Childhood sexual abuse patterns, psychosocial correlates, and treatment outcomes among adults in drug abuse treatment

This study reports on the effects of having a history of childhood sexual abuse (CSA) on treatment outcomes among substance abusing men and women (N = 2,434) in a national, multisite study of drug treatment outcomes. A history of CSA was reported by 27.2% of the women and 9.2% of the men. Controlling for gender, compared to patients without CSA, patients reporting CSA were younger at entry into the current drug treatment, were more likely to be White, were more likely to have a comorbid mental disorder, be alcohol or cocaine dependent, had higher levels of criminal activities, had a higher level of problem recognition, and had a more negative peer influence. Controlling for these correlates, a history of abuse was related to a lower likelihood of posttreatment abstinence.     

Gender roles as mediators of sex differences in adolescent alcohol use and abuse.

This study tested the hypothesis that internalized gender-role personality attributes and gender-role ideology mediate sex differences in alcohol use and drinking problems in a random sample of 1,077 adolescents aged 13 to 19. Results indicated that gender roles substantially, although not completely, mediated the effects of sex on drinking patterns. The relationships between gender roles and alcohol use were largely consistent with the hypothesis that individuals with conventional gender identities conform more closely to cultural norms that condone drinking among males but not among females. However, effects of the gender-linked attributes of expressivity, emotional control, and instrumentality on drinking also may be interpreted within a framework that views them as functional coping styles. Finally, differences between Black and White teens in the relationships between alcohol use and the masculine attributes of instrumentality and emotional control suggest possible race differences in the functional value of these attributes.     

Gender differences in psychosocial complexity for a cohort of adolescents attending youth-specific substance abuse services

This study examines gender differences in the characteristics of young people (N = 1000) attending alcohol and other drug (AOD) services in the state of Victoria, Australia. Females demonstrate levels of substance use that are at least as high, and perhaps more harmful than that of males. Our data add to a growing base of evidence that young women attending youth AOD services experience additional psychosocial problems at higher rates than their male counterparts. This evidence is now fairly consistent in regard to mental health problems, self-injury, suicide attempts, and homelessness. Findings from this study further suggest that the gender imbalance may extend to child protection involvement, family conflict and disconnection, access to social support, and exposure to neglect and abuse.     

A critical and comparative review of the prevention of drug and alcohol abuse in Israel

The article reviews the various programs and intervention strategies of substance abuse prevention in Israel. It concentrates mainly on the stages of primary and secondary prevention among youth. School-based prevention programs, those designated for detached youth as well as community-based programs, are presented and analyzed. The prevention efforts in Israel are also compared to those in other Western countries. The discussion includes recommendations for future developments in this domain.     

Childhood and adult sexual abuse: relationships with alcohol and other psychoactive drug use

Questions concerning sexual abuse before and after the age of 16 years were included in a general population survey of a representative sample of 1052 UK women and 975 UK men. A total of 12.5% of women reported experiencing some form of sexual abuse before the age of 16 years. The corresponding ?gures for men in this category were 11.7%. After the age of 16, the ?gure for women remained at this level. However, the proportion of men reporting these traumatic experiences dropped to 3.2%. Sexual abuse both pre and post age 16 was associated with being single or cohabiting, with higher levels of cigarette‐smoking, alcohol consumption, experience of alcohol‐related problems and use of illicit drugs. The relationship between drinking and other forms of psychoactive drug use and sexual abuse is complex. Some possible explanations for this connection and its therapeutic and practical implications are discussed. Copyright © 2004 John Wiley & Sons, Ltd.     

Veteran-nonveteran differences in alcohol and drug misuse by tobacco use status in Alabama SBIRT

ABSTRACT

Alcohol and substance use can challenge military veterans who live in rural communities. In 2016, the screening, brief intervention, and referral to treatment in Alabama (AL-SBIRT) program was implemented in west Alabama. The primary aim of this study was to determine whether current tobacco use modified the relationship between veteran status and substance misuse. Self-reported wellness data was collected regarding substance, alcohol, or tobacco consumption. Risk levels for alcohol and drug use were measured using the United States Alcohol Use Disorders Identification Test (US-AUDIT) and the Drug Abuse Screening Test (DAST)-10. Substance and tobacco use were significantly and positively correlated. Veterans had a higher US-AUDIT and DAST score than nonveterans, and tobacco appeared to be an exacerbating factor. Effective evidence-based interventions are needed in rural settings. Technology based programs and motivational interviewing with trained clinicians may serve as beneficial and cost-effective interventions for tobacco use prevention and cessation efforts.     

