1 00:00:00,320 --> 00:00:02,880 Speaker 1: Brought to you by the reinvented two thousand twelve camera. 2 00:00:03,240 --> 00:00:09,960 Speaker 1: It's ready. Are you welcome to stuff Mom Never told you? 3 00:00:10,160 --> 00:00:17,639 Speaker 1: From House Stuff Works dot Com. Hello, and welcome to 4 00:00:17,640 --> 00:00:21,279 Speaker 1: the podcast. I'm Kristen and I'm Caroline. And Caroline, I 5 00:00:21,320 --> 00:00:25,640 Speaker 1: feel like the word addiction is something that comes up 6 00:00:26,120 --> 00:00:30,720 Speaker 1: so much more in casual conversation by virtue of our 7 00:00:31,600 --> 00:00:36,760 Speaker 1: celebrity and tabloid culture. There's always someone having some kind 8 00:00:36,920 --> 00:00:41,600 Speaker 1: of secret addiction revealed. You have even even reality shows 9 00:00:41,600 --> 00:00:46,200 Speaker 1: about strange addictions t lcs My Strange Addiction, w shows 10 00:00:46,240 --> 00:00:52,280 Speaker 1: about hoarding an intervention. Yeah, there's something we modern Americans 11 00:00:52,440 --> 00:00:55,640 Speaker 1: and people abroad have have a strange fascination these days. 12 00:00:55,640 --> 00:00:59,040 Speaker 1: We are addicted in a way to addiction. Yeah, wouldn't 13 00:00:59,040 --> 00:01:01,840 Speaker 1: you say? I would say, um. But the fact of 14 00:01:01,840 --> 00:01:05,000 Speaker 1: the matter is, while we might be taking more of 15 00:01:05,040 --> 00:01:08,880 Speaker 1: a voyeuristic look at these um celebrity addictions or people 16 00:01:08,959 --> 00:01:13,679 Speaker 1: with stranger addictions to say, eating hair or collecting troll dolls, 17 00:01:14,000 --> 00:01:16,440 Speaker 1: who knows what, the fact of the matter is not 18 00:01:16,560 --> 00:01:21,520 Speaker 1: talking about me, Kristen awkward, sorry Caroline, but so many 19 00:01:21,520 --> 00:01:25,880 Speaker 1: troll dolls. But the fact of the matter is addiction. 20 00:01:26,480 --> 00:01:32,399 Speaker 1: UM is something that the medical community has been really 21 00:01:32,560 --> 00:01:35,720 Speaker 1: trying to get a better grasp of, especially when it 22 00:01:35,760 --> 00:01:40,200 Speaker 1: comes to how addiction affects women, because it was only 23 00:01:40,400 --> 00:01:45,080 Speaker 1: starting in the early nineteen nineties that doctors started realizing 24 00:01:45,400 --> 00:01:51,200 Speaker 1: that there are some very specific sex based differences in 25 00:01:51,240 --> 00:01:57,280 Speaker 1: addiction that might make addiction, in terms of substance abuse 26 00:01:57,320 --> 00:02:04,800 Speaker 1: specifically more UM risk here I should say for women. Yeah. Well, 27 00:02:04,840 --> 00:02:07,240 Speaker 1: also they've really been trying to pin down the roots 28 00:02:07,280 --> 00:02:09,680 Speaker 1: of addiction as well, and that's not the easiest thing 29 00:02:09,680 --> 00:02:12,640 Speaker 1: to do. You know that there's talk about genetics, there's 30 00:02:12,680 --> 00:02:15,240 Speaker 1: talk about like what regions in your brain making more 31 00:02:15,240 --> 00:02:18,680 Speaker 1: prone to this or that UM, but the actual UM 32 00:02:18,960 --> 00:02:21,480 Speaker 1: route of addiction has been has been very hard to 33 00:02:21,520 --> 00:02:25,240 Speaker 1: pin down. And there was a study published in January 34 00:02:25,280 --> 00:02:28,160 Speaker 1: coming out of the Yale School of Medicine. It was 35 00:02:28,240 --> 00:02:32,639 Speaker 1: led by Dr Mark Potenza Um that was looking at 36 00:02:32,840 --> 00:02:37,919 Speaker 1: brain scans of cocaine dependent study participants and then also 37 00:02:38,000 --> 00:02:41,600 Speaker 1: a control group of social drinkers who did not have 38 00:02:42,040 --> 00:02:47,080 Speaker 1: cocaine habits, and they notice a very compelling difference in 39 00:02:47,280 --> 00:02:52,160 Speaker 1: how that cocaine rewards center of the brain UM lights 40 00:02:52,280 --> 00:02:56,359 Speaker 1: up in female coke addicts. Versus male coke addicts. Yeah, 41 00:02:56,400 --> 00:03:00,720 Speaker 1: they found that women, when they were presented with stressed 42 00:03:00,800 --> 00:03:05,320 Speaker 1: cues had robust activity, they say, in the areas of 43 00:03:05,360 --> 00:03:07,480 Speaker 1: the brain associated with craving, and this was in the 44 00:03:07,520 --> 00:03:11,000 Speaker 1: cocaine dependent women. And they think that women with cocaine 45 00:03:11,000 --> 00:03:15,400 Speaker 1: dependence could benefit from stress reduction therapies that specifically target 46 00:03:15,440 --> 00:03:19,120 Speaker 1: these cravings. Looking at men, however, when they presented men 47 00:03:19,160 --> 00:03:22,240 Speaker 1: with stress cues during the m r I, they found 48 00:03:22,280 --> 00:03:26,240 Speaker 1: that it was more likely that drug cues would activate 49 00:03:26,280 --> 00:03:30,080 Speaker 1: those particular craving areas, meaning that men might not benefit 50 00:03:30,120 --> 00:03:33,160 Speaker 1: as much from therapy as they would from or I'm sorry, 51 00:03:33,400 --> 00:03:36,600 Speaker 1: stress reduction therapy as they would from cognitive behavioral therapy. 