Substance use among women veterans: Epidemiology to evidence-based treatment

Journal of Addictive Diseases

Volumn 32, Issue 2, 2013, Pages 119-139

  Cucciare, Michael A ^a   Simpson, Tracy ^b,c   Hoggatt, Katherine J ^d   Gifford, Elizabeth ^a   Timko, Christine ^a,e  

^a VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^b VA PUGET SOUND HEALTH CARE SYSTEM   (United States)

^c UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^d VA GREATER LOS ANGELES HEALTHCARE SYSTEM   (United States)

^e STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Alcohol; Drugs; Evidence based treatment; Screening; Substance misuse; Women Veterans

Indexed keywords

AMPHETAMINE DERIVATIVE; CANNABIS; COCAINE; OPIATE;

ALCOHOL ABUSE; ALCOHOL CONSUMPTION; ALCOHOL TOLERANCE; ALCOHOLISM; ARTICLE; CANNABIS ADDICTION; COCAINE DEPENDENCE; COGNITIVE THERAPY; COMORBIDITY; COPING BEHAVIOR; DRUG SCREENING; EVIDENCE BASED MEDICINE; FEMALE; GASTROINTESTINAL DISEASE; HEALTH CARE DELIVERY; HOMELESSNESS; HUMAN; MAJOR DEPRESSION; MARRIAGE; MENTAL DISEASE; MILITARY SERVICE; MOTIVATIONAL INTERVIEWING; POSTOPERATIVE COMPLICATION; POSTTRAUMATIC STRESS DISORDER; PREGNANT WOMAN; PREVALENCE; PRIMARY HEALTH CARE; RANDOMIZED CONTROLLED TRIAL (TOPIC); RESEARCH PRIORITY; RISK ASSESSMENT; SEX DIFFERENCE; SEXUAL ABUSE; SEXUAL ASSAULT; SUBSTANCE ABUSE; TREATMENT OUTCOME; VETERAN;

ALCOHOLISM; COMORBIDITY; CROSS-SECTIONAL STUDIES; EVIDENCE-BASED MEDICINE; FEMALE; FORECASTING; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; MASS SCREENING; MENTAL DISORDERS; RISK ASSESSMENT; RISK FACTORS; SUBSTANCE-RELATED DISORDERS; UNITED STATES; VETERANS;

EID: 84881302468     PISSN: 10550887     EISSN: 15450848     Source Type: Journal    
DOI: 10.1080/10550887.2013.795465     Document Type: Article

References (99)

