title: Female physicians and substance abuse. Comparisons with male physicians presenting for assessment.
abstract: As with women in general, the vicissitudes of the female physician who suffers from a substance use disorder have been understudied, and such persons remain underrepresented in treatment. The purpose of the present study is to describe the similarities and differences between female and male physicians presenting for assessment; 108 physicians in total were included in the study, 10 of whom were female. Demographically, we found that the female physicians were more likely to be single and younger than their male counterparts. On clinical indices, females showed less impairment on legal and medical functioning, and better capability in sustaining abstinence and eliminating environmental cues to relapse. Of the women with substance use disorders, higher rates of comorbidity were found than with males. Although there were no significant differences in overall severity, males were more likely to be recommended to more intensive levels of care for either substance use or psychiatric disorders. The female physicians were recommended to a level of care of a lower intensity, but more often to a treatment with a dual-diagnosis focus. These findings are discussed in terms of the vulnerabilities of the female physician, barriers to treatment, tailoring treatment to female needs, and opportunities for prevention and further research.
authors.affiliation: Department of Psychiatry, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL, USA.
authors.forename: M P
authors.initials: MP
authors.lastname: McGovern
authors.forename: D H
authors.initials: DH
authors.lastname: Angres
authors.forename: N D
authors.initials: ND
authors.lastname: Uziel-Miller
authors.forename: S
authors.initials: S
authors.lastname: Leon
mesh_terms: D000328:Adult; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States / Q000453:epidemiology; D009042:Motivation; D010815:Physician Impairment; D010822:Physicians, Women; D012017:Referral and Consultation; D012189:Retrospective Studies; D012650:Self Disclosure; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000534:rehabilitation