52 00:03:36,840 --> 00:03:41,400 Speaker 1: So cravings, the cocaine cravings, and men were in other words, 53 00:03:41,440 --> 00:03:45,160 Speaker 1: more triggered by seeing things like whatever kind of implements 54 00:03:45,240 --> 00:03:50,880 Speaker 1: might be used to uh snort or inject a drug um, 55 00:03:50,960 --> 00:03:53,720 Speaker 1: something that would remind them of that environment. And it's 56 00:03:53,760 --> 00:03:58,440 Speaker 1: interesting because other studies have shown that men's cocaine habits 57 00:03:58,520 --> 00:04:01,760 Speaker 1: tend to be more associated with good times. You know, 58 00:04:01,800 --> 00:04:03,640 Speaker 1: they just want to celebrate they having a good time, 59 00:04:03,680 --> 00:04:07,480 Speaker 1: so they're gonna uh snort a very dangerous drug whereas 60 00:04:07,560 --> 00:04:13,240 Speaker 1: women's is more mood regulated coping and a lot of 61 00:04:13,240 --> 00:04:15,800 Speaker 1: these studies do talk about the differences, the gender differences 62 00:04:15,800 --> 00:04:19,279 Speaker 1: and how and why we use drugs. And ABC News 63 00:04:19,360 --> 00:04:22,360 Speaker 1: had a story that showed it's it's got a lot 64 00:04:22,360 --> 00:04:26,560 Speaker 1: to do with motivations, susceptibility, and response to treatment. And 65 00:04:26,640 --> 00:04:32,200 Speaker 1: studies on estrogen have shown that the hormone might play 66 00:04:32,279 --> 00:04:35,960 Speaker 1: a big role in women's patterns of addiction because it 67 00:04:36,080 --> 00:04:40,440 Speaker 1: influences the amount of dopamine released in women's brains in 68 00:04:40,520 --> 00:04:44,839 Speaker 1: response to things like cocaine or alcohol and sexual activity 69 00:04:45,200 --> 00:04:49,440 Speaker 1: and addictive behavior like this is all focused around dopamine, 70 00:04:49,440 --> 00:04:53,200 Speaker 1: which we often refer to as the you know, the 71 00:04:53,240 --> 00:04:56,080 Speaker 1: pleasure chemical. If you take a bite of a browning 72 00:04:56,120 --> 00:04:58,000 Speaker 1: and it tastes really delicious and you feel all warm 73 00:04:58,080 --> 00:04:59,920 Speaker 1: and fuzzy inside, that's because he had a little hit 74 00:04:59,920 --> 00:05:03,640 Speaker 1: of dopamine from that chocolate goodness. Exactly. I am addicted 75 00:05:03,680 --> 00:05:06,760 Speaker 1: to brownies in addition to eating hair Kristen and troll 76 00:05:06,839 --> 00:05:10,720 Speaker 1: collecting um well. Jill Becker at University of Michigan did 77 00:05:10,720 --> 00:05:13,880 Speaker 1: a study on rats looking at the effects of estrogen 78 00:05:13,960 --> 00:05:17,520 Speaker 1: when it's combined with cocaine and after three weeks, the 79 00:05:17,560 --> 00:05:20,359 Speaker 1: animals had become sensitized to cocaine, which means, you know, 80 00:05:20,400 --> 00:05:23,640 Speaker 1: they were exhibiting certain behaviors related to the drug. But 81 00:05:24,120 --> 00:05:28,360 Speaker 1: Becker found that female rats who received estrogen and cocaine 82 00:05:28,440 --> 00:05:33,360 Speaker 1: showed twenty more since sensitization excuse me than the male 83 00:05:33,480 --> 00:05:36,960 Speaker 1: rats or the females who didn't receive estrogen. And two 84 00:05:37,000 --> 00:05:40,360 Speaker 1: weeks after having received the drug and the hormone and combination, 85 00:05:41,000 --> 00:05:45,000 Speaker 1: the rats still exhibited a greater behavioral response to cocaine. 86 00:05:45,320 --> 00:05:48,839 Speaker 1: So what that seems to suggest is that estrogen might 87 00:05:48,920 --> 00:05:53,479 Speaker 1: make our our bodies more responsive in a way to 88 00:05:53,920 --> 00:05:58,440 Speaker 1: addictive substances like that. Um. And it's interesting that we're 89 00:05:58,440 --> 00:06:02,560 Speaker 1: talking about estro gen and hormones because, as we'll go 90 00:06:02,600 --> 00:06:09,039 Speaker 1: into more detail with nicotine addiction, your menstrual cycle plays 91 00:06:09,080 --> 00:06:14,680 Speaker 1: a potentially large role in how much your cravings for 92 00:06:14,760 --> 00:06:19,360 Speaker 1: a substance might be. Yeah, this is so weird. Uh. 93 00:06:19,400 --> 00:06:23,040 Speaker 1: They found that this is from the Harvard Mental Health letter. Uh. 94 00:06:23,160 --> 00:06:25,039 Speaker 1: Study they did. They found that it was harder for 95 00:06:25,080 --> 00:06:28,400 Speaker 1: women during the luteal phase of their menstrual cycle, which 96 00:06:28,480 --> 00:06:31,760 Speaker 1: is mid cycle just after ovulation, to kick the habit. 97 00:06:32,160 --> 00:06:34,479 Speaker 1: Women who time their quit date to occur during the 98 00:06:34,520 --> 00:06:38,320 Speaker 1: follicular phase, which begins just after menstruation and ends at ovulation, 99 00:06:38,600 --> 00:06:40,919 Speaker 1: are more likely to abstain for a longer time, and 100 00:06:40,960 --> 00:06:44,360 Speaker 1: they think that that has to do precisely with the 101 00:06:44,480 --> 00:06:48,440 Speaker 1: UM raised or lowered levels of estrogen and progesterone in 102 00:06:48,720 --> 00:06:52,440 Speaker 1: a woman's body. UM. But going back to a little 103 00:06:52,440 --> 00:06:56,240 Speaker 1: bit more about nicotine addiction, UM, women tend to use 104 00:06:56,279 --> 00:07:00,160 Speaker 1: smoking to regulate mood and suppress appetite, whereas men are 105 00:07:00,200 --> 00:07:04,280 Speaker 1: more likely to smoke to improve attention and work performance, 106 00:07:04,560 --> 00:07:08,159 Speaker 1: these feelings of aggression and relieve pain. So again you 107 00:07:08,200 --> 00:07:11,440 Speaker 1: have that divergence between more of a mood regulator and 108 00:07:11,680 --> 00:07:14,280 Speaker 1: something that UM. I mean, I guess if it's if 109 00:07:14,360 --> 00:07:18,440 Speaker 