Needs of female outpatients with alcohol use disorder: data from an Italian study

Author:

Vignoli Teo12,Staccioli Maria Caterina3,Salaris Maristella12,Sanchini Samantha45,Martino Elisa67,Rigoli Lorena3,Salis Francesco891011,Caputo Fabio12131415,Fattore Liana16,Agabio Roberta1011ORCID

Affiliation:

1. Rimini Addiction Unit , Addiction and Mental Health Department, , Viale Luigi Settembrini 2, 47923 Rimini, Italy

2. Romagna Local Health Unit , Addiction and Mental Health Department, , Viale Luigi Settembrini 2, 47923 Rimini, Italy

3. Cento Fiori social cooperative , Via Portogallo 10, 47922 Rimini, Italy

4. Pesaro Addiction Unit , Addiction Department, , Via Cesare Lombroso 49, 61122 Pesaro, Italy

5. Pesaro Urbino Local Health Unit , Addiction Department, , Via Cesare Lombroso 49, 61122 Pesaro, Italy

6. Ravenna Addiction Unit , Addiction and Mental Health Department, , Via Alberto Missiroli 16, 48121 Ravenna, Italy

7. Romagna Local Health Unit , Addiction and Mental Health Department, , Via Alberto Missiroli 16, 48121 Ravenna, Italy

8. Department of Medical Sciences , and Public Health, , SS 554, km 4.5, 09042 Monserrato (CA), Italy

9. University of Cagliari , and Public Health, , SS 554, km 4.5, 09042 Monserrato (CA), Italy

10. Department of Biomedical Sciences , Section of Neuroscience and Clinical Pharmacology, , SS 554, km 4.5, 09042 Monserrato (CA), Italy

11. University of Cagliari , Section of Neuroscience and Clinical Pharmacology, , SS 554, km 4.5, 09042 Monserrato (CA), Italy

12. Centre for the Study and Treatment of Alcohol-Related Diseases , Department of Translational Medicine, , Via Luigi Borsari 46, 44121 Ferrara, Italy

13. University of Ferrara , Department of Translational Medicine, , Via Luigi Borsari 46, 44121 Ferrara, Italy

14. Department of Internal Medicine , SS Annunziata Hospital, , Via Vicini 2, 44042 Cento (Ferrara), Italy

15. University of Ferrara , SS Annunziata Hospital, , Via Vicini 2, 44042 Cento (Ferrara), Italy

16. CNR Institute Neuroscience-Cagliari , National Research Council, SS 554, km 4.5, 09042 Monserrato (CA) Cagliari, Italy

Abstract

Abstract Aims Alcohol use disorder (AUD) is a common mental disorder characterized by sex-gender differences (SGDs). The present study was aimed at evaluating attitudes displayed by Italian AUD treatment services towards investigating the presence of SGDs in their patients and implementing gender-specific treatments for female AUD patients. Methods Potential SGDs were initially investigated in a sample of AUD outpatients, subsequently followed by a national survey on the adoption of specific interventions for female AUD outpatients. Results The presence of SGDs was confirmed in a sample of 525 (332 men; 193 women) AUD outpatients, including a higher prevalence of anxiety and mood disorders, and episodes of violence and trauma among female AUD outpatients compared to males. Despite the presence of these SGDs, only <20% of a total of 217 Italian AUD treatment services reported the implementation of specific strategies for female AUD outpatients. The majority of services (94%) reported investigating episodes of violence and/or trauma, largely resorting to specific procedures only when these issues were detected. Conclusions Our findings confirm the presence of SGDs among AUD outpatients, including a higher prevalence of anxiety and mood disorders and episodes of violence and trauma among females compared with males. However, only a small number of services have adopted a gender medicine approach in AUD treatment. These results underline the urgency of investigating the specific needs of female, male, and non-binary AUD patients in order to personalize and enhance the effectiveness and appeal of AUD treatment.

Publisher

Oxford University Press (OUP)

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