Substance Use Disorders Treatment for Sexual Minority Women

Drabble, Laurie A.; Eliason, Michèle J.

doi:10.1080/15538605.2012.726150

Cited by 17 publications

(5 citation statements)

References 82 publications

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“…This may be consistent with prior research documenting compounded stress for sexual minority women (e.g., contending with both sexism and heterosexism; see Drabble & Eliason, 2012), but inconsistent with reports of greater utilization among sexual minority women in general (Drabble & Eliason, 2012). That being said, this effect is most likely attributable to insufficient power to detect meaningful effects due to a relatively small number of lesbian women (our smallest observed LGB group) who reported recent mental health treatment or assessment, thus these results should be interpreted with caution.…”

Section: Discussionsupporting

confidence: 75%

Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment

Flentje

Livingston

Roley

et al. 2015

Journal of Substance Abuse Treatment

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Objective Lesbian, gay, and bisexual (LGB) orientation predicts greater substance use, treatment utilization, and poorer mental and physical health, but health needs of LGB individuals in substance abuse treatment remain largely unknown. The purpose of this study was to identify differences in mental and physical health needs of LGB individuals in substance abuse treatment. Methods Substance abuse treatment admissions data from the County of San Francisco were used in this investigation of differences in mental and physical health problems and service utilization between LGB (n=1,441) and heterosexual individuals (n=11,770). Results LGB individuals were more likely to have mental health diagnoses (adjORs ranging from 1.86–4.00) and current mental health prescription medications (adjORs from 1.79–4.99) than heterosexual counterparts. Gay and bisexual men and bisexual women but not lesbian women, were more likely to be receiving mental health treatment. Gay men and bisexual women were more likely than heterosexual counterparts to report physical health problems. Gay and bisexual men and bisexual women but not lesbian women were more likely to be receiving health care. There were no differences between LGB individuals and heterosexual counterparts in the number of emergency room visits or hospital overnight stays. Discussion This study found that LGB individuals entering substance abuse treatment have greater mental and physical health needs than heterosexual counterparts. Implications for healthcare integration, research, and practice are discussed.

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Section: Discussionsupporting

confidence: 75%

Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment

Flentje

Livingston

Roley

et al. 2015

Journal of Substance Abuse Treatment

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show abstract

“…Although EQuIP's framework focused on identity-based stressors as antecedents to current mental and behavioral health challenges and was driven by an individualized case conceptualization, it did not systematically address intersectional stressors. Future research ought to consider that sexual minority women's mental and behavioral health might be maintained by factors other than or in addition to sexual minority stress and seek to identify mechanisms capable of yielding robust impact on sexual minority women's alcohol use problems (Drabble & Eliason, 2012). Given that nearly half of the participants were gender diverse (e.g., transgender, genderqueer, nonbinary), future intervention research with sexual minority women ought to consider means for systematically addressing the intersection of sexual and gender identity.…”

Section: Discussionmentioning

confidence: 99%

A transdiagnostic minority stress intervention for gender diverse sexual minority women’s depression, anxiety, and unhealthy alcohol use: A randomized controlled trial.

Pachankis¹,

McConocha²,

Clark³

et al. 2020

Journal of Consulting and Clinical Psychology

143

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Objective: To remedy the notable gap in evidence-based treatments for sexual minority women, this study tested the efficacy of a minority-stress-focused cognitive-behavioral treatment intended to improve this population's mental and behavioral health. Method: The intervention, EQuIP (Empowering Queer Identities in Psychotherapy), was adapted from a transdiagnostic cognitive-behavioral treatment as also recently adapted for sexual minority men. Sexual minority women at risk of mental and behavioral health problems (n ϭ 19) and expert providers with this population (n ϭ 12) shaped the treatment's development, including by supporting its primary focus on universal and minority-stress-focused processes underlying this population's disproportionately poor mental and behavioral health. The resulting treatment was then delivered to young adult sexual minority women (n ϭ 60; M age ϭ 25.58; 41.67% racial/ethnic minority; 43.33% transgender/nonbinary) experiencing depression/anxiety and past 90-day heavy alcohol use. Results: Compared to waitlist (n ϭ 30), participants randomized to immediately receive EQuIP (n ϭ 30) experienced significantly reduced depression and anxiety (d ϭ 0.85, 0.86, respectively); effects for alcohol use problems were smaller (d ϭ 0.29) and marginally significant. In preto post-intervention pooled analyses, effect sizes for minority stress processes (mean d ϭ .25) and universal risk factors (mean d ϭ .48), through which the treatment was expected to work, were small and moderate, respectively, and in the expected direction. Conclusions: This study provides initial support for a minority-stress-focused transdiagnostic cognitive-behavioral treatment for sexual minority women. These first results can launch exploration of other mechanisms and modalities through which to equip this population with evidence-based support. What is the public health significance of this article?Sexual minority women represent one of the highest-risk populations for depression, anxiety, and alcohol use problems, yet no intervention has been tested for efficacy for this population's cooccurring health risks. This first randomized trial of such a treatment shows that a transdiagnostic minority-stress-focused approach has potential to exert robust impact on sexual minority women's mental health. Future research into additional treatment targets, perhaps beyond minority stress, and factors relevant for reducing alcohol use problems, is needed.

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“…Our findings emphasize that prevention and treatment of substance use and disorder among women remains a significant public health concern (Greenfield et al, 2007;Redmond et al, 2020), with our results especially indicating priority for SGM women (L. Drabble & Eliason, 2012;Kidd et al, 2022). These efforts should focus on relevant factors at the individual level, as well as reform that targets systemic marginalization.…”

Section: Discussionmentioning

confidence: 61%

Estimating substance use disparities across intersectional social positions using machine learning: An application of group-lasso interaction network.

McCabe,

Helm,

Halvorson

et al. 2024

Psychology of Addictive Behaviors

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Substance Use Disorders Treatment for Sexual Minority Women

Cited by 17 publications

References 82 publications

Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment

Mental and Physical Health Needs of Lesbian, Gay, and Bisexual Clients in Substance Abuse Treatment

A transdiagnostic minority stress intervention for gender diverse sexual minority women’s depression, anxiety, and unhealthy alcohol use: A randomized controlled trial.

Estimating substance use disparities across intersectional social positions using machine learning: An application of group-lasso interaction network.

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