1. Meehan S. Improving health care for women Veterans. J Gen Intern Med. 2006; 21:S1-S2.
2. Hayes P, KrauthamerM. Changing the face of health care for women Veterans. Fed Pract 2009; 26:8-10.
3. U.S. Department of Veterans Affairs. Sourcebook: women Veterans in the Veterans Health Administration. Volume 1: sociodemographic characteristics and use of VHA CARE. http://www.va.gov/vhapublications/ViewPublication.asp?pub ID=2455 (accessed January 16, 2013).
4. U.S. Department of Veterans Affairs. Women Veterans health care. http://www. womenshealth.va.gov/WOMENSHEALTH/providers.asp (accessed January 14, 2013).
5. Bean-Mayberry B, Yano EM, Washington DL, et al. Systematic review of women Veterans' health: update on successes and gaps. Womens Health Issues 2011; 21:S84-97.
6. Yano EM, Bastian LA, Bean-Mayberry B, et al. Using research to transform care for women Veterans: advancing the research agenda and enhancing researchclinical partnerships. Womens Health Issues 2011; 21:S73-83.
7. Yano EM, Bastian LA, Frayne SM, et al. Toward a VA Women's Health Research Agenda: setting evidence-based priorities to improve the health and health care of women Veterans. J Gen Intern Med 2006; 21:S93-101.
8. Whitlock EP, Polen MR, Green CA, Orleans T, Klein J. Behavioural counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventative Services Task Force. Ann Intern Med 2004; 140:557-68.
9. National Institute on Alcohol Abuse and Alcoholism (NIAAA). NIAAA council approves definition of binge drinking. NIAAA Newsletter, No. 3, Winter 2004.
10. USPSTF, US Preventive Services Task Force. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: recommendations statement. Ann Intern Med 2004; 140:554-6.
11. Jacobson IG, Ryan MA, Hooper TI, et al. Alcohol use and alcohol-related problems before and after military combat deployment. JAMA 2008; 300(6):663-75.
12. Caspers KM, Yucuis R, McKirgan LM, Spinks R, Arndt S. Lifetime substance misuse and 5-year incidence rates of emergent health problems among middle-aged adults. J Addict Dis 2009; 28(4):320-31.
13. Compton WM, Thomas YF, Stinson FS, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry 2007; 64(5):566-76.
14. Grant BF, Dawson DA, Stinson FS, Chou SP, Dufour MC, Pickering RP. The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991-1992 and 2001-2002. Drug Alcohol Depend. 2004; 74(3):223-34.
15. Substance Abuse Ad Mental Health Services Administration (SAMHSA). Results from the 2006 national survey on drug use and health: National findings. http://www.samhsa.gov/data/nsduh/2k6nsduh/2k6results.pdf (accessed May 21, 2013).
16. Lande RG, Marin BA, Chang AS, Lande GR. Gender differences and alcohol use in the US Army. J Am Osteopath Assoc 2007; 107:401-7.
17. Substance Abuse and Mental Health Services Administration (SAMHSA). The NSDUH report: serious psychological distress and substance use disorder among veterans. http://www.oas.samsha. gov/2k7/veteransDual/veteransDual .htm (accessed May 17, 2012).
18. Bradley KA, Bush KR,Davis TM, et al. Binge drinking among female Veterans Affairs patients: prevalence and associated risks. Psychol Addict Behav 2001; 15:297-305.
19. Davis TM, Bush KR, Kivlahan DR, Dobie DJ, Bradley KA. Screening for substance abuse and psychiatric disorders among women patients in a VA health care system. Psychiatr Serv 2003; 54:214-8.
20. Booth BM, Mengeling M, Torner J, Sadler AG. Rape, sex partnership, and substance use consequences in women Veterans. J Trauma Stress 2011; 24:287-94.
21. Grubaugh AL, Monnier J, Magruder KM, Knapp RG, Frueh C. Female Veterans seekingmedical care at Veterans Affairs primary care clinics: psychiatric and medical illness burden and service use. Women Health 2006; 43:41-62.
22. Maguen S, Ren L, Bosch JO, Marmar CR, Seal KH. Gender differences in mental health diagnoses among Iraq and Afghanistan Veterans enrolled in Veterans Affairs health care. Am J Publ Health 2010; 100:2450-6.
23. Seal KH, Cohen G, Waldrop A, Cohen BE, Maguen S, Ren L. Substance use disorders in Iraq and Afghanistan veterans in VA healthcare, 2001-2010: implications for screening, diagnosis and treatment. Drug Alcohol Depend 2011; 116:93-101.
24. Gifford E, Tavakoli S, Wang R, Matthews K. Female veterans in outpatient substance use disorder specialty care. Palo Alto, CA: Center for Health Care Evaluation; 2011.
25. Stecker T, Han X, Curran GM, Booth BM. Characteristics of women seeking intensive outpatient substance use treatment in the VA. J Womens Health 2007; 16: 1478-84.
