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Developing a sociological framework for dually diagnosed women.

W R Palacios¹, C F Urmann, R Newel

¹Department of Criminology, University of South Florida, Tampa, USA. wpalacio@luna.cas.usf.edu

Journal of Substance Abuse Treatment

|August 6, 1999

Summary

Women with histories of crime and abuse entering drug treatment often have comorbid personality disorders and substance abuse issues. These factors negatively impact treatment outcomes and recovery success.

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Area of Science:

Psychiatry
Psychology
Addiction Medicine

Background:

Comorbid personality disorders and substance abuse are prevalent in women seeking addiction treatment.
Understanding social stressors like trauma is crucial for effective therapeutic interventions.

Purpose of the Study:

To identify social stressors and comorbid diagnoses in women within a residential therapeutic community.
To assess the relationship between pre-treatment behaviors, abuse history, and treatment outcomes.

Main Methods:

Exploratory study using Structured Clinical Inventory for DSM-III-R-Patient edition (SCID-II), Addiction Severity Index (ASI), and Millon Clinical Multiaxial Inventory-II (MCMI-II).
Assessment of women within 3 weeks of admission and 6 months post-program completion.
Focus on personality disorder scales (antisocial, borderline) and substance abuse patterns.

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Main Results:

Clinically significant antisocial and borderline personality traits were observed.
Women with prior delinquent/criminal behavior showed higher rates of polydrug use and poly-substance abuse.
History of emotional, physical, or sexual abuse was high (57.1%, 48.9%, 39.7% respectively) and linked to poorer 6-month outcomes.

Conclusions:

Childhood abuse is a significant factor in the development of personality disorders and posttraumatic stress disorder in women with substance use disorders.
Pre-existing behavioral issues and abuse histories predict poorer treatment success in this population.
Integrated treatment addressing trauma and personality disorders is essential for women in addiction recovery.