Need for Women-Specific Psychosocial Intervention for Women with Substance use disorders - The Indian Scenario


  • Reni Thomas National Institute of Mental Health and Neuro Sciences
  • R Dhanasekara Pandian National Institute of Mental Health and Neuro Sciences


Author Biographies

Reni Thomas, National Institute of Mental Health and Neuro Sciences

PhD Scholar

Department of Psychiatric Social Work

R Dhanasekara Pandian, National Institute of Mental Health and Neuro Sciences

Additional Professor

Department of Psychiatric Social Work


Zelvin E. Women affected by addictions. In: Strausser LA, Brown S, editors. Handbook of addiction treatment. Sand Francisco: Jossey-Bass; 2002. pp. 487-511.

National Institute on Drug Abuse [internet]. Drugs affect men’s and women’s brains differently, NIDA notes 20 no.6 (US); [2006 July; cited 2016 Feb 2]. Available from:

Brienzna RS, Stein MD. Alcohol use disorders in primary care: do gender specific differences exist? J Gen Intern Med 2002; 17:627-39.

National institute on drug abuse [internet]. Gender differences in drug abuse risks and treatment, NIDA notes 15 no.4 (US); [2000 Sept; cited 2015 Nov 13]. Available from: (15)4.

Murthy P, Manjunatha N, Subodh BN, Chand PK, Benegal V. Substance use and addiction research in India. Indian J Psychiatry 2010; 52 Suppl S3:189-99.

Kumar S. Rapid assessment survey of drug abuse in India. New Delhi: Ministry of Social Justice and Empowerment, Government of India and United Nations International Drug Control Programme, Regional Office for South Asia; 2002.

Benegal V, Nayak M, Murthy P, Chandra P, Gururaj G. Women and alcohol use in India. In: Obot IS, Room R, editors. Alcohol, gender and drinking problems: Perspectives from low and middle income countries. Geneva: World Health Organization; 2005. pp 89-123.

Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005; 62:617-27.

Compton WM, Thomas YF, Stinson FS, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: Results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatry 2007; 64:566-76.

McHugh RK, Wigderson S, Greenfield SF. Epidemiology of substance use in reproductive-age women. Obstet Gynecol Clin North Am 2014; 41:177-89.

Simoni-Wastila L, Ritter G, Strickler G. Gender and other factors associated with the nonmedical use of abuse able prescription drugs. Subst Use Misuse 2004; 39:1-23.

NHSDA. Summary of findings from the 2000 National Household Survey on Drug Abuse. Rockville, MD: Office of Applied Studies, Substance Abuse and Mental Health Services Administration; 2001.

National Family Health Survey 2005-2006 [Internet]. The Mother and Child, Health and Education Trust; 2010. [Cited 2014 Nov 22]. Available from:

Mohan D, Desai NG. A survey on drug dependence in the community Urban Megapolis, Delhi, Report submitted to Indian Council of Medical Research. 1993.

Mohan D, Sundaram KA. Multi-Centred Study of Drug Abuse among Students: A Preliminary Report. New Delhi: Ministry of Welfare, Government of India and All India Institute of Medical Science; 1987.

Mohan D. Prevalence of drug abuse among university students: Preliminary report of a multi-centre survey. In: Mohan D, Sethi H, Tongue E, editors. Current Research in Drug Abuse in India. New Delhi: Gemini Printers; 1981. pp. 18-31.

Selvaraj V, Prasad S, Ashok MV, Appayya MP. Women alcoholics: Are they different from men alcoholics? Indian J Psychiatry 1997; 39:288–93.

Kendler KS, Prescott CA. Cocaine use, abuse and dependence in a population-based sample of female twins. Br J Psychiatry 1998; 173:345–50.

Kapoor SL, Pavamani V, Mittal S. Substance abuse among women in India [Internet]. Report submitted to the Ministry of Social Justice and Empowerment, Government of India and United Nations International Drug Control Programme; [2001; Cited 2013 July 5] Available from:

Murthy P. Women and Drug Use in India: Substance, Women and High-Risk Assessment Study [Internet]. United Nations Office on Drugs and Crime, Ministry of Social Justice and Empowerment, United Nations Development Fund for Women; 2008 [Cited 2015 Nov 15] Available from

Covington SS. Helping women recover: Creating gender-responsive treatment. In: Straussner SL, Brown S, editors. The Handbook of Addiction Treatment for Women: Theory and Practice. San Francisco: Jossey-Bass; 2002. pp. 52-72.

Gomberg ESL. Women’s drinking practices and problems from a lifespan perspective. In: Howard JM, Martin SE, Mail PD, Hilton ME, Taylor ED, editors. Women and alcohol: Issues for prevention research. Bethesda: National Institute on Alcohol Abuse and Alcoholism;1996. pp. 185- 214.

Murthy, P. Women and Drug Abuse: the Problem in India. New Delhi: Ministry of Social Justice and Empowerment and United Nations International Drug Control Programme, Regional Office for South Asia; 2002.

Dunne FJ, Galatopolous C, Schipperheijn JM. Gender differences in psychiatric morbidity among alcohol misusers. Compr Psychiatry 1993; 34:95-101.

Blume S. Addictive disorders in women. In: Frances RJ, Miller SI, editors. Clinical textbook of addictive disorders. 2nd ed. New York: Guilford;1998. pp. 413-429.

