Elsevier

Addictive Behaviors

Volume 20, Issue 1, January–February 1995, Pages 1-21
Addictive Behaviors

Evaluating multiple outcomes and gender differences in alcoholism treatment

https://doi.org/10.1016/0306-4603(94)00037-YGet rights and content

Abstract

This study followed 592 alcoholics (180 women and 412 men) after discharge from inpatient treatment. Multiple measures of treatment outcome were used to broaden our understanding of the process of recovery from alcohol abuse, and how that process differs for men and women. Patients were interviewed by telephone between 3 and 15 months after discharge to gather information about post-treatment experiences including: relationship with family, role performance, psychological impairment, and effort toward recovery. Additionally, if any alcohol use took place after treatment, information was collected about the pattern of alcohol consumption. Results indicated being married is consistently related to less drinking for men, while for women, being married contributes to relapse in the short term. The determinants of each measure of outcome were different for women and men, indicating that the process of recovery is not the same for both genders. The study confirms that drinking is related to other adverse outcomes for men, but not necessarily for women. It is evidence that women and men have different post-treatment functioning, and that different characteristics are predictive of these outcomes.

References (62)

  • E. Bromet et al.

    Posttreatment functioning of alcoholic patients: Its relation to program participation

    Journal of Consulting and Clinical Psychology

    (1977)
  • K.D. Brownell et al.

    Understanding and preventing relapse

    American Psychologist

    (1986)
  • C.C.H. Cook

    The Minnesota Model in the management of drug and alcohol dependency: Miracle, method or myth? Part II. Evidence and conclusions

    British Journal of Addiction

    (1988)
  • E.M. Corrigan

    Alcoholic women in treatment

    (1980)
  • R.M. Costello

    Alcoholism aftercare and outcome: Cross-lagged panel and path analysis

    British Journal of Addiction

    (1980)
  • J. Curlee

    A comparison of male and female patients at an alcoholism treatment center

    The Journal of Psychology

    (1970)
  • J.F. Curry

    Outcome research on residential treatment: Implications and suggested directions

    American Journal of Orthopsychiatry

    (1991)
  • F. Duckert

    Recruitment into treatment and effects of treatment for female problem drinkers

    Addictive Behaviors

    (1987)
  • C.D. Emrick

    A review of psychologically oriented treatment of alcoholism. I. The use and interrelationships of outcome criteria and drinking behavior following treatment

    Quarterly Journal of Studies on Alcohol

    (1974)
  • K.M. Fillmore

    Women's drinking across the adult life course as compared to men's

    British Journal of Addiction

    (1987)
  • W.J. Filstead

    Treatment outcome: An evaluation of adult and youth treatment services

    (1990)
  • J.W. Finney et al.

    The long-term course of treated alcoholism: I. Mortality, relapse and remission rates and comparisons with community controls

    Journal of Studies on Alcohol

    (1991)
  • P.J. Frawley

    Defining desirable treatment outcomes

    Alcohol Health and Research World

    (1988)
  • M. Galanter

    Consensual support for abstinence, an integral component of alcoholism treatment

    British Journal of Addiction

    (1987)
  • E.S. Gomberg

    Drinking patterns of women alcoholics

  • E. Gordis et al.

    Outcome of alcoholism treatment among 5578 patients in an urban comprehensive hospital-based program: Application of a computerized data system

    Alcoholism: Clinical and Experimental Research

    (1981)
  • J.A. Halikas et al.

    Psychiatric diagnosis among female alcoholics

    Currents in Alcoholism

    (1981)
  • M. Hesselbrock et al.

    ‘Never Believe an Alcoholic’? On the validity of self-report measures of alcohol dependence and related constructs

    The International Journal of the Addictions

    (1983)
  • M.E. Hilton

    Demographic characteristics and the frequency of heavy drinking as predictors of self-reported drinking problems

    British Journal of Addiction

    (1987)
  • W.A. Hunt et al.

    An evaluation of current methods of modifying smoking behavior

    Journal of Consulting and Clinical Psychology

    (1974)
  • D.L. Hurley

    Women, alcohol and incest: An analytical review

    Journal of Studies on Alcohol

    (1991)
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    The authors are grateful to Parkside Medical Services Corp. for use of part of their treatment evaluation database. We would like to thank Dr. Sally Freels for statistical consultations, Dr. Eileen Norton, and Melissa Clark for comments on previous drafts of the manuscript, and Dr. Lee Furey for editorial assistance.

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