related barriers to alcohol treatment

Contact Info

Product

Resources

About