Addictive behaviors · 2026
Gender-related differences in structural pathways involving alcohol-related aggressive behaviors, family conflicts, and Cluster B personality disorders in substance use treatment: engagement, discharge, and readmissions.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Dacosta-Sánchez Daniel, González Ponce Bella M, Mancheño-Velasco Cinta, Narváez-Camargo Marta, Lozano Óscar M
Аннотация
BACKGROUND: Gender-informed addiction care needs evidence on whether alcohol-related aggressive behaviors, family conflict and Cluster B pathology influence treatment differently for men and women.
OBJECTIVE: To test gender-specific structural pathways associating years of problematic alcohol use, alcohol-related aggressive behaviors, partner conflict, child conflict and Cluster B diagnosis with appointment adherence, retention, therapeutic discharge and readmissions.
METHOD: Retrospective electronic health record study in Andalusia's public addiction treatment network (N = 4844 entrants, 2015-2021; 25.5% women). Multigroup structural modelling tested within-gender associations and gender differences in pathways to outcomes.
RESULTS: Child conflict was more prevalent in women than men (31.7% vs 15.9%; V = 0.17; p < 0.001) and was associated with higher readmissions in women (β = 0.101; p = 0.001) but not men (β = -0.029; p = 0.126); partner conflict was associated with fewer readmissions in men (β = -0.041; p = 0.019). In men, alcohol-related aggressive behaviors were associated with lower appointment adherence (β = -0.059; p = 0.001). Cluster B diagnosis was associated with lower therapeutic discharge (men: β = -0.063; p = 0.017; women: β = -0.138; p = 0.005) and higher readmissions (men: β = 0.062; women: β = 0.095; both p < 0.001). Retention was associated with higher discharge and fewer readmissions in both genders (all p < 0.001). Meaningful gender-specific structural differences emerged only in the pathway associating child conflict to readmissions.
DISCUSSION AND CONCLUSION: These pathways highlight child conflict as a gender-specific readmission risk marker for women and support family-focused, gender-informed interventions that strengthen adherence and retention.
OBJECTIVE: To test gender-specific structural pathways associating years of problematic alcohol use, alcohol-related aggressive behaviors, partner conflict, child conflict and Cluster B diagnosis with appointment adherence, retention, therapeutic discharge and readmissions.
METHOD: Retrospective electronic health record study in Andalusia's public addiction treatment network (N = 4844 entrants, 2015-2021; 25.5% women). Multigroup structural modelling tested within-gender associations and gender differences in pathways to outcomes.
RESULTS: Child conflict was more prevalent in women than men (31.7% vs 15.9%; V = 0.17; p < 0.001) and was associated with higher readmissions in women (β = 0.101; p = 0.001) but not men (β = -0.029; p = 0.126); partner conflict was associated with fewer readmissions in men (β = -0.041; p = 0.019). In men, alcohol-related aggressive behaviors were associated with lower appointment adherence (β = -0.059; p = 0.001). Cluster B diagnosis was associated with lower therapeutic discharge (men: β = -0.063; p = 0.017; women: β = -0.138; p = 0.005) and higher readmissions (men: β = 0.062; women: β = 0.095; both p < 0.001). Retention was associated with higher discharge and fewer readmissions in both genders (all p < 0.001). Meaningful gender-specific structural differences emerged only in the pathway associating child conflict to readmissions.
DISCUSSION AND CONCLUSION: These pathways highlight child conflict as a gender-specific readmission risk marker for women and support family-focused, gender-informed interventions that strengthen adherence and retention.