RT Journal Article
T1 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
A1 Dacosta Sánchez, Daniel
A1 González Ponce, Bella M.
A1 Mancheño Velasco, Cinta
A1 Narváez Camargo, Marta
A1 Lozano Rojas, Óscar Martín
AB 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.
PB Elsevier
SN 0306-4603
SN 1873-6327 (electrónico)
YR 2026
FD 2026
LK https://hdl.handle.net/10272/28282
UL https://hdl.handle.net/10272/28282
LA eng
NO Dacosta-Sánchez, D., González Ponce, B. M., Mancheño-Velasco, C., Narváez-Camargo, M., & Lozano, Ó. M. (2026). 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. Addictive Behaviors, 179, 108688. https://doi.org/10.1016/j.addbeh.2026.108688
NO This study has been developed thanks to the transfer of data by the Department of Equality, Social Policies of the Junta de Andalucía.
DS Repositorio Institucional de la Universidad de Huelva
RD 14 jul 2026