Predictors of Treatment Outcomes in Men and Women Admitted to a Therapeutic Community

2000 ◽  
Vol 26 (2) ◽  
pp. 207-227 ◽  
Author(s):  
Nena Messina ◽  
Eric Wish ◽  
Susanna Nemes
1986 ◽  
Vol 16 (2) ◽  
pp. 191-196 ◽  
Author(s):  
Barbara L. Wheeler ◽  
D. Vincent Biase ◽  
Arthur P. Sullivan

Self-concepts of men and women in treatment in a therapeutic community were tested using the Tennessee Self-Concept Scale (TSCS). Testing occurred at four points, the first between three and six months after entering treatment, and again at approximately four month intervals. The 127 males and 42 females were part of the Daytop Miniversity project, in which the effect of enrollment as matriculated college students on self-concept was one area which was tested. Changes in the selfconcepts of men and women as measured by five empirically derived factors, plus the scales of the TSCS, are traced. Particularly striking are the negative selfconcepts of females preparing to leave treatment in the areas of acceptance by family, self, and peers. An awareness of these problem areas may suggest different treatment strategies for women as they near the end of treatment.


Author(s):  
Eleni G. Hapidou ◽  
Eric Pham ◽  
Kate Bartley ◽  
Jennifer Anthonypillai ◽  
Sonya Altena ◽  
...  

LAY SUMMARY Interdisciplinary pain rehabilitation programs are effective in treating chronic pain. Not many studies have explored how Veterans differ from civilians in responding to treatment. In this study, several measures were administered at different time points to examine and compare the long-term treatment outcomes of Veteran and civilian men and women. Results from 67 participants showed an overall long-term improvement in levels of pain-related disability, anxiety, and depression, as well as many other pain-related variables. While no differences in treatment outcomes between Veterans and civilians were found, men and women showed some differences. Women reported higher depressive symptoms overall and more pain-related disability than men at follow-up from the program. This study demonstrates the long-term effectiveness of interdisciplinary pain management programs regardless of Veteran status. It highlights some differences between genders. Previous studies have not compared the long-term outcomes of Veterans and civilians from an interdisciplinary program.


2007 ◽  
Vol 16 (2) ◽  
pp. 85-92 ◽  
Author(s):  
Elisa M. Trucco ◽  
Hilary Smith Connery ◽  
Margaret L. Griffin ◽  
Shelly F. Greenfield

2017 ◽  
Vol 25 (4) ◽  
pp. 293-301 ◽  
Author(s):  
Zaida Agüera ◽  
Isabel Sánchez ◽  
Roser Granero ◽  
Nadine Riesco ◽  
Trevor Steward ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joseph Baruch Baluku ◽  
David Mukasa ◽  
Felix Bongomin ◽  
Anna Stadelmann ◽  
Edwin Nuwagira ◽  
...  

Abstract Background Gender differences among patients with drug resistant tuberculosis (DRTB) and HIV co-infection could affect treatment outcomes. We compared characteristics and treatment outcomes of DRTB/HIV co-infected men and women in Uganda. Methods We conducted a retrospective chart review of patients with DRTB from 16 treatment sites in Uganda. Eligible patients were aged ≥ 18 years, had confirmed DRTB, HIV co-infection and a treatment outcome registered between 2013 and 2019. We compared socio-demographic and clinical characteristics and tuberculosis treatment outcomes between men and women. Potential predictors of mortality were determined by cox proportional hazard regression analysis that controlled for gender. Statistical significance was set at p < 0.05. Results Of 666 DRTB/HIV co-infected patients, 401 (60.2%) were men. The median (IQR) age of men and women was 37.0 (13.0) and 34.0 (13.0) years respectively (p < 0.001). Men were significantly more likely to be on tenofovir-based antiretroviral therapy (ART), high-dose isoniazid-containing DRTB regimen and to have history of cigarette or alcohol use. They were also more likely to have multi-drug resistant TB, isoniazid and streptomycin resistance and had higher creatinine, aspartate and gamma-glutamyl aminotransferase and total bilirubin levels. Conversely, women were more likely to be unemployed, unmarried, receive treatment from the national referral hospital and to have anemia, a capreomycin-containing DRTB regimen and zidovudine-based ART. Treatment success was observed among 437 (65.6%) and did not differ between the genders. However, mortality was higher among men than women (25.7% vs. 18.5%, p = 0.030) and men had a shorter mean (standard error) survival time (16.8 (0.42) vs. 19.0 (0.46) months), Log Rank test (p = 0.046). Predictors of mortality, after adjusting for gender, were cigarette smoking (aHR = 4.87, 95% CI 1.28–18.58, p = 0.020), an increase in alanine aminotransferase levels (aHR = 1.05, 95% CI 1.02–1.07, p < 0.001), and history of ART default (aHR = 3.86, 95% CI 1.31–11.37, p = 0.014) while a higher baseline CD4 count was associated with lower mortality (aHR = 0.94, 95% CI 0.89–0.99, p = 0.013 for every 10 cells/mm3 increment). Conclusion Mortality was higher among men than women with DRTB/HIV co-infection which could be explained by several sociodemographic and clinical differences.


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