Document Detail

Gender, race, and group behavior in group drug treatment.
MedLine Citation:
PMID:  21689897     Owner:  NLM     Status:  MEDLINE    
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.
Jennifer E Johnson; Mary Beth Connolly Gibbons; Paul Crits-Christoph
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  119     ISSN:  1879-0046     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-02     Completed Date:  2012-08-16     Revised Date:  2014-09-13    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  e39-45     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
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MeSH Terms
African Americans / ethnology*,  psychology
Behavior, Addictive / ethnology*,  psychology,  therapy
Cocaine-Related Disorders / ethnology*,  psychology,  therapy
Cross-Sectional Studies
European Continental Ancestry Group / ethnology*,  psychology
Middle Aged
Psychotherapy, Group / methods*
Sex Factors
Video Recording / methods
Young Adult
Grant Support
K23 DA021159-05/DA/NIDA NIH HHS; K23DA021159/DA/NIDA NIH HHS; R01 DA018935/DA/NIDA NIH HHS; R01 DA018935-04/DA/NIDA NIH HHS; R01DA018935/DA/NIDA NIH HHS

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