1: men are smoking to relieve aggression, there's also mood regulation involved, 110 00:07:18,680 --> 00:07:21,600 Speaker 1: but it's still more of UM, I guess, an environmentally 111 00:07:22,120 --> 00:07:26,119 Speaker 1: regulated que. Yeah. And they did look at different types 112 00:07:26,160 --> 00:07:30,040 Speaker 1: of therapy to kick the habit and found that nicotine 113 00:07:30,040 --> 00:07:33,680 Speaker 1: replacement therapy, which was developed and tested primarily for men, 114 00:07:33,800 --> 00:07:36,840 Speaker 1: is less effective in women, and women actually have greater 115 00:07:36,880 --> 00:07:40,840 Speaker 1: success quitting by using antidepressants and support groups, which I 116 00:07:41,120 --> 00:07:44,600 Speaker 1: had never heard that about antidepressants. So it makes sense though, 117 00:07:44,680 --> 00:07:50,680 Speaker 1: that the more traditional treatments for things like smoking or 118 00:07:50,880 --> 00:07:55,880 Speaker 1: cocaine addiction UM work better for men than women UM 119 00:07:55,920 --> 00:07:59,840 Speaker 1: statistically because a lot of those therapies and treatments in 120 00:08:00,000 --> 00:08:04,640 Speaker 1: medications were developed based around male addiction and based on 121 00:08:04,760 --> 00:08:07,440 Speaker 1: male patients, which has been a legacy, a long running 122 00:08:07,480 --> 00:08:11,040 Speaker 1: legacy of the pharmaceutical industry that they've gotten much better 123 00:08:11,080 --> 00:08:14,840 Speaker 1: with in recent years, but they're still having to catch up. 124 00:08:15,320 --> 00:08:18,520 Speaker 1: And then when it comes to alcohol abuse, we've talked 125 00:08:18,520 --> 00:08:21,800 Speaker 1: about alcohol before on the podcast and how women are 126 00:08:21,920 --> 00:08:25,320 Speaker 1: catching up to men in terms of our alcohol abuse. 127 00:08:25,480 --> 00:08:30,040 Speaker 1: And the thing is, this is really really not good 128 00:08:30,120 --> 00:08:34,600 Speaker 1: for us because of sex differences and how male and 129 00:08:34,640 --> 00:08:38,400 Speaker 1: female bodies process alcohol. Yeah, I feel like it's common 130 00:08:38,440 --> 00:08:41,920 Speaker 1: knowledge that when women have a lower tolerance for alcohol. 131 00:08:42,080 --> 00:08:44,240 Speaker 1: That's that's something that's been hammered home quite a bit. 132 00:08:44,600 --> 00:08:47,920 Speaker 1: But the reasons behind it are interesting and could potentially 133 00:08:48,040 --> 00:08:51,480 Speaker 1: lead to a lot of physical damage. We have lower 134 00:08:51,559 --> 00:08:54,520 Speaker 1: levels of enzymes that break down alcohol in the stomach 135 00:08:54,559 --> 00:08:58,520 Speaker 1: and liver, which means we absorb more alcohol into our bloodstream. Yeah, 136 00:08:58,559 --> 00:09:01,679 Speaker 1: And the thing is to actors did not realize this 137 00:09:01,960 --> 00:09:05,400 Speaker 1: until ninety nine. They didn't they had not figured out 138 00:09:05,440 --> 00:09:09,679 Speaker 1: the whole metabolic difference between men and women and how 139 00:09:09,720 --> 00:09:12,480 Speaker 1: much they're drinking um. Oh, and speaking to to the 140 00:09:12,800 --> 00:09:16,440 Speaker 1: gender gap UM seven twelve percent of women. I think 141 00:09:16,440 --> 00:09:18,520 Speaker 1: this is based in the U United States. This is 142 00:09:18,559 --> 00:09:21,360 Speaker 1: also from the Harvard Mental Health Letter. Seven and twelve 143 00:09:21,400 --> 00:09:25,640 Speaker 1: percent of women abused alcohol versus of men. But again 144 00:09:25,720 --> 00:09:28,480 Speaker 1: that gap is closing as it has become more acceptable 145 00:09:29,000 --> 00:09:33,400 Speaker 1: for women to drink openly. UM. But is that really 146 00:09:33,440 --> 00:09:36,600 Speaker 1: a gender gap that we want to close? I don't know. 147 00:09:36,679 --> 00:09:39,600 Speaker 1: But I'm talking about the physical stuff. This is coming 148 00:09:39,640 --> 00:09:43,520 Speaker 1: from Women and Addiction, a comprehensive handbook. Things that contribute 149 00:09:43,559 --> 00:09:46,640 Speaker 1: to the different effects that alcohol has on our bodies 150 00:09:47,000 --> 00:09:51,560 Speaker 1: include body weight, proportion of body water, and alcohol metabolism, 151 00:09:51,640 --> 00:09:54,680 Speaker 1: which all result in higher blood alcohol concentrations in women 152 00:09:54,960 --> 00:09:59,680 Speaker 1: which lead to problems like liver diseases, malnutrition, obesity, and 153 00:09:59,679 --> 00:10:02,760 Speaker 1: also among many other things. Yeah, when you look at 154 00:10:03,320 --> 00:10:07,240 Speaker 1: substance abuse and the health conditions UM that are provoked 155 00:10:07,280 --> 00:10:10,839 Speaker 1: by those such as you know, cirrhosis and liver disease, malnutrition, 156 00:10:11,400 --> 00:10:15,600 Speaker 1: the steaks for women are often higher than the stakes 157 00:10:15,600 --> 00:10:17,720 Speaker 1: for men. Not saying we're not giving guys We're not 158 00:10:17,720 --> 00:10:21,640 Speaker 1: giving you a pass to go out and abuse methamphetamine 159 00:10:22,120 --> 00:10:26,239 Speaker 1: or anything like that. UM, but we are more susceptible 160 00:10:26,360 --> 00:10:30,600 Speaker 1: to negative health outcomes. UM. Even with a cigarette smoking. 161 00:10:30,640 --> 00:10:33,040 Speaker 1: For instance, women are more likely to develop lung cancer 162 00:10:33,160 --> 00:10:36,440 Speaker 1: twice as likely to have a heart attack related to smoking. 