Similarities in outcomes for men and women after drug misuse treatment: results from the National Treatment Outcome Research Study (NTORS)

Stewart, Duncan; Gossop, Michael; Marsden, John; Kidd, Tara; Treacy, Samantha

doi:10.1080/0959523021000059811

Cited by 36 publications

(29 citation statements)

References 41 publications

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Section: Gender Differences In Drug Use and Treatment Participationmentioning

confidence: 99%

“…Research from a national treatment outcome study showed that drug treatment use among men was associated with stronger family opposition to their drug use and more support for treatment, whereas for women it was associated with more mental health problems and self-referral into treatment (Grella and Joshi 1999). Past research has also shown that women tend to enter treatment after fewer years of use but that they present to treatment with a more severe clinical profile and more problems related to mental health, family and interpersonal relationships, employment, and physical health (Grella, Scott et al 2003;McKay et al 2003;Stewart et al 2003;Wechsberg, Craddock, and Hubbard 1998).Third, treatment processes, retention, completion, and outcomes appear to be influenced by gender (Green 2006;Grella, Scott, and Foss 2005). Among patients treated in an HMO setting, Green, Polen, Dickinson, Lynch, and Bennett (2002) found that although time in treatment and rates of treatment completion did not differ by gender, different participant characteristics were related to retention and completion for males and females.…”

mentioning

confidence: 99%

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Gender Similarities and Differences in the Treatment, Relapse, and Recovery Cycle

Grella¹,

Scott

Foss

et al. 2008

Eval Rev

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This study explores the influence of gender on changes in recovery status among participants in a longitudinal study. The study sample (N = 1,202; 60% female) is recruited on referral to treatment, and annual interviews are conducted from Years 2 to 6 following intake. At each annual observation, participants are classified into one of four statuses (recovery, treatment, incarcerated, and using), and the transitional probabilities and correlates of transitioning from one status to another are estimated. About 80% of the participants changed status at least once over the followup period. Women are one third less likely to transition from recovery to using; the predictors of transitioning to different statuses vary by gender. The implications of gender as a moderator of the recovery process are discussed. Keywords gender differences; longitudinal follow-up; relapse; transition; recovery The concept of addiction as a chronic disorder, requiring long-term management much like other chronic disorders, has been widely disseminated and generally accepted within the substance abuse treatment field (McLellan 2002;McLellan et al. 2000;McLellan et al. 2005). Yet this way of conceptualizing addiction is still lacking in detailed empirical description (Anglin, Hser, and Grella 1997;Anglin et al. 2001). In particular, there is limited understanding of how frequently individuals change from one status to another during the recovery cycle (e.g., from abstinence to using or vice versa or from using into treatment) or about the correlates that accompany these changes in status. Prior research has shown that a majority of individuals relapse at some point following a treatment episode, and many of them subsequently reenter treatment (Grella, Hser, and Hsieh 2003). To study addiction as a chronic disorder, it is useful to take a "life course perspective," in which drug use, treatment, relapse, and recovery are not viewed as discrete events but rather as stages in a cyclical process where prior experiences of drug use and treatment influence later experiences (Hser, Longshore, and Anglin 2007;Scott, Foss, and Dennis 2005;Williams 2003). . Women tend to initiate drug and alcohol use later than men but progress faster to dependence (Greenfield et al. 2007). Moreover, men and women are subject to different social influences on their initiation of substance use; women more often report that initiation occurs within the context of sexual or interpersonal relationships, whereas men are more likely to report experimentation or peer influence as the context for drug use initiation (Frajzyngier et al. 2007;. Gender Differences in Drug Use and Treatment ParticipationSecond, gender differences are evident in the processes related to treatment initiation, including the social influences that may support or inhibit treatment entry and the referral pathways into treatment Weisner and Schmidt 1992). Women are more likely than men to enter treatment via the mental health and child welfare systems, whereas men are more likely to enter treat...

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Section: Gender Differences In Drug Use and Treatment Participationmentioning

confidence: 99%

mentioning

confidence: 99%

Gender Similarities and Differences in the Treatment, Relapse, and Recovery Cycle

Grella¹,

Scott

Foss

et al. 2008

Eval Rev

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“…The results offer some suggestions that there may be a possible gender difference, with slightly (but not significantly) higher rates of volatile substance abuse among the young women in our sample. In general, young women report lower prevalence for use of many substances, but those females who do use illicit substances often have more severe difficulties relating to their substance use (Stewart et al, 2003). While more research is required to assess the relative impact of volatile substance abuse by gender, the slightly higher rate of volatile substance abuse in girls may be associated with this elevated level of other lifestyle problems reported in the results.…”

Section: Discussionmentioning

confidence: 77%

Adolescent psychological health problems and delinquency among volatile substance users in a school sample in South London

Best¹,

Manning²,

Gossop³

et al. 2004

Drugs: Education, Prevention and Policy

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The study assessed prevalence of volatile substance abuse (VSA), and its link to other forms of psychoactive substance use and to other problem behaviours among 14-15 year olds recruited from sixteen secondary schools in south-west London. Lifetime use of volatile substances was reported by 126 young people (6% of the sample) whose mean age of first use was 12.6 years. Using logistic regression analysis, lifetime use of volatile substances was found to be associated with more frequent cigarette smoking and more frequent drinking in the previous month, with higher levels of anxiety, greater involvement in delinquent acts, and lower levels of educational aspirations. Among volatile substance abusers, more frequent use was associated with higher levels of psychological distress and greater delinquent activity. Volatile substance abuse may be a marker for other forms of substance use and for other behaviour problems. This issue remains inadequately explored by researchers and clinicians.

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“…However, there were no significant gender differences in terms of crime reduction. Stewart, Gossop, Marsden, Kidd, and Treacy (2003) concluded that gender was not predictive of any outcome measures and that both men and women made significant improvements in their problem behaviors. Alterman, Randall, and McLellan (2000) also found no significant gender differences in alcohol or drug outcomes at 7-month follow-up of nine community treatment programs.…”

Section: Gender Differences In Drug Misuse Among Arrestees 903mentioning

confidence: 98%

Gender Differences in Drug Misuse and Related Problem Behaviors among Arrestees in the UK

Holloway

Bennett

2007

Substance Use & Misuse

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Traditionally, the addiction literature has focused on male drug users and less attention has been given to female users. More recently, research investigating gender differences in drug use and associated problem behaviors has emerged. This article contributes to the growing research base by drawing on data collected from structured interviews with 2,682 male and 453 female arrestees conducted as part of the New English and Welsh Arrestee Drug Abuse Monitoring (1999-2002) program. Clear gender differences in drug use and associated behaviors are identified. Women were found to be more serious drug users and to experience more associated problems than men. The research and policy implications of the research are discussed and the study's limitations are noted.

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Similarities in outcomes for men and women after drug misuse treatment: results from the National Treatment Outcome Research Study (NTORS)

Cited by 36 publications

References 41 publications

Gender Similarities and Differences in the Treatment, Relapse, and Recovery Cycle

Gender Similarities and Differences in the Treatment, Relapse, and Recovery Cycle

Adolescent psychological health problems and delinquency among volatile substance users in a school sample in South London

Gender Differences in Drug Misuse and Related Problem Behaviors among Arrestees in the UK

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