Historique
Périodique
Psychopathology influences treatment retention among drug-dependent women
(La psychopathologie influence la rétention en traitement des femmes dépendantes)
Auteur(s) :
HALLER, D. L. ;
MILES, D. R. ;
DAWSON, K. S.
Année
2002
Page(s) :
431-436
Langue(s) :
Anglais
Refs biblio. :
18
Domaine :
Drogues illicites / Illicit drugs
Note générale :
Journal of Substance Abuse Treatment, 2002, 23, (4), 431-436
Note de contenu :
tabl.
Résumé :
ENGLISH :
Three subgroups of drug dependent women (N=78) were identified through cluster analysis on MCMI-II scores. Group 1 (26%) presented a relatively benign clinical picture. In contrast, Group 2 (37%) evidenced severe addiction, psychiatric (Axis I), and personality (Axis II) problems. Group 3 (37%) was characterized by fewer Axis I problems, prominent addiction and externalizing (Cluster B) personality deficits. Group membership was significantly associated with retention in a gender-specific day treatment program. Group 2 experienced rapid attrition, with only 36% completing treatment, compared to 57% for Group I and 76% for Group 3. Results indicate that drug-dependent women with externalizing psychopathology can be retained in treatment when environmental barriers are removed and an adequate "holding environment" is maintained. However, women with severe psychiatric problems, unstable mood, and interpersonal deficits are less likely to complete treatment. Early identification of women at risk for drop-out affords an opportunity to intervene to prevent its occurrence. (Editor's abstract.)
Affiliation :
Med. Coll. VA, Richmond, VA 23298. E-mail : dhallerhsc.vcu.edu
Etats-Unis. United States.
Etats-Unis. United States.