163 00:10:36,960 --> 00:10:38,840 Speaker 1: And also this is not to say that the female 164 00:10:38,840 --> 00:10:43,080 Speaker 1: bodies is fragile and made of blast, but I think 165 00:10:43,160 --> 00:10:46,800 Speaker 1: these are these are biochemical differences that that we need 166 00:10:46,840 --> 00:10:52,000 Speaker 1: to keep in mind. UM. And because of that, I 167 00:10:52,040 --> 00:10:57,640 Speaker 1: guess the potential severity of health outcomes from substance abuse. 168 00:10:58,120 --> 00:11:04,600 Speaker 1: Doctors have UM explored the notion of telescoping. Yeah, the 169 00:11:04,640 --> 00:11:09,600 Speaker 1: whole idea that women will get addicted faster, shorter period 170 00:11:09,600 --> 00:11:13,720 Speaker 1: of time, have more severe symptoms along with their addiction, 171 00:11:14,000 --> 00:11:16,800 Speaker 1: but then seek treatment faster. So the whole process of 172 00:11:16,840 --> 00:11:20,920 Speaker 1: addiction is sort of crunched for women. And so going 173 00:11:20,960 --> 00:11:24,360 Speaker 1: back to that Women in Addiction book, part of the 174 00:11:24,400 --> 00:11:26,920 Speaker 1: whole thing with telescoping could have something to do with 175 00:11:26,960 --> 00:11:31,280 Speaker 1: socio cultural differences maybe women, Uh, you know, it's it's 176 00:11:31,360 --> 00:11:33,920 Speaker 1: viewed more negatively. You talked about how the whole thing 177 00:11:33,960 --> 00:11:36,240 Speaker 1: of like, you know, women are are catching up to 178 00:11:36,360 --> 00:11:39,520 Speaker 1: men in terms of their drinking because it's more socially acceptable, 179 00:11:39,720 --> 00:11:42,240 Speaker 1: but it still is viewed negatively. So women are more 180 00:11:42,280 --> 00:11:46,880 Speaker 1: likely to abuse drugs, usually prescription dot drugs and alcohol 181 00:11:47,000 --> 00:11:50,000 Speaker 1: at home alone, but then they are more likely to 182 00:11:50,040 --> 00:11:54,079 Speaker 1: seek therapy. Yeah, it was interesting though speaking it's a 183 00:11:54,160 --> 00:11:59,320 Speaker 1: sort of tangential, but talking about those socio cultural differences, Um, yeah, 184 00:11:59,320 --> 00:12:02,560 Speaker 1: it's it's certainly become more acceptable for women to drink, 185 00:12:02,559 --> 00:12:07,040 Speaker 1: women to drink openly um. But there I think there 186 00:12:07,080 --> 00:12:13,000 Speaker 1: still is a stigma of women and especially mothers drinking um. 187 00:12:13,040 --> 00:12:16,520 Speaker 1: But there was a an article that I ran across 188 00:12:16,920 --> 00:12:20,440 Speaker 1: on parent dish dot com talking about a Working Mother 189 00:12:21,080 --> 00:12:26,080 Speaker 1: magazine study of working mothers who drank, and essentially they 190 00:12:26,120 --> 00:12:29,880 Speaker 1: found that a lot of women, working mothers kind of 191 00:12:29,960 --> 00:12:33,160 Speaker 1: understandably have a glass of wine um after they get 192 00:12:33,160 --> 00:12:34,960 Speaker 1: home and the kids are put to bed, but it 193 00:12:35,000 --> 00:12:38,560 Speaker 1: was painted really negatively, is as though most of these 194 00:12:38,559 --> 00:12:41,880 Speaker 1: women were endangering the lives of their children. And yet 195 00:12:42,240 --> 00:12:45,880 Speaker 1: there was no mention in there of say, working fathers 196 00:12:46,320 --> 00:12:48,880 Speaker 1: coming home kind of you know, harkening back to Don 197 00:12:48,960 --> 00:12:53,320 Speaker 1: Draper and madmen having a having a scotch or a beer, 198 00:12:53,400 --> 00:12:55,400 Speaker 1: you know what I mean, Like I think there still 199 00:12:55,520 --> 00:12:58,920 Speaker 1: is a little bit um of a stigma there, but 200 00:12:59,360 --> 00:13:03,800 Speaker 1: that may also those socio cultural differences may also be 201 00:13:04,080 --> 00:13:08,480 Speaker 1: lessening for younger women. It might be more of a 202 00:13:08,520 --> 00:13:11,840 Speaker 1: general generational thing that is fading out. There was a 203 00:13:11,840 --> 00:13:15,600 Speaker 1: two thousand ten study in the American Journal of Psychiatry 204 00:13:15,720 --> 00:13:19,560 Speaker 1: UM that did not find women having a shorter time 205 00:13:19,600 --> 00:13:23,960 Speaker 1: to alcohol dependence. Basically, they didn't find any evidence of 206 00:13:24,000 --> 00:13:29,720 Speaker 1: a telescoping effect for women. UM. Younger women in involved 207 00:13:29,720 --> 00:13:32,719 Speaker 1: in the study. Right, Does that mean they're just catching up? 208 00:13:32,840 --> 00:13:36,160 Speaker 1: Does that mean more we're drinking. We're starting to drink 209 00:13:36,200 --> 00:13:40,440 Speaker 1: as early as the guys do, essentially instead of waiting 210 00:13:40,520 --> 00:13:45,360 Speaker 1: until midlife, hitting the bottle really hard and then becoming 211 00:13:45,600 --> 00:13:50,199 Speaker 1: addicted in seeking treatment once our um, once the symptoms 212 00:13:50,200 --> 00:13:53,439 Speaker 1: are as as bad as a male who's been drinking 213 00:13:53,440 --> 00:13:55,520 Speaker 1: for a longer amount of time. Right, And that that 214 00:13:55,600 --> 00:13:58,880 Speaker 1: twenty study from everything we read, I judged it to 215 00:13:58,920 --> 00:14:02,320 Speaker 1: be in the minority UM because everybody's talking about telescoping, 216 00:14:02,320 --> 00:14:03,840 Speaker 1: and if they're not using the word, they're just talking 217 00:14:03,840 --> 00:14:06,920 Speaker 1: about how the time period for women in addiction is crunched. 