Addressing dual pathology through integrative models from a gender perspective

e202510068

Authors

  • Alex Rodríguez-Tamayo Departamento de Enfermería. Universidad de Huelva. Huelva. España.
  • José Antonio Climent-Rodríguez Facultad de Ciencias del Trabajo. Universidad de Huelva. Huelva. España.
  • Yolanda Navarro-Abal Facultad de Ciencias del Trabajo. Universidad de Huelva. Huelva. España.
  • Juan Jesús García-Iglesias Departamento de Sociología, Trabajo Social y Salud Pública. Universidad de Huelva. Huelva. España. https://orcid.org/0000-0003-4074-0399
  • Blanca Prieto-Callejero Departamento de Enfermería. Universidad de Huelva. Huelva. España.
  • Juan Gómez Salgado Departamento de Sociología, Trabajo Social y Salud Pública. Universidad de Huelva. Huelva. España. / Universidad Espíritu Santo. Guayaquil. Ecuador.

Keywords:

Comorbidity, Treatment, Women, Dual diagnosis, Major depressive disorder, Alcoholism, Gender perspective, Sexism, Barriers to access of health services, Attitude of health personnel

Abstract

Currently, substance use and mental health problems are on the rise. Gender-integrated treatments for dual pathology exist, although no specific therapies have been found for major depressive disorder co-occurring with alcoholism in women. Women initiate alcohol consumption later than men but experience a faster escalation of addiction, although they seek help earlier. Among women, depressive disorder, somatomorphic disorder, bipolar disorder, dysthymia, post-traumatic stress disorder, and cluster C personality disorders are more prevalent. Alcohol is the primary substance consumed by women. Although ten gender-integrated models have been identified any models of this kind have been found for the treatment of dual depression. Sociocultural differences in the development of dual diagnosis between genders are influenced by changing gender roles in alcohol consumption and variations in the prevalence of specific disorders.

Downloads

Download data is not yet available.

References

1. World Health Organization. Lexicon of alcohol and drug terms [Internet]. 1994 [consultado 8 jun 2023]. Disponible en: https://apps.who.int/iris/handle/10665/39461?locale-attribute=es&

2. Torrijos-Martín M, Palomino-Martínez A. Patología Dual y Enfermería: Revisión Bibliográfica Dual Diagnosis and Nursing: Literature Review. Revista de Patología Dual. 2017;4(1):3.

3. Civit-Ramirez M, Canalias-Perez O, Ochoa S. Adolescentes multiproblemáticos: consumo de tóxicos y trastorno mental en jóvenes que delinquen. Actas Esp Psiquiatr. 2015;43(6):197-204.

4. Antai-Otong D, Theis K, Patrick DD. Dual Diagnosis: Coexisting Substance Use Disorders and Psychiatric Disorders. Nurs Clin North Am. 2016 Jun 1;51(2):237-247.

5. Calderón Calvo C. El estigma en personas con patología dual como barrera de acceso y adherencia a recursos asistenciales. Norte de Salud Mental. 2021;XVII:34-47.

6. Becker JB, McClellan ML, Reed BG. Sex differences, gender and addiction. J Neurosci Res. 2017 Jan 1;95(1-2):136.

7. Santos-de Pascual A, Saura-Garre P, López-Soler C, Santos de Pascual A, Saura-Garre P, López-Soler C. Salud mental en personas con trastorno por consumo de sustancias: aspectos diferenciales entre hombres y mujeres. Anales de Psicología. 2020;36(3):443-450.

8. Patró-Hernández RM, Robles YN, Limiñana-Gras RM. Relación entre las normas de género y el consumo de alcohol: una revisión sistemática. Adicciones. 2019 Mar 29;32(2):145-158.

9. Oliva F, Nibbio G, Vizzuso P, Jaretti Sodano A, Ostacoli L, Carletto S et al. Gender Differences in Anxiety and Depression before and after Alcohol Detoxification: Anxiety and Depression as Gender-Related Predictors of Relapse. Eur Addict Res. 2018 Aug 1;24(4):163.

10. Agterberg S, Schubert N, Overington L, Corace K. Treatment barriers among individuals with co-occurring substance use and mental health problems: Examining gender differences. J Subst Abuse Treat. 2020 May 1;112:29-35.

11. Cane TC, Newton P, Foster J. Understanding women’s help-seeking for problematic and unhealthy alcohol use through the lens of complexity theory. Adv Dual Diagn. 2022 Apr 21;15(2):119-139.

12. Johnstone S, De la Cruz GA, Kalb N, Tyagi SV, Potenza MN, George TP et al. A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders. Am J Drug Alcohol Abuse. 2023;49(1):21-42.

13. Hunt GE, Malhi GS, Lai HMX, Cleary M. Prevalence of comorbid substance use in major depressive disorder in community and clinical settings, 1990-2019: Systematic review and meta-analysis. J Affect Disord. 2020 Apr 1;266:288-304.

14. Grant S, Azhar G, Han E, Booth M, Motala A, Larkin J et al. Clinical interventions for adults with comorbid alcohol use and depressive disorders: A systematic review and network meta-analysis. PLoS Med. 2021 Oct 1;18(10).

15. Hobden B, Bryant J, Carey M, Baker AL, Farrell M, Oldmeadow C et al. Finding the optimal treatment model: A systematic review of treatment for co-occurring alcohol misuse and depression. Aust N Z J Psychiatry. 2018 Aug 1;52(8):737-750.

16. Anandan R, Cross W, Olasoji M. Mental Health Nurses’ Attitudes towards Consumers with co-Existing Mental Health and Drug and Alcohol Problems: A Scoping Review. Issues Ment Health Nurs. 2021;42(4):346-357.

17. Chicoine G, Côté J, Pepin J, Dyachenko A, Fontaine G, Jutras-Aswad D. Improving the self-efficacy, knowledge, and attitude of nurses regarding concurrent disorder care: Results from a prospective cohort study of an interprofessional, videoconference-based programme using the ECHO model. Int J Ment Health Nurs. 2023 Feb 1;32(1):290-313.

Published

2025-10-27

How to Cite

1.
Rodríguez-Tamayo A, Climent-Rodríguez JA, Navarro-Abal Y, García-Iglesias JJ, Prieto-Callejero B, Gómez Salgado J. Addressing dual pathology through integrative models from a gender perspective: e202510068. Rev Esp Salud Pública [Internet]. 2025 Oct. 27 [cited 2026 Apr. 2];99(1):6 páginas. Available from: https://ojs.sanidad.gob.es/index.php/resp/article/view/768

Most read articles by the same author(s)

1 2 > >>