Women, Co-occurring Disorders, and Violence Study: Evaluation design and study population

McHugo, Gregory J.; Kämmerer, Nina; Jackson, Elizabeth; Markoff, Laurie S.; Gatz, Margaret; Larson, Michael J.; Mazelis, Ruta; Hennigan, Karen M.

doi:10.1016/j.jsat.2004.08.009

Cited by 96 publications

(156 citation statements)

References 64 publications

(73 reference statements)

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“…The measures reported in this study were part of a larger assessment battery administered to participants based on the WCDVS protocol (for details on these measures, see McHugo et al 36 ). The average completion time for the larger assessment battery ranged from 70 to 85 min.…”

Section: Methodsmentioning

confidence: 99%

“…Data in this paper came from participants in the Women, Co-occurring Disorders and Violence Study (WCDVS) Boston study site (Boston Consortium of Services for Families in Recovery, hereafter referred to as BCSFR). For a full description of the WCDVS study design, see McHugo et al; 36 for a full description of the BCSFR model, see Amaro et al 37 Study participants were enrolled from March 2001 to February 2002 and data were collected using structured in-person interviews from participants in the Boston study site, including baseline 6-and 12-month postbaseline in-person interviews conducted in the participant_s preferred language (English or Spanish) by trained interviewers who reflected the racial/ethnic composition of the study sample. Participants were recruited from consecutive admissions to the comparison and intervention program sites if they were determined to meet the following criteria by their primary counselor: Women were eligible to participate if they were at least 18 years of age and had experienced physical or sexual abuse.…”

Section: Design and Proceduresmentioning

confidence: 99%

“…36 The intervention group was comprised of clients receiving services in one of five substance abuse treatment programs in Boston_s poorest inner city communities. These included three residential programs, one outpatient program, and one methadone program.…”

Section: Intervention and Comparison Conditionsmentioning

confidence: 99%

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Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

et al. 2007

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This study presents findings from a quasiexperimental, nonequivalent, group-design study with repeated measures that explored the effects of integrated trauma-informed services on the severity of substance abuse, mental health, posttraumatic stress disorder (PTSD) symptomatology among women with histories of trauma in urban, community-based substance abuse treatment. The study also explored if the model of integrated services was equally beneficial for women of various racial/ethnic groups. Participants in the study were 342 women receiving substance abuse treatment in intervention and comparison sites. Results indicated that at 6 and 12 month follow-ups, those in the trauma-informed intervention group, in contrast to the comparison group, had significantly better outcomes in drug abstinence rates in the past 30 days as well as in mental health and PTSD symptomatology. Results also showed that, overall, integrated services were beneficial for women across the different racial/ethnic groups in substance abuse treatment, although some differences appear to exist across racial/ethnic groups in improving addiction severity and mental health and PTSD symptomatology.

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Section: Methodsmentioning

confidence: 99%

Section: Design and Proceduresmentioning

confidence: 99%

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Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

et al. 2007

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“…Si se considera que la literatura reporta que las experiencias traumáticas en la infancia son un factor de riesgo importante para la aparición de síntomas psicopatológicos en la adultez en ambos sexos (Felitti et al, 1998;Foege, 1998;Weiss & Wagner, 1998) -además de la relación bidireccional entre la violencia y la PD (McHugo et al, 2005)-, se puede decir que las mujeres muestran marcadamente mayor vulnerabilidad a presentar esta condición.…”