218 00:14:07,360 --> 00:14:10,199 Speaker 1: And that's Dr Stephen Ross of ny US Tish hospital 219 00:14:10,360 --> 00:14:13,640 Speaker 1: basically said the same thing. Women get sicker and have 220 00:14:13,760 --> 00:14:18,360 Speaker 1: earlier morbidity and mortality than men, and the psychology behind 221 00:14:18,360 --> 00:14:20,640 Speaker 1: that has to do with their motivations for using which 222 00:14:20,720 --> 00:14:25,080 Speaker 1: are specific and internal, having more to do with mood regulation, 223 00:14:25,120 --> 00:14:27,520 Speaker 1: as we've mentioned well, and that might also explain to 224 00:14:27,920 --> 00:14:30,640 Speaker 1: why women are far more likely than men to exhibit 225 00:14:30,680 --> 00:14:35,840 Speaker 1: co morbid psychiatric conditions. So, in other words, you have 226 00:14:35,880 --> 00:14:39,400 Speaker 1: an alcohol addiction, but it usually comes with a side 227 00:14:39,440 --> 00:14:44,920 Speaker 1: of bipolar right, or some other kind of psychiatric condition exactly. 228 00:14:44,960 --> 00:14:48,280 Speaker 1: And Brenda ill If wrote for Psychology Today that you know, 229 00:14:48,320 --> 00:14:50,760 Speaker 1: some of the issues with women seeking treatment for their addiction, 230 00:14:51,080 --> 00:14:53,720 Speaker 1: one of them does have to do with mental health issues, 231 00:14:53,800 --> 00:14:57,240 Speaker 1: and that a woman who is addicted might seek treatment 232 00:14:57,320 --> 00:15:00,840 Speaker 1: for depression or for some mental health issue, but might 233 00:15:00,880 --> 00:15:04,080 Speaker 1: not actually seek help for the addiction itself, so not 234 00:15:04,240 --> 00:15:06,520 Speaker 1: covering all the bases. She also said that you know, 235 00:15:06,600 --> 00:15:08,680 Speaker 1: women may not receive treatment because they're afraid of being 236 00:15:08,720 --> 00:15:12,520 Speaker 1: separated from their families, since we're typically the central caregivers, 237 00:15:13,160 --> 00:15:15,440 Speaker 1: and some women are more prone to view addiction as 238 00:15:15,440 --> 00:15:18,680 Speaker 1: a social thing, not disruptive to their lives or their families. 239 00:15:19,000 --> 00:15:22,160 Speaker 1: And there was one study too that caught my eye, 240 00:15:22,400 --> 00:15:27,120 Speaker 1: um which found that older women especially are having a 241 00:15:27,160 --> 00:15:30,080 Speaker 1: harder time with addiction. This was from a two thousand 242 00:15:30,120 --> 00:15:32,840 Speaker 1: and eight study by Penelope Ziegler, and she found that 243 00:15:32,880 --> 00:15:36,240 Speaker 1: substance abuse disorders are becoming more and more common and 244 00:15:36,280 --> 00:15:39,360 Speaker 1: women over sixty and will become a larger public health 245 00:15:39,400 --> 00:15:43,400 Speaker 1: issue as the baby boomers reach retirement age, and that 246 00:15:43,440 --> 00:15:46,320 Speaker 1: brings up all sorts of challenges in terms of identifying 247 00:15:46,640 --> 00:15:51,360 Speaker 1: addiction and older population intervening and treating them, because not 248 00:15:51,440 --> 00:15:55,520 Speaker 1: only might you have health conditions associated with substance abuse, 249 00:15:55,520 --> 00:15:59,320 Speaker 1: but also just the you know, the basic process of aging. Right, 250 00:15:59,680 --> 00:16:02,760 Speaker 1: I feel like, uh, I read somewhere that it's it's 251 00:16:02,800 --> 00:16:06,680 Speaker 1: more unusual to focus on older women with addiction because normally, 252 00:16:06,720 --> 00:16:09,320 Speaker 1: if an addiction is really bad, either someone has sought 253 00:16:09,320 --> 00:16:11,800 Speaker 1: treatment at a younger age or they've just gotten so 254 00:16:11,920 --> 00:16:14,080 Speaker 1: sick from it that maybe they didn't make it to 255 00:16:14,160 --> 00:16:19,560 Speaker 1: an advanced age. So it's developing kind of subgroup support 256 00:16:19,600 --> 00:16:22,760 Speaker 1: groups for these older women is very important, right, because 257 00:16:23,080 --> 00:16:27,040 Speaker 1: one thing that Chilly Greenfield at Harvard Medical School emphasizes 258 00:16:27,200 --> 00:16:31,120 Speaker 1: is that women do tend to relapse more often than men, 259 00:16:31,280 --> 00:16:35,760 Speaker 1: probably because you know, the medical research is only now 260 00:16:35,880 --> 00:16:42,360 Speaker 1: catching up to specific needs in treatment that women might need, right, like, uh, 261 00:16:42,800 --> 00:16:46,440 Speaker 1: it needs that women might need. That was need need 262 00:16:46,600 --> 00:16:51,000 Speaker 1: need need. Well, we talked about nicotine replacement therapy and 263 00:16:51,000 --> 00:16:53,560 Speaker 1: how that is not as successful for women because it 264 00:16:53,600 --> 00:16:55,880 Speaker 1: was tested more for men. So that's an example of 265 00:16:55,920 --> 00:16:58,960 Speaker 1: how you know, women, whatever their age, do need sort 266 00:16:58,960 --> 00:17:01,760 Speaker 1: of a different focus for their treatment. But we also 267 00:17:01,800 --> 00:17:04,320 Speaker 1: looked at a two thousand three study that focused on 268 00:17:04,520 --> 00:17:07,440 Speaker 1: younger women from ages eight to twenty two. When I 269 00:17:07,440 --> 00:17:09,240 Speaker 1: first read that, I thought I was eighteen to twenty 270 00:17:09,240 --> 00:17:11,800 Speaker 1: