Academic Journal
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.
| Τίτλος: | 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. |
|---|---|
| Συγγραφείς: | Dacosta-Sánchez D; Departamento de Psicología y Antropología, Área de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Formación del Profesorado, Universidad de Extremadura, Cáceres, España; Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain. Electronic address: danields@unex.es., González Ponce BM; Departamento de Psicología y Antropología, Área de Psicología Social, Facultad de Formación del Profesorado, Universidad de Extremadura, Cáceres, España; Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain. Electronic address: begonzalezp@unex.es., Mancheño-Velasco C; Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain; Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain. Electronic address: cinta.mancheno@dpces.uhu.es., Narváez-Camargo M; Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain; Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain. Electronic address: marta.narvaez@dpces.uhu.es., Lozano ÓM; Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain; Research Center on Natural Resources, Health and the Environment, University of Huelva, Huelva, Spain. Electronic address: oscar.lozano@dpsi.uhu.es. |
| Πηγή: | Addictive behaviors [Addict Behav] 2026 Aug; Vol. 179, pp. 108688. Date of Electronic Publication: 2026 Mar 29. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Science Country of Publication: England NLM ID: 7603486 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-6327 (Electronic) Linking ISSN: 03064603 NLM ISO Abbreviation: Addict Behav Subsets: MEDLINE |
| Imprint Name(s): | Publication: Oxford : Elsevier Science Original Publication: Oxford, Elmsford, N. Y., Pergamon Press. |
| Ιατρικοί όροι (MeSH): | Patient Readmission*/statistics & numerical data , Family Conflict*/psychology , Aggression*/psychology , Personality Disorders*/epidemiology , Personality Disorders*/psychology , Alcoholism*/psychology , Alcoholism*/epidemiology , Substance-Related Disorders*/therapy , Substance-Related Disorders*/psychology, Patient Discharge/statistics & numerical data ; Humans ; Female ; Male ; Sex Factors ; Retrospective Studies ; Adult ; Middle Aged |
| Περίληψη: | 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. (Copyright © 2026 The Author(s). Published by Elsevier Ltd.. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: Alcohol-related aggressive behaviors; Appointment adherence; Cluster B personality disorders; Conflict with children; Conflict with partner; Family conflict; Readmissions; Retention; Substance use disorders |
| Entry Date(s): | Date Created: 20260331 Date Completed: 20260714 Latest Revision: 20260714 |
| Update Code: | 20260714 |
| DOI: | 10.1016/j.addbeh.2026.108688 |
| PMID: | 41916201 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1873-6327 |
|---|---|
| DOI: | 10.1016/j.addbeh.2026.108688 |