Section: Patología Dual En Poblaciones Especialesunclassified

Patología dual en poblaciones especiales: una revisión narrativa

Szerman¹,

Marín-Navarrete²,

Fernández-Mondragón³

et al. 2015

RIIAD

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RESUMENIntroducción: la patología dual se refiere a la concurrencia de un trastorno por consumo de sustancias con otro trastorno psiquiátrico. Estudios epidemiológicos en población general reportan una alta prevalencia de patología dual. Sin embargo, la información disponible sobre el tema en poblaciones especiales es limitada. Objetivo: revisar la evidencia disponible sobre la epidemiología, la atención y los aspectos relevantes para la salud pública acerca de la patología dual en las siguientes poblaciones especiales: personas en situación de indigencia, en prisión, con VIH, VHB y VHC, mujeres y adultos mayores. Método: búsqueda en bases de datos bibliográficos (PubMed, Science Direct, EBSCO y OVID) de reportes de investigación enfocados en la prevalencia y el tratamiento de patología dual en las poblaciones mencionadas. Resultados: la prevalencia de la patología dual se presenta de manera diferenciada en estas poblaciones, en comparación con la población general; además está altamente asociada con mayores tasas de morbilidad y mortalidad. La mayoría de los estudios específicos sobre patología dual y las poblaciones especiales, tanto de epidemiología como de tratamientos, se ha realizado en países de alto ingreso. Discusión y conclusiones: se requiere de políticas públicas que contemplen la medición epidemiológica de la patología dual en estas poblaciones, sobre todo en países de mediano y bajo ingreso, e incluyan intervenciones integradas adecuadas a las necesidades específicas de cada población.Palabras clave: patología dual; grupos minoritarios; epidemiología; revisión. ABSTRACTBackground: dual disorders is a term that refers to the co-occurrence of a substance use disorder with other mental disorders. Epidemiological studies have reported a high prevalence of dual disorders in the general population. However, information on dual disorders in special population is limited. Objective: to give an overview of the available evidence on the epidemiology, care and other relevant aspects for public health of dual disorders in the following special populations: homeless, prison inmates, people with sexually-transmitted infections, and the elderly. Method: search in peer-review publication databases (PubMed, Science Direct, EBSCO and OVID) for research reports on the epidemiology and treatment of dual pathology in the aforementioned populations. Results: prevalence of dual disorders in these populations appears to be different than in the general population; and it is highly associated with higher mortality and morbidity rates. The majority of studies aimed specifically on the epidemiology and treatment of dual disorders and special populations has been conducted in high-income countries. Discussion and conclusions: there is a need for public policies that consider the epidemiological assessment of dual disorders in special populations, specially in low-and middle-income countries, and include integrated care interventions adequate to the specific needs of each population.

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“…Our study was thus comparable with others in terms of retention rates. [75][76][77] Finally, the sample size was too low to establish a high volume of both substance dependence (new cases) and users of services for mental health including substance dependence, and especially at follow-up.…”

Section: Limitationsmentioning

confidence: 99%

Predictors of Alcohol and Drug Dependence

Fleury¹,

Bamvita

Perreault

et al. 2014

Can J Psychiatry

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Objective: Our study sought to identify sociodemographic, clinical, life perception, and service use characteristics that distinguish new cases of people dependent on substances from the general population; and to determine predictors of substance dependence over a 2-year period. Variables that differentiate people dependent on substances according to sex and age were also assessed. Methods:Among 2434 people who took part in an epidemiologic catchment area health survey at baseline, 2.2% were identified with substance dependence at the second measurement time only. Using a comprehensive framework, various aspects were considered as predictors for multivariate statistics.Results: Participants with substance dependence at time 2 only showed worse clinical conditions, life events, life and health perception, and neighbourhood characteristics than other participants, but only 2.5% used health care services. Male sex, younger age, stigmatization, and impulsiveness were predictors of substance dependence. Regarding sex, females with dependence were only more likely to suffer from social phobia than males. In terms of age categories, participants over 50 with substance dependence were more likely to have a lower household income and less social support than younger people. Conclusion:Stigmatization was the strongest predictor of substance dependence. Our study also confirmed that males and younger people were more likely to have substance dependence. Anti-stigmatization, prevention, and outreach programs are needed to overcome the reluctance of this clientele to use health care services. Health professionals should also pay more attention to life and health perception and neighbourhood characteristics of newly identified drug users. W W W Prédicteurs de la dépendance à l'alcool et aux droguesObjectif : Notre étude cherchait à identifier les caractéristiques sociodémographiques, cliniques, et liées à la perception de la vie comme à l'utilisation des services qui distinguent les nouveaux cas de personnes dépendantes aux substances de la population générale; et à déterminer les prédicteurs de la dépendance aux substances sur une période de 2 ans. Les variables qui différencient les personnes dépendantes aux substances selon le sexe et l'âge ont aussi été évaluées.Méthodes : Chez 2434 personnes qui ont pris part à une enquête de santé épidémiologique d'un secteur hospitalier au départ, 2,2 % ont été identifiées comme ayant une dépendance aux substances au deuxième temps de mesure seulement. À l'aide d'un cadre détaillé, divers aspects ont été étudiés en tant que prédicteurs de statistiques multivariées.Résultats : Les participants ayant une dépendance aux substances au temps 2 seulement présentaient des conditions cliniques, des événements de vie, des perceptions de la vie

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Women, Co-occurring Disorders, and Violence Study: Evaluation design and study population

Cited by 96 publications

References 64 publications

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

Patología dual en poblaciones especiales: una revisión narrativa

Predictors of Alcohol and Drug Dependence

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