two because I thought there's no way that eight year 271 00:17:11,800 --> 00:17:15,439 Speaker 1: old second graders could be in an addiction study. But 272 00:17:15,800 --> 00:17:18,200 Speaker 1: this is from the National Center on Addiction and Substance 273 00:17:18,200 --> 00:17:21,920 Speaker 1: Abuse at Columbia University, and the three year study found 274 00:17:21,920 --> 00:17:25,479 Speaker 1: that girls and young women use substances for different reasons 275 00:17:25,560 --> 00:17:28,359 Speaker 1: than boys and young men do, and the signals of 276 00:17:28,480 --> 00:17:33,359 Speaker 1: higher risk are different. Yeah. The study pointed out some 277 00:17:33,359 --> 00:17:37,040 Speaker 1: some things about younger women and girls and addiction that 278 00:17:37,119 --> 00:17:40,800 Speaker 1: I wasn't aware of, including, um, how girls may develop 279 00:17:40,880 --> 00:17:44,320 Speaker 1: symptoms of nicotine addiction faster than boys and may become 280 00:17:44,359 --> 00:17:48,680 Speaker 1: addicted to nicotine before they even become regular smokers. UM 281 00:17:48,720 --> 00:17:52,960 Speaker 1: females progressed from alcohol use to abuse faster than males. 282 00:17:53,040 --> 00:17:55,760 Speaker 1: And then just to add some stats around UM, the 283 00:17:55,760 --> 00:18:00,000 Speaker 1: the gender gaps of substance abuse. So we've mentioned UM 284 00:18:00,320 --> 00:18:04,919 Speaker 1: sixty five percent of college women drink compared to of 285 00:18:04,960 --> 00:18:07,760 Speaker 1: college men, so that's pretty narrow five percent gap, and 286 00:18:07,800 --> 00:18:11,040 Speaker 1: then for smoking, it's even narrower, with twenty four point 287 00:18:11,160 --> 00:18:14,560 Speaker 1: six percent of college women smoking compared to twenty six 288 00:18:14,640 --> 00:18:17,600 Speaker 1: point five percent of college men smoking. And I would 289 00:18:17,640 --> 00:18:21,160 Speaker 1: guess that that narrower gender gap has to do with 290 00:18:21,480 --> 00:18:26,640 Speaker 1: appetite suppression effects from cigarettes, but that's just my commentary. Yeah, 291 00:18:26,680 --> 00:18:29,879 Speaker 1: it could be. The study points out that girls and 292 00:18:29,920 --> 00:18:33,119 Speaker 1: young women are more likely to be depressed, more likely 293 00:18:33,160 --> 00:18:36,640 Speaker 1: to consider and commit suicide than boys, and are more 294 00:18:36,680 --> 00:18:39,280 Speaker 1: likely to have been abused, and all of these things 295 00:18:39,400 --> 00:18:43,920 Speaker 1: tie into substance use and abuse, and it might actually 296 00:18:44,000 --> 00:18:49,000 Speaker 1: be easier for girls to get their hands on alcohol 297 00:18:49,040 --> 00:18:53,120 Speaker 1: if they're underage, cigarettes if they're under age, and drugs 298 00:18:53,160 --> 00:18:57,639 Speaker 1: if they are of any age, because they are illegal. Right, Well, 299 00:18:57,840 --> 00:19:00,240 Speaker 1: one thing, you know, you mentioned appetite suppress night with 300 00:19:00,240 --> 00:19:03,280 Speaker 1: cigarettes and the gender gap there. What I thought was 301 00:19:03,640 --> 00:19:07,080 Speaker 1: very surprising was you know girls are more likely to 302 00:19:07,200 --> 00:19:10,479 Speaker 1: diet and have eating disorders than boys, and girls who 303 00:19:10,560 --> 00:19:14,239 Speaker 1: engage in unhealthy dieting behaviors drink significantly more alcohol than 304 00:19:14,280 --> 00:19:17,480 Speaker 1: non dieters. But when they asked the study participants about 305 00:19:17,520 --> 00:19:21,359 Speaker 1: their drinking habits, half did not know that alcohol contributes 306 00:19:21,359 --> 00:19:24,560 Speaker 1: to weight gain, and five point seven percent actually thought 307 00:19:24,560 --> 00:19:28,400 Speaker 1: that drinking alcohol helps you lose weight. So we got 308 00:19:28,440 --> 00:19:34,840 Speaker 1: some miseducation. Needs to educate about exactly can we beat 309 00:19:34,920 --> 00:19:40,000 Speaker 1: our podcast into into people's brains. I'm sure. I'm sure 310 00:19:40,040 --> 00:19:43,439 Speaker 1: that's in the future, the near future podcast school. And 311 00:19:43,480 --> 00:19:45,879 Speaker 1: then there is the issue of whether or not UM 312 00:19:46,040 --> 00:19:49,280 Speaker 1: mother's smoke or drink while they're pregnant. Um If so, 313 00:19:49,400 --> 00:19:52,200 Speaker 1: their daughter is much more likely to do both. There 314 00:19:52,320 --> 00:19:56,040 Speaker 1: is a very significant and strong link between prenatal exposure 315 00:19:56,080 --> 00:20:02,200 Speaker 1: to smoking and drinking to the offspring smoking and drinking. Right, 316 00:20:02,280 --> 00:20:04,440 Speaker 1: it's the link is stronger for girls and boys, which 317 00:20:04,440 --> 00:20:07,400 Speaker 1: I didn't know. And at the same time, I uh, 318 00:20:07,440 --> 00:20:11,479 Speaker 1: and again this is just my social commentary. I wonder 319 00:20:11,680 --> 00:20:17,720 Speaker 1: if it is also um if if that celebrity culture 320 00:20:18,359 --> 00:20:23,600 Speaker 1: plus addiction and the whole whole celebrity rehab trend and 321 00:20:23,600 --> 00:20:25,480 Speaker 1: how it is. I mean, you know, it's a new week, 322 00:20:25,520 --> 00:20:28,320 Speaker 1: a new blog post, a new a new celebrity with 323 00:20:28,520 --> 00:20:32,439 Speaker 1: some kind of debilitating addiction. And I wonder if that 324 00:20:32,520 --> 00:20:35,320 Speaker 1: kind of a