26. Davis TM, Carpenter KM, Malte CA, Carney M, Chambers S, Saxon AJ. Women in addictions treatment: comparing VA and community samples. J Subst Abuse Treat 2002; 23:41-8.
27. Watkins KE, Pincus HA, Smith B., et al. Veterans Health Administration mental health program evaluation. Capstone report. http://www.rand.org/pubs/ technical reports/TR956 (accessed May 21, 2013).
28. Kaur S, Bastian LA. Screening for substance abuse in primary care among women veterans? J Clin Outcomes Manage 2005; 12:359-66.
29. Nunnink SE, Goldwaser G, Heppner PS, Pittman JO, Nievergelt CM, Baker DG. Female veterans of the OEF/OIF conflict: concordance of PTSD symptoms and substance misuse. Addict Behav 2010; 35(7):655-9.
30. Westermeyer J, Canive J, Thuras P, Thompson J, Crosby RD, Garrard J. A comparison of substance use disorder severity and course in American Indian male and female Veterans. Am J Addict 2009; 18: 87-92.
31. Wallace AE, Sheehan EP, Young-XU Y. Women, alcohol, and the military: cultural changes and reductions in later alcohol problems among female Veterans. J Womens Health 2009; 18:1347-53.
32. Chavez LJ, Williams EC, Lapham G, Bradley KA. Association between alcohol screening scores and alcohol-related risks among female Veterans Affairs patients. J Stud Alcohol Drugs 2012; 73:391-400.
33. Hassija CA, Jakupcak M, Maguen S, Shipherd JC. The influence of combat and interpersonal trauma on PTSD, depression, and alcohol misuse in U.S. Gulf War and OEF/OIF women Veterans. J Trauma Stress 2010; 25:216-9.
34. Benda BB. Gender differences in predictors of suicidal thoughts and attempts among homeless Veterans that abuse substances. Suicide Life Threat Behav 2005; 35:106-116.
35. Kimerling R, Street AE, Pavao J, et al. Military-related sexual trauma among Veterans Health Administration patients returning from Afghanistan and Iraq. Am J Public Health 2010; 100(8):1409-12.
36. Rosen CS, Ouimette PC, Sheikh JI, Gregg JA, Moos RH. Physical and sexual abuse history and addiction treatment outcomes. J Stud Alcohol 2002; 63(6):683-7.
37. Gradus JL, Street AE, Kelly K, Stafford J. Sexual harassment experiences and harmful alcohol use in a military sample: differences in gender and the mediating role of depression. J Stud Alcohol Drugs 2008; 69:348-51.
38. Hamilton AB, Poza I, Washington DL. Homelessness and Trauma Go Hand-inhand: Pathways to Homelessness among Women Veterans.Women Health Iss Homelessness and trauma go hand-inhand: Pathways to homelessness among women veterans.Women Health Iss 2011; 21:S203-9
39. Nazarian D, Kimerling R, Frayne SM. Posttraumatic stress disorder, substance use disorders, and medical comorbidity among returning U.S. Veterans. J Trauma Stress 2012; 25:220-5.
40. Walker RD, Howard MO, Anderson B, et al. Diagnosis and hospital readmission rates of female veterans with substancerelated disorders. Psychiatr Serv 1995; 46(9):932-7.
41. Taft CT, Monson CM, Hebenstreit CL, King DW, King LA. Examining the correlates of aggression among male and female Vietnam veterans. Violence Vict 2006; 24:639-52.
42. Davis TM, Bush KR, Kivlahan DR, Dobie DJ, Bradley KA: Screening for substance abuse and psychiatric disorders among women patients in a VA health care system. Psychiat Serv 2003; 54(2):214-8
43. Valdez C, Kimerling R, Hyun JK, Mark HF, Saweikis M, Pavao J. Veterans Health Administration mental health treatment settings of patients who report military sexual trauma. J Trauma Dissociation 2011; 12:232-43.
44. Bradley KA, Bush KR, Epler AJ, et al. Two brief alcohol-screening tests from the Alcohol Use Disorders Identification Test (AUDIT). Arch Intern Med 2003; 163:821-9.
45. Bradley KA, Rubinsky AD, Sun H, et al. Prevalence of alcohol misuse among men and women undergoing major noncardiac surgery in the Veterans Affairs health care system. Surgery 2012; 152:69-81.
46. Harris AHS, Bradley KA, Bowe T, Henderson P, Moos R. Associations between AUDIT-C and mortality vary by age and sex. Popul Health Manage 2010; 13:263-8
47. Lembke A, Bradley KA, Henderson P, Moos R, Harris A.H.S. Alcohol screening scores and the risk of new-onset gastrointestinal illness or related hospitalization. J Gen Intern Med 2011; 26:777-82.
48. Butler LH, Correia CJ. Brief alcohol intervention with college student drinkers: faceto-face versus computerized feedback. Psychol Addict Behav 2009; 23:163-7.
