Women's and men's experiences in group therapy for substance use disorders: A qualitative analysis.

Women's and men's experiences in group therapy for substance use disorders: A qualitative analysis.
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女性和男子在群体治疗中的使用障碍的经历:定性分析。

DOI:
10.1111/ajad.13242
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发表时间:
2022-01
期刊:
The American journal on addictions
影响因子:
--
通讯作者:
Greenfield SF
Greenfield SF
中科院分区:
其他
文献类型:
--
作者:
Sugarman DE;Meyer LE;Reilly ME;Greenfield SF

文献摘要

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相似文献

本专题分析定性访谈的参与者在第二阶段的随机对照试验研究了妇女和男子的经验,在团体治疗物质使用障碍(SUD)。在完成针对性别的妇女康复小组(WRG)或混合性别小组药物咨询(GDC)后,对77名妇女和38名男子进行了采访。访谈编码的主题使用演绎的方法与编码方案修改的第一阶段试验。治疗后定量测量满意度。参与者的满意度得分很高,组间没有显著差异。GDC中的女性认为组的性别组成比WRG中的女性更有帮助。在GDC组中,女性更频繁地讨论自我感知的主题(例如,舒适感,安全感,羞耻感)与男性相比。绝大多数男子表示,小组中有妇女的好处,而妇女则表示,混合性别小组的好处和坏处,以及对单一性别小组的偏好。妇女和男子都讨论了内疚和羞耻;但是,只有妇女讨论了耻辱及其在其吸毒成瘾和康复中的重要作用。男性比女性更频繁地认可混合性别群体的帮助,而女性则赞赏单一性别SUD群体的增强支持。污名化问题对妇女尤其突出。男性和女性在SUD团体治疗的经历中表现出差异。只有妇女认为耻辱是她们治疗和康复的障碍。量身定制的治疗,以满足妇女和男子的需要,可以提高参与,保留和临床结果。
This thematic analysis of qualitative interviews from participants in a Stage II randomized controlled trial examined women’s and men’s experiences in group therapy for substance use disorders (SUDs). Interviews were conducted with 77 women and 38 men after completion of either the gender-specific Women’s Recovery Group (WRG) or mixed-gender Group Drug Counseling (GDC). Interviews were coded for themes using a deductive approach with a coding scheme modified from the Stage I trial. Satisfaction was measured quantitatively post-treatment. Participants had high satisfaction scores with no significant differences between groups. Women in GDC rated group gender composition as less helpful than those in WRG. In the GDC group, women more frequently discussed the theme of self-perception (e.g., feelings of comfort, safety, shame) compared to men. Men overwhelmingly expressed the benefits of having women in the group, whereas women expressed advantages and disadvantages of mixed-gender groups and preference for single-gender groups. Guilt and shame were discussed by women and men; however, only women discussed stigma and its important role in their addiction and recovery. Men more frequently endorsed the helpfulness of mixed-gender groups than did women while women appreciated the enhanced support in single-gender SUD groups. Issues of stigma are especially salient for women. Men and women express differences in their experiences of SUD group therapy. Only women endorse stigma as an obstacle to their treatment and recovery. Tailoring treatment to meet women’s and men’s needs may enhance engagement, retention, and clinical outcomes.
DOI: 10.1016/j.drugalcdep.2014.06.035
发表时间: 2014-09-01
影响因子: 4.2
作者:
Greenfield, Shelly F.;Sugarman, Dawn E.;Fitzmaurice, Garrett M.
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期刊: Journal of groups in addiction & recovery
影响因子: --
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