connection to celebrity is also not doing 325 00:20:35,359 --> 00:20:40,600 Speaker 1: a disservice to younger girls who idolize celebrities. And there's 326 00:20:40,600 --> 00:20:43,720 Speaker 1: the culture you're into. I remember right after I graduated college, 327 00:20:43,760 --> 00:20:46,879 Speaker 1: a friend of mine pointed out that, you know, he 328 00:20:47,240 --> 00:20:48,720 Speaker 1: was exaggerating, but he was like, you know, have the 329 00:20:48,760 --> 00:20:50,920 Speaker 1: people I know in college or alcoholics, they just don't 330 00:20:50,960 --> 00:20:52,560 Speaker 1: know it. It's not until they graduate and get out 331 00:20:52,560 --> 00:20:54,840 Speaker 1: in the real world and they're in a normal sort 332 00:20:54,880 --> 00:20:58,000 Speaker 1: of structured situation with a job and everything, that they realize, oh, 333 00:20:58,000 --> 00:21:00,080 Speaker 1: maybe I have a problem. Maybe it's not normal A 334 00:21:00,160 --> 00:21:03,240 Speaker 1: drink all day every day. Yeah, and to binge drink. 335 00:21:03,600 --> 00:21:07,240 Speaker 1: We're not talking about having one glass of wine, having 336 00:21:07,280 --> 00:21:10,560 Speaker 1: a beer, Okay, no big deal. But it's it is 337 00:21:10,600 --> 00:21:16,199 Speaker 1: that that excessive and constant behavior. UM And I I 338 00:21:16,240 --> 00:21:19,919 Speaker 1: think it's worth thinking twice about these addiction pathways. And 339 00:21:19,960 --> 00:21:22,359 Speaker 1: I'm it is heartening too to know that the medical 340 00:21:22,400 --> 00:21:26,879 Speaker 1: community UM really does want to puzzle out why we 341 00:21:27,000 --> 00:21:32,360 Speaker 1: become addicted and specifically why men and women become addicted 342 00:21:32,880 --> 00:21:37,760 Speaker 1: through different routes. It's pretty fascinating. Yeah, and uh, treatment, 343 00:21:38,200 --> 00:21:41,320 Speaker 1: different treatments are very important. And for female smokers out there, 344 00:21:41,400 --> 00:21:44,720 Speaker 1: pay attention to your menstrual cycle. I hadn't heard that before. Yeah, 345 00:21:44,760 --> 00:21:47,239 Speaker 1: I'm going to have to figure out exactly what's up 346 00:21:47,240 --> 00:21:49,320 Speaker 1: with the loot. Not that I smoke, but now I'm 347 00:21:49,320 --> 00:21:51,240 Speaker 1: curious about what the loodeal cycle is. I'm want to 348 00:21:51,240 --> 00:21:53,119 Speaker 1: look more into this. When it's harder for you to 349 00:21:53,400 --> 00:21:55,480 Speaker 1: to kick your addiction, that's probably you know what, during 350 00:21:55,480 --> 00:21:57,400 Speaker 1: your lodeal cycle. I bet you start buying a bunch 351 00:21:57,440 --> 00:22:00,240 Speaker 1: of trolls. I bet you start eating all that hair 352 00:22:00,640 --> 00:22:03,600 Speaker 1: that you that you eat. This is fictional. Those are cruelines. 353 00:22:03,680 --> 00:22:06,199 Speaker 1: Addictions we've been talking about are purely fictional. Mine are 354 00:22:06,200 --> 00:22:12,200 Speaker 1: mostly like chocolate, really typical and typical Kathy coffee and chocolate, 355 00:22:12,280 --> 00:22:16,040 Speaker 1: chocolate and romance novels. Oh god, I'm so glad I 356 00:22:16,040 --> 00:22:18,520 Speaker 1: don't have a cat. So we've talked about all of 357 00:22:18,520 --> 00:22:21,119 Speaker 1: these addictive pathways and we were we don't mean to 358 00:22:21,240 --> 00:22:23,600 Speaker 1: leave you hanging out there, but we are following up 359 00:22:23,640 --> 00:22:27,199 Speaker 1: with our next episode, which will be on rehab and 360 00:22:27,400 --> 00:22:32,800 Speaker 1: what kinds of specific rehabilitation practices work for men and women. 361 00:22:33,160 --> 00:22:37,920 Speaker 1: Who was Betty Ford um and and how the rehab 362 00:22:37,960 --> 00:22:41,840 Speaker 1: culture that we have today has sprung up. So tune 363 00:22:41,880 --> 00:22:44,560 Speaker 1: in for that next time on stuff Mom never told you. 364 00:22:44,880 --> 00:22:48,320 Speaker 1: But in the meantime, send us your letters. Mom. Stuff 365 00:22:48,320 --> 00:22:50,400 Speaker 1: at Discovery dot com is where you can send them 366 00:22:50,400 --> 00:22:54,240 Speaker 1: if you have anything addiction related to to let us know. 367 00:22:54,560 --> 00:22:57,080 Speaker 1: And in the meantime we've got a couple of letters 368 00:22:57,119 --> 00:23:04,000 Speaker 1: to read as well. I have one here from Lauren 369 00:23:04,040 --> 00:23:08,600 Speaker 1: who has a fantastic addiction. You're running. Do you like that, Sega? 370 00:23:09,480 --> 00:23:12,000 Speaker 1: She just giving a little thumbs up. All right, Lauren, Right, 371 00:23:12,119 --> 00:23:14,520 Speaker 1: Thank you so much for your podcast on women marathoners. 