Choi Sam, Adams Susie M, Morse Siobhan A, MacMaster Sam
1School of Social Work, University of Tennessee-Knoxville , Nashville, Tennessee , USA.
Subst Use Misuse. 2015 Apr;50(5):653-63. doi: 10.3109/10826084.2014.997828. Epub 2015 Jan 14.
A significant number of individuals with co-occurring substance abuse and mental health disorders do not engage, stay, and/or complete residential treatment. Although prior research indicates that women and men differ in their substance abuse treatment experiences, our knowledge of individuals with co-occurring substance abuse and mental health disorders as well as those attending private residential treatment is limited.
The purpose of this study is to examine gender differences on treatment retention for individuals with co-occurring substance abuse and mental health disorders who participate in private residential treatment.
The participants were 1,317 individuals (539 women and 778 men) with co-occurring substance abuse and mental health disorders receiving treatment at three private residential treatment centers. Bivariate analyses, life tables, and Cox regression (survival analyses) were utilized to examine gender effects on treatment retention, and identify factors that predict treatment retention for men and women.
This study found that women with co-occurring disorders were more likely to stay longer in treatment when compared to men. The findings indicate the factors influencing length of stay differ for each gender, and include: type of substance used prior to admission; Addiction Severity Index Composite scores; and Readiness to Change/URICA scores. Age at admission was a factor for men only. CONCLUSIONS/IMPORTANCE: These findings can be incorporated to develop and initiate program interventions to minimize early attrition and increase overall retention in private residential treatment for individuals with co-occurring substance use and mental health disorders.
大量同时患有药物滥用和精神健康障碍的个体无法参与、坚持和/或完成住院治疗。尽管先前的研究表明，男性和女性在药物滥用治疗经历方面存在差异，但我们对同时患有药物滥用和精神健康障碍的个体以及接受私人住院治疗的个体的了解仍然有限。
本研究的目的是探讨参与私人住院治疗的同时患有药物滥用和精神健康障碍的个体在治疗保留率上的性别差异。
研究对象为1317名同时患有药物滥用和精神健康障碍的个体（539名女性和778名男性），他们在三个私人住院治疗中心接受治疗。采用双变量分析、生命表和Cox回归（生存分析）来检验性别对治疗保留率的影响，并确定预测男性和女性治疗保留率的因素。
本研究发现，与男性相比，同时患有多种障碍的女性更有可能在治疗中停留更长时间。研究结果表明，影响停留时间的因素因性别而异，包括：入院前使用的药物类型；成瘾严重程度指数综合评分；以及改变意愿/URICA评分。入院年龄仅是男性的一个影响因素。结论/重要性：这些研究结果可用于制定和启动项目干预措施，以尽量减少早期流失率，并提高同时患有药物使用和精神健康障碍的个体在私人住院治疗中的总体保留率。
