[Addressing dual pathology through integrative models from a gender perspective]

Currently, substance use and mental health problems are on the rise. Gender-integrated treatments for dual pathology exist, although no specific therapies have been found for major depressive disorder co-occurring with alcoholism in women. Women initiate alcohol consumption later than men but experience a faster escalation of addiction, although they seek help earlier. Among women, depressive disorder, somatomorphic disorder, bipolar disorder, dysthymia, post-traumatic stress disorder, and cluster C personality disorders are more prevalent. Alcohol is the primary substance consumed by women. Although ten gender-integrated models have been identified any models of this kind have been found for the treatment of dual depression. Sociocultural differences in the development of dual diagnosis between genders are influenced by changing gender roles in alcohol consumption and variations in the prevalence of specific disorders.