49. Squires DD, Hester RK. Development of a computer-based, brief intervention for drinkers: the increasing role for computers in the assessment and treatment of addictive behaviors. Behavior Therapist 2002; 25:59-65.
50. Hester RK, Squires DD, Delaney HD. The Drinker's Check-up: 12-month outcomes of a controlled clinical trial of a stand-alone software program for problem drinkers. J Subst Abuse Treat 2005; 28:159-69.
51. Williams J, Herman-Stahl M, Calvin SL, Pemberton M, Bradshaw M. Mediating mechanisms of military web-based alcohol intervention. Drug Alcohol Depend 2009; 100:248-57.
52. Ballesteros J, Gonzalez-Pinto A, Querejeta I, Arino J. Brief interventions for hazardous drinkers delivered in primary care are equally effective in men and women. Addiction 2004; 99:103-8.
53. Kaner EF, Dickinson HO, Beyer FR, et al. Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev 2007; 2:CD004148.
54. Manwell LB, Fleming MF, Mundt MP, Stauffacher EA, Barry KL. Treatment of problem alcohol use in women of childbearing age: results of a brief intervention trial. Alcohol Clin Exp Res 2000; 24:1517-24
55. de Dios MA, Herman DS, Britton WB, Hagerty CE, Anderson BJ, Stein MD. Motivational and mindfulness intervention for young adult female marijuana users. J Subst Abuse Treat 2012; 42:56-64.
56. Chang G, Fisher ND, Hornstein MD, et al. Brief intervention for women with risky drinking andmedical diagnoses: a randomized controlled trial. J Subst Abuse Treat 2011; 41:105-14.
57. Suffoletta-Maierle S, Grubaugh AL, Magruder K, Monnier J, Frueh BC. Traumarelated mental health needs and service utilization among female veterans. J Psychiatr Pract 2003; 9(5):367-75.
58. Chang G, McNamara TK, Haimovici F, Hornstein MD. Problem drinking in women evaluated for infertility. Am J Addiction 2006; 15:174-9.
59. Delrahim-Howlett K, Chambers CD, Clapp JD, et al. Web-based assessment and brief intervention for alcohol use in women of childbearing potential: a report of the primary findings. Alcohol Clin Exp Res 2011; 35:1331-8.
60. Floyd RL, Sobell M, Velasquez MM, et al. Preventing alcohol-exposed pregnancies: a randomized controlled trial. Am J PrevMed 2007; 32:1-10.
61. Nilsen P. Brief alcohol intervention to prevent drinking during pregnancy: an overview of research findings. Curr Opin Obstet Gynecol 2009; 21:496-500.
62. Armstrong MA, Kaskutas LA, Witbrodt J, et al. Using drink size to talk about drinking during pregnancy: a randomized clinical trial of Early Start Plus. SocWork Health Care 2009; 48:90-103.
63. Nilsen P, Holmqvist M, Bendtsen P, Hultgren E, Cedergren M. Is questionnairebased alcohol counseling more effective for pregnant women than standard maternity care? J Womens Health 2010; 19:161-7.
64. Fleming MF, Lund MR, Wilton G, Landry M, Scheets D. The Healthy Moms Study: the efficacy of brief alcohol intervention in postpartum women. Alcohol Clin Exp Res 2008; 32:1600-6.
65. Ondersma SJ, Svikis DS, Schuster CR. Computer-based brief intervention: a randomized trial with postpartum women. Am J Prev Med 2007; 32:231-8.
66. Finfeld-Connett D, Madsen R. Web based treatment of alcohol problems among rural women: results of a randomized pilot investigation. J Psychosoc Nurs Ment Health Serv 2008; 46:46-53.
67. Lewis MA, Neighbors C. Optimizing personalized normative feedback: the use of gender-specific referents. J Stud Alcohol Drugs 2007; 68:228-37.
68. Hien DA, Jiang H, Campbell AN, et al. Do treatment improvements in PTSD severity affect substance use outcomes? A secondary analysis from a randomized clinical trial in NIDA's Clinical Trials Network. Am J Psychiatr 2010; 167:95-101.
69. Green CA. Gender and use of substance abuse treatment services. Alcohol Res Health 2006; 29:55-62.
70. Greenfield SF, Brooks AJ, Gordon SM, et al. Substance abuse treatment entry, retention, and outcome in women: a review of the literature. Drug Alcohol Depend 2007; 86:1-21.
71. Kadden RM, Cooney NL, Getter H, Litt MD. Matching alcoholics to coping skills or interactional therapies: posttreatment results. J Consult Clin Psychol 1989; 57:698-704.
72. Rohsenow DJ, Monti PM, Martin RA, Michalec E, Abrams DB. Brief coping skills treatment for cocaine abuse: 12-month substance use outcomes. J Consult Clin Psychol 2000; 68:515-20.
73. Wong CJ, Badger GJ, Sigmon SC, Higgins ST. Examining possible gender differences among cocaine-dependent outpatients. Exp Clin Psychopharmacol 2002; 10:316-23.
74. McKay JR, Lynch KG, Pettinati HM, Shepard DS. An examination of potential sex and race effects in a study of continuing care for alcohol-and cocaine-dependent patients. Alcohol Clin Exp Res 2003; 27:1321-3.