372 00:23:14,560 --> 00:23:16,840 Speaker 1: I'm myself and I am a runner and got a 373 00:23:16,880 --> 00:23:19,440 Speaker 1: lot out of this one. When I first started running, 374 00:23:19,440 --> 00:23:21,000 Speaker 1: I ran with a group of girls, but I didn't 375 00:23:21,000 --> 00:23:23,399 Speaker 1: think much about it. Now I'm training for my second 376 00:23:23,480 --> 00:23:26,919 Speaker 1: Chicago marathon and I'm very excited about it. The thing is, 377 00:23:27,000 --> 00:23:29,600 Speaker 1: I have never considered myself a girl when I run. 378 00:23:29,920 --> 00:23:31,560 Speaker 1: When I run with a group of people, we are 379 00:23:31,600 --> 00:23:34,040 Speaker 1: all just people. My running group is now people of 380 00:23:34,040 --> 00:23:37,919 Speaker 1: all ages, races, backgrounds, both men and women, and we 381 00:23:37,960 --> 00:23:41,439 Speaker 1: don't classify ourselves by any of these traditional characteristics. We 382 00:23:41,480 --> 00:23:45,560 Speaker 1: are runners and defined by our accomplishments and goals. As such, 383 00:23:45,560 --> 00:23:47,520 Speaker 1: it never occurred to me that women weren't allowed to 384 00:23:47,520 --> 00:23:50,720 Speaker 1: do this. I can't imagine my life without running. Coincidentally, 385 00:23:50,760 --> 00:23:53,600 Speaker 1: before I started, I thought running a marathon was completely 386 00:23:53,640 --> 00:23:56,600 Speaker 1: insane and could not understand what made people crazy enough 387 00:23:56,840 --> 00:24:00,639 Speaker 1: to want to run that far. So thank you to Lauren. 388 00:24:01,640 --> 00:24:04,200 Speaker 1: And this one is from Rose about our our Gay 389 00:24:04,240 --> 00:24:08,119 Speaker 1: Households More Egalitarian episode. She says, I thought it was 390 00:24:08,160 --> 00:24:10,160 Speaker 1: really cool that you both said that all couples could 391 00:24:10,240 --> 00:24:12,879 Speaker 1: learn something from the research and ideas that you discussed. 392 00:24:13,160 --> 00:24:15,480 Speaker 1: As a lesbian, I feel that the freedom to negotiate 393 00:24:15,520 --> 00:24:18,199 Speaker 1: the balance of power and responsibilities in my relationship with 394 00:24:18,200 --> 00:24:20,720 Speaker 1: women is a real privilege and has enabled me to 395 00:24:20,760 --> 00:24:23,280 Speaker 1: examine my own strengths and weaknesses and really try and 396 00:24:23,280 --> 00:24:25,480 Speaker 1: figure out how I can best contribute to a relationship 397 00:24:25,600 --> 00:24:28,080 Speaker 1: rather than falling back on what is expected of my gender. 398 00:24:28,600 --> 00:24:30,760 Speaker 1: One area where I really noticed this difference in power 399 00:24:30,800 --> 00:24:33,080 Speaker 1: and responsibility was when my wife and I got married 400 00:24:33,160 --> 00:24:35,560 Speaker 1: last year. We planned the wedding together and really we're 401 00:24:35,600 --> 00:24:38,600 Speaker 1: a team at all points doing the guest list, addressing envelopes, 402 00:24:38,680 --> 00:24:41,280 Speaker 1: picking a venue, choosing suits and dresses for our attendance, 403 00:24:41,320 --> 00:24:45,080 Speaker 1: flowers favors. We split a few tasks. I researched DJs 404 00:24:45,119 --> 00:24:48,440 Speaker 1: while she researched cakes, for example, but tasks were pretty 405 00:24:48,480 --> 00:24:51,440 Speaker 1: evenly distributed. This is a big contrast to how I've 406 00:24:51,440 --> 00:24:53,760 Speaker 1: seen straight friends plan their weddings. I usually see the 407 00:24:53,800 --> 00:24:55,679 Speaker 1: bride along with her mother and mother in law and 408 00:24:55,760 --> 00:24:59,720 Speaker 1: friends during most of the inviting and quote unquote design tasks, 409 00:24:59,720 --> 00:25:02,080 Speaker 1: while the groom participates only at the final stage of 410 00:25:02,080 --> 00:25:04,480 Speaker 1: these decisions to give final approval or pick out a 411 00:25:04,480 --> 00:25:07,480 Speaker 1: few options presented to him. Grooms do seem to participate 412 00:25:07,520 --> 00:25:09,520 Speaker 1: more when it comes to food and music, maybe because 413 00:25:09,560 --> 00:25:13,920 Speaker 1: women feel men have more expertise in those areas question work. Obviously, 414 00:25:13,960 --> 00:25:16,080 Speaker 1: not all weddings work this way, but I thought this 415 00:25:16,160 --> 00:25:18,720 Speaker 1: was one example of a life event where expected gender 416 00:25:18,800 --> 00:25:20,760 Speaker 1: roles often play a big part in how men and 417 00:25:20,800 --> 00:25:24,320 Speaker 1: women participate differently. I think in general, as more gay 418 00:25:24,359 --> 00:25:27,200 Speaker 1: couples get married and structure their weddings and marriages differently, 419 00:25:27,480 --> 00:25:29,760 Speaker 1: all couples will benefit from a little more freedom to 420 00:25:29,840 --> 00:25:32,560 Speaker 1: customize and create structures that work best for them and 421 00:25:32,600 --> 00:25:37,360 Speaker 1: their lives rather than adhere to what is expected. So 422 00:25:37,440 --> 00:25:40,080 Speaker 1: thanks to everyone who has written in mom Stuff at 423 00:25:40,080 --> 00:25:42,960 Speaker 1: Discovery dot com is where you can send your letters, 424 00:25:42,960 --> 00:25:45,080 Speaker 1: and don't forget to tune into the next podcast where 425 00:25:45,119 --> 00:25:47,880 Speaker 1: we will we will answer all of your questions about 426 00:25:47,880 --> 00:25:50,360 Speaker 1: whether or not rehab or or addiction I should say, 427 00:25:50,400 --> 00:25:55,240 Speaker 1: can be effectively treated with rehab. And in the meantime, 428 00:25:55,359 --> 00:25:57,840 Speaker 1: you can check in with us on Facebook and follow 429 00:25:57,920 --> 00:26:00,760 Speaker 1: us on Twitter at Mom's Stuff Poe podcast, and you 430 00:26:00,800 --> 00:26:04,040 Speaker 1: can read up on addiction at our home website, that's 431 00:26:04,080 --> 00:26:09,520 Speaker 1: how Stuff Works dot com. For more on this and 432 00:26:09,560 --> 00:26:17,280 Speaker 1: thousands of other topics, visit how Stuff works dot com. 433 00:26:17,400 --> 00:26:19,960 Speaker 1: Brought to you by the reinvented two thousand twelve camera. 434 00