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Cited by 17Substance Abuse Treatment and OutcomesPsychotherapy Techniques and ApplicationsOpioid Use Disorder Treatment

Gender, race, and group behavior in group drug treatment

Open access
Johnson, Jennifer E., Connolly Gibbons, Mary Beth, Crits-Christoph, Paul·2011·Drug and Alcohol Dependence
DOI 10.1016/j.drugalcdep.2011.05.023PMC PMC3178731
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Abstract

Background Group drug counseling is the primary treatment modality used to treat drug dependence in community settings in the United States. Findings from the social psychology literature suggest that gender may influence how individuals participate in groups, and that race may moderate the effects of gender on group behavior. This study examined gender, race, and their interaction as predictors of alliance, participation, self-disclosure, and receipt of advice and feedback in drug counseling groups, and explored how gender and racial differences in drug counseling group behavior related to outcome of cocaine dependence treatment.Method Ratings of group behavior were made from videotaped sessions of group drug counseling drawn from a randomized trial of treatment for cocaine-dependent individuals (n=438). Analyses examined the effects of race (African American or non-Hispanic White), gender, and the race by gender interaction on group behavior. Additional analyses examined race, gender, and group behavior, and interactions among these variables in predicting monthly cocaine use.Results Race and the race by gender interaction, but not gender alone, predicted many group behaviors. Non-Hispanic White women had the highest rates of self-disclosure and receipt of advice and non-positive feedback, followed by men of both races, with African American women having the lowest levels. These differences were unrelated to cross-sectional cocaine outcome.Conclusions Women, but not men, of different races acted differently in mixed-race, mixed-gender cocaine treatment groups, with African American women exhibiting less of several behaviors. Additional research on causes and consequences of these differences could inform interventions for drug-dependent women.

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  • In group intervention settings, mixed gender, pacing, different levels of commitment, and rolling admissions are group dynamics that can negatively impact retention.

    “In group intervention settings, mixed gender, pacing, different levels of commitment, and rolling admissions are all group dynamics that have the potential to negatively impact retention (Johnson et al., 2011; Roos et al., 2019; Yang et al., 2018).”

    From Feasibility and acceptability of mindful recovery opioid use care continuum (M-ROCC): A concurrent mixed methods study (2021) · cites this paper as Johnson et al., 2011

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  1. Grella CE What's So Special About Specialized Treatment for Women? 2006 Presentation at National Conference on Women, Addiction, and Recovery: News You Can Use. Anaheim, CA

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Authors
Johnson, J. E., Connolly Gibbons, M. B., & Crits-Christoph, P.
Affiliations
  • Brown University (US)
  • University of Pennsylvania (US)
Corresponding author
Johnson, Jennifer E.
ORCID
Venue
Drug and Alcohol Dependence
Publisher
Elsevier BV
Published
2011-12
Volume
119
Issue
3
Pages
e39-e45
ISSN
0376-8716 (ISSN-L)
DOI
10.1016/j.drugalcdep.2011.05.023
PMC
PMC3178731
OpenAlex
W2080143256
Cited by
17
References
76
Citations by year
2024: 5 · 2022: 3 · 2021: 2 · 2020: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 1
FWCI
0.72
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Drug and Alcohol Dependence (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (R01DA018935, K23DA021159)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
cocaine dependence, gender differences, racial differences, African American women, group behavior, self-disclosure, group participation, mixed-sex groups, women with substance use disorders
MeSH terms
Adolescent, Adult, Black or African American, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Psychotherapy, Group, Sex Factors, Video Recording, Behavior, Addictive, Cocaine-Related Disorders, White People, Young Adult

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