The emotional consequences of physical child abuse

The author proposes that the emotional impact of physical abuse of young children is predictable and occurs in a relatively orderly sequence. This sequence is described and a diagnostic tool for determining the depth of the impact is offered. The author proposes that this model may be used as a foundation to guide therapists in making effective clinical interventions with children in situations that often present themselves with great urgency and emotional pain. Treatment of the abusing parent, an essential part of the overall treatment plan for the child, is beyond the scope of this paper, which focuses exclusively on issues relating to children.     

Predictors of alcohol abuse behaviors of undergraduates

A representative sample of 713 Mary Washington College undergraduates responded to questions about alcohol effects, their own alcohol use, and their beliefs about the risks associated with alcohol use for college students in general and for themselves in particular. Item correlations suggested four indexes: personal risk of abuse, personal risk of alcohol-related misfortune, alcohol consumption, and alcohol abuse. Knowledge did not predict reduced use or abuse patterns, nor did perceived risk of abuse for students in general. Abuse, consumption and personal risk of abuse were all positively intercorrelated. However, personal risk of alcohol-related misfortune was negatively correlated with all other indexes. These findings have important implications for programs to reduce alcohol abuse among young people.     

Sex differences in the vocabulary of college students

The present study replicated Jastrow's 1891 experiment concerning differences between male and female vocabulary. Participants were 20 male and 20 female Caucasian middle‐class college students. They recorded up to 100 nouns in a 15‐minute period. Results indicate that women have increased their use of unusual words compared to women in 1891. Males used more scientific words and more body part words than females. In contrast to the previous study, there are no significant differences between the sexes in use of animal, nature, and food words. Females used more clothing words than males in this study, as in the previous study, and produced more different words than males. Vocabulary changes appear to reflect changes in the social structure of the society.     

Age differences in alcohol and cocaine expectancies and attitudes

Positive and negative expectancies regarding the behavioral effects of alcohol and cocaine were assessed and used to predict attitudes toward their use across four age groups (5-7, 8-10, 11-14, and 18-25, N = 121). Regardless of gender and minority status, children and early adolescents appeared to overgeneralize their beliefs about alcohol to a less familiar drug, cocaine, perceiving the effects of the two drugs similarly. Only college students differentiated between drugs, perceiving cocaine as less likely than alcohol to produce drunkenness and more likely to have stimulant and elation/empowerment effects. With age and other expectancies controlled, expectancy of drunkenness was the best predictor of disapproval of alcohol use; attitudes toward cocaine use were unrelated to expectancies but became more negative with age. Drug prevention programs should rest on data regarding children's preexisting beliefs about the consequences of drug use and should help them understand that different drugs (for example, stimulants and depressants) pose different dangers.     

Use of computer-assisted instruction in the prevention of alcohol abuse

Recent critiques of and research with traditional alcohol prevention programs have revealed serious problems. Prevention programs typically increase knowledge and appropriate attitudes about alcohol while having little effect on drinking behavior. In this article several concepts are introduced in support of a technology which has the potential to revitalize alcohol education efforts. First, Bandura's self-efficacy theory offers a direction for re-conceptualizing the design of prevention programs as well as the measurement of their effects. Second, computer-assisted instruction (CAI) programs may provide a means for capturing attention, effectively educating about alcohol, and supplementing traditional approaches. One current CAI program is described in detail. Implications for research and practice and obstacles to effective CAI use are also discussed.     

Early abuse experiences and subsequent gender differences in couple adjustment

The main purpose of the current study was to evaluate the relationship between early abusive experiences (sexual abuse, parental violence, and witnessing parental violence) and subsequent couple adjustment with a theoretical model that incorporates attachment and psychological distress as mediator variables. We specifically examined the variability in long-term psychosocial characteristics of child abuse survivors across women and men. A representative sample of French-Canadian couples composed of 632 men and women completed measures of child abuse, attachment, psychological distress, and dyadic adjustment. Structural equation analyses showed that, for both women and men, sexual abuse was related to dyadic adjustment through anxiety about abandonment and psychological distress. For men, experiencing physical or psychological violence was associated with dyadic adjustment through psychological distress. For women, there was an indirect relationship between witnessing physical violence and dyadic adjustment through abandonment anxiety. Differences between men and women in the long-term adjustment to childhood sexual abuse were small and not consistent with a gender-specific model of psychosocial repercussions.     

Sex differences in the use of psychiatric outpatient facilities

Previous research has shown that both symptoms and sociocultural factors are related to use of psychiatric outpatient facilities. However, the utility of using treatment rates from these facilities to make etiological inferences depends on whether sociocultural effects on utilization are trivial or substantial. In this paper data are presented for one such inference, that women are more in need of treatment than men. We find that observed sex differences in the use of a student psychiatric clinic are due both to differential propensities to seek help for problems and also to differential numbers of problems, both of which are higher among women than men. However, the differential propensity to seek help is found to be by far the more important of these two effects.