A gender-specific approach to improving substance abuse treatment for women: the healthy steps to freedom program
Abstract
Given that women increasingly report using drugs to lose weight, substance abuse treatment programs must include body image, weight, eating pathology, and health knowledge as core intervention targets. This study tested the efficacy of a supplemental health and body image curriculum designed for women in substance abuse treatment who report weight concerns called Healthy Steps to Freedom (HSF). Data from 124 adult women recruited from substance abuse treatment facilities in southern Nevada completed measures of drug use, body dissatisfaction, eating pathology, thin-ideal internalization, and health knowledge/behaviors before and after participation in the 12-week HSF program. Results revealed that thin-ideal internalization, body dissatisfaction, and eating disorder symptoms significantly decreased after HSF program participation, whereas health-related behaviors (e.g., increased healthy food consumption) and knowledge (e.g., understanding of basic nutrition, exercise) increased. These results suggest that the inclusion of the HSF program in substance abuse treatment improves weight-related issues in substance-abusing women.
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Gender-specific approaches for women including education around body image reduced eating disorder symptomatology.
“Gender-specific approaches for women including education around body image reduced eating disorder symptomatology (211).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [211]
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- Authors
- Lindsay, A. R., Warren, C. S., Velasquez, S. C., & Lu, M.
- Affiliations
- University of Nevada, Las Vegas (US)
- University of Nevada, Reno (US)
- Corresponding author
- Lindsay, Anne R.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 43
- Issue
- 1
- Pages
- 61-69
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2044559187
- Cited by
- 29
- References
- 56
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 4 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 4 · 2012: 2
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- body image, thin-ideal internalization, body dissatisfaction, eating pathology, weight concern, health knowledge, nutrition education, physical activity, eating disorder symptoms
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Body Image, Body Weight, Female, Humans, Health Knowledge, Attitudes, Practice, Middle Aged, Nevada, Sex Factors, Thinness, Health Behavior, Substance-Related Disorders, Young Adult, Body Dysmorphic Disorders
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