Grilla CE, Joshi V. Gender differences in drug treatment careers among clients in the National Drug Abuse Treatment Outcome Study. Am J Drug Alcohol Abuse 1999; 25 (3):385–406.

Schober R, Annis HM. Barriers to help-seeking for change in drinking: A gender-focused review of the literature. Addict Behav 1996; 21(1):81–92.

Rice, Mohr CD, Del Boca FK, Mattson ME, Young L, Brady K, et al. Self-reports of physical, sexual and emotional abuse in an alcoholism treatment sample. J Stud Alcohol Drugs 2001; 62:114–23.

Mumenthaler MS, Taylor JL, O’Hara R, Yesavage JA. Gender differences in moderate drinking effects. Alcohol Res Health 1999; 23:55–64.

Center for Substance Abuse Treatment (CSAT). Practical approaches in the treatment of women who abuse alcohol and other drugs. Rockville, MD: U.S. Department of Health and Human Services Center for Substance Abuse Treatment; 1994.

Deal SR, Gavaler JS. Are women more susceptible than men to alcohol induced cirrhosis? In: Walsh DM, editor. Alcohol Health and Research World: Women and Alcohol. Bethesda, Md.: National Institute on Alcohol Abuse and Alcoholism; 1994. pp.189-91.

Dawson DA, Archer L. Gender differences in alcohol consumption: effects of measurement. Br J Addict 1992; 87:119–23.

Thomasson HR. Gender differences in alcohol metabolism: physiological responses to ethanol. Recent Dev Alcohol 1995; 12:163–79.

Khan SS, Secades Villa R, Okuda M, Wang S, Pérez-Fuentes G, Kerridge BT, et al. Gender differences in cannabis use disorders: Results from the National Epidemiologic Survey of Alcohol and Related Conditions. Drug Alcohol Depend 2013; 130:101-8.

Antai-Otong D. Women and alcoholism: Gender-related medical complications: Treatment considerations. J Addict Nurs 2006; 17:33-45.

Abs R, Verhelst J, Maeyaert J, Van Buyten JP, Opsomer F, Adriaensen H, et al. Endocrine consequences of long-term intrathecal administration of opioids. J Clin Endocrinol Metab 2000; 85(6):2215–22.

Smith DE, Moser C, Wesson DR, Apter M, Buxton ME, Davison JV, et al. A clinical guide to the diagnosis and treatment of heroin-related sexual dysfunction. J Psychoactive Drugs 1982; 14(1–2):91–9.

U.S. Department of Health and Human Services - Office on Women’s Health. Eating Disorders. Washington, DC; [2000; Cited 2016 Feb 1]. Available from:

Mucha L, Stephenson J, Morandi N, Dirani R. Meta-analysis of disease risk associated with smoking, by gender and intensity of smoking. Gend Med 2006; 3(4):279–91.

Reiger DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, et al. Comorbidity of mental disorders with alcohol and other drug abuse. J Am Med Assoc 1990; 264(19):2511-8.

Boyd MR, Phillips K, Dorsey CJ. Alcohol and other drug use disorders, Comorbidity, and violence: Comparison of rural African American and Caucassian women. Arch Psychiatr Nurs 2003; 14(6):249–58.

National Institute on Alcohol Abuse and Alcoholism [Internet]. Rockville: Alcohol and hormones (US); [Reviewed 1994 Oct; Cited 2015 Sept 14]. Available from:

Mello NK. Drug abuse and reproduction in women. In: Wetherington CE, Roman AB, editors. Drug addiction research and the health of women: Executive summary. Rockville: NIH Publication National Institute on Drug Abuse; 1998. pp. 29-33.

Drabble L. Elements of effective services for women in recovery: Implications for clinicians and program supervisors. In: Underhill BL, Finnegan, DG, editors. Chemical dependency: Women at Risk. New York: Haworth Press; 1996. pp.1-21.

Jansson LM, Svikis D, Lee J, Paluzzi P, Rutigliano P, Hackerman F. Pregnancy and addiction: A comprehensive care model. J Subst Abuse Treat 1996; 13(4):321 –9.

Ray R, Mondal AB, Gupta K, Chatterjee A, Bajaj P. The extent, pattern and trends of drug abuse in India: National survey. New Delhi: United Nations Office on Drugs and Crime, Regional Office for South Asia and Ministry of Social Justice and Empowerment, Government of India; 2004.

Crome IB, Kumar MT. Epidemiology of drug and alcohol use in young women. Semin Fetal Neonatal Med 2007; 12:98–105.

Drapkin ML, McCrady BS, Swingle J, Epstein EE, Cook SM.

Exploring bidirectional couple violence in a clinical sample of female alcoholics. J Stud Alcohol Drugs 2005; 66:213-9.

O'Brien P. Making it in the free world: Women in transition from prison. Albany, (NY): SUNY Press; 2001.

Luoma JB, Twohig MF, Waltz T, Hayes SC, Roget N, Padilla M, et al. An investigation of stigma in individuals receiving treatment for substance abuse. Addict Beh 2007; 32:1331–46.

Wechsberg WM, Craddock S G, Hubbard RL. How are women who enter substance abuse treatment different from men? A gender comparison from the Drug Abuse Treatment Outcome Study. Drugs & Society 1998; 13:97–115.

Brady TM, Ashley OS. editors. Women in substance abuse treatment: results from alcohol and drug services study. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2005.