Covington Stephanie S, Burke Cynthia, Keaton Sandy, Norcott Candice
Center for Gender and Justice, La Jolla, CA 92037, USA.
J Psychoactive Drugs. 2008 Nov;Suppl 5:387-98. doi: 10.1080/02791072.2008.10400666.
There is growing recognition of the complex needs of women with dual diagnoses of substance abuse and mental health disorders. Recent research indicates that 55% to 99% of women with co-occurring disorders have experienced trauma from abuse and that abused women tend to engage in self-destructive behaviors. These women often are not well served by the services found in their communities, which separate substance abuse and mental health programs, despite the fact that research shows that integrated, trauma-informed treatment services will increase the success of their recovery. A recent study examined the use of two gender-responsive, trauma-informed curricula presented in a residential facility for women, 55% of whom had criminal histories. Helping Women Recover and Beyond Trauma are both manualized programs founded on research and clinical practice and are grounded in the theories of addiction, trauma, and women's psychological development. This treatment model is named "Women's Integrated Treatment" (WIT). Women who successfully completed the programs were assessed at several points in time on several scales, including trauma symptomology, depression, and substance use before and after the programs. The findings indicated less substance use, less depression, and fewer trauma symptoms (p < or = .05)--including anxiety, sleep disturbances, and dissociation--after participation in the WIT curricula.
人们越来越认识到同时患有药物滥用和精神健康障碍的女性有着复杂的需求。最近的研究表明，55%至99%同时患有这两种疾病的女性曾遭受过虐待带来的创伤，而且受虐女性往往会有自我毁灭行为。尽管研究表明综合的、考虑到创伤因素的治疗服务会提高她们康复的成功率，但这些女性往往无法从其所在社区将药物滥用和精神健康项目分开的服务中得到很好的治疗。最近一项研究考察了在一个女性居住设施中使用的两种针对女性且考虑到创伤因素的课程，其中55%的女性有犯罪记录。《帮助女性康复》和《超越创伤》都是基于研究和临床实践编写的手册式课程，以成瘾、创伤和女性心理发展理论为基础。这种治疗模式被称为“女性综合治疗”（WIT）。成功完成课程的女性在课程前后的几个时间点接受了多项测评，包括创伤症状、抑郁和药物使用情况。研究结果表明，参与WIT课程后，药物使用减少、抑郁减轻、创伤症状（p≤0.05）减少，包括焦虑、睡眠障碍和解离症状。