75. Sterling RC, Dean J, Weinstein SP, Murphy J, Gottheil E. Gender differences in cue exposure reactivity and 9-month outcome. J Subst Abuse Treat 2004; 27:39-44.
76. Winhusen TM, Kropp F. Psychosocial treatments for women with substance use disorders. Obstet Gynecol Clin North Am 2003; 30:483-99, vi.
77. Stephens RS, Roffman RA, Simpson EE. Treating adult marijuana dependence: a test of the relapse preventionmodel. J Consult Clin Psychol 1994; 62:92-9.
78. Saunders B, Wilkinson C, Phillips M. The impact of a brief motivational intervention with opiate users attending a methadone programme. Addiction 1995; 90:415-24
79. Svikis DS, Lee JH, Haug NA, Stitzer ML. Attendance incentives for outpatient treatment: effects in methadone-and nonmethadone-maintained pregnant drug dependent women. Drug Alcohol Depend 1997; 48:33-41.
80. Jones HE, Haug NA, Stitzer ML, Svikis DS. Improving treatment outcomes for pregnant drug-dependent women using lowmagnitude voucher incentives. Addict Behav 2000; 25:263-267.
81. Jones HE, Haug N, Silverman K, Stitzer M, Svikis D. The effectiveness of incentives in enhancing treatment attendance and drug abstinence in methadone-maintained pregnant women. Drug Alcohol Depend 2001; 61:297-306.
82. Handmaker NS, Miller WR, Manicke M. Findings of a pilot study of motivational interviewing with pregnant drinkers. J Stud Alcohol 1999; 60:285-7.
83. Reynolds KD, Coombs DW, Loew JB, et al. Evaluation of a self-help program to reduce alcohol consumption among pregnant women. Int J Addict 1995; 30:427-43
84. Volpicelli JR, Markman I, Monterosso J, Filing J, O'Brien CP. Psychosocially enhanced treatment for cocaine-dependent mothers: evidence of efficacy. J Subst Abuse Treat 2000; 18:41-9.
85. Kelly AB, Halford WK, Young RM. Maritally distressed women with alcohol problems: the impact of a short-term alcoholfocused intervention on drinking behaviour and marital satisfaction. Addiction 2000; 95:1537-49.
86. Hien DA, Cohen LR, Miele GM, Litt LC, Capstick C. Promising treatments for women with comorbid PTSD and substance use disorders. Am J Psychiatr 2004; 161:1426-32.
87. Hien DA,Wells EA, Jiang H, et al. Multisite randomized trial of behavioral interventions for women with co-occurring PTSD and substance use disorders. J Consult Clin Psychol 2009; 77:607-19.
88. Greenfield SF, Grella CE. What is women-focused treatment for substance use disorders? Psychiatr Serv 2009; 60: 880-2.
89. Brady TM, Ashley OS, editors. Women in substance abuse treatment: results from the Alcohol and Drug Services Study (ADSS). DHHS Publication No. SMA 04-3968, Analytic Series A-26. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies (SAMHSA/OAS); 2005.
90. Greenfield SF, Trucco EM, McHugh RK, LincolnM,Gallop RJ. TheWomen's Recovery Group Study: a stage I trial of womenfocused group therapy for substance use disorders versus mixed-gender group drug counseling. Drug Alcohol Depend 2007; 90:39-47.
91. Sterling RC, Gottheil E, Weinstein SP, Serota R. Therapist/patient race and sex matching: treatment retention and 9-month follow-up outcome. Addiction 1998; 93:1043-50.
92. Sterling RC, Gottheil E, Weinstein SP, Serota R. The effect of therapist/patient race-and sex-matching in individual treatment. Addiction 2001; 96:1015-22.
93. Saitz R, Palfai, TP, Samet, JH. Some medical inpatients with unhealthy alcohol use may benefit from brief intervention. JSAD 2009; 70(3):426-35.
94. Chang G, Wilkins-Haug L, Berman S, Goetz MA. Brief intervention for alcohol use in pregnancy: a randomized trial. Addiction 1999; 94:1499-1508.
95. Chang G, McNamara TK, Orav EJ, et al. Brief intervention for prenatal alcohol use: a randomized trial. Obstet Gynecol 2005; 105:991-8.
96. O'Connor MJ, Whaley SE. Brief intervention for alcohol use by pregnant women. Am J Public Health 2007; 97:252-8
97. Condelli WS, Koch MA, Fletcher B. Treatment refusal/attrition among adults randomly assigned to programs at a drug treatment campus: The New Jersey Substance Abuse Treatment campus, Seacaucus, NJ. JSAT 2000; 18:395-407.
98. Kaskutas LA, Zhang L, French MT, Witbrodt J. Women's programs versus mixed-gender day treatment: results from a randomized study. Addiction 2005; 100(1):60-9.
99. Linehan MM, Schmidt H 3rd, Dimeff LA, Craft JC, Kanter J, Comtois, KA. Dialectical behavior therapy for patients with borderline personality disorder and drug dependence. Am J Addict 1999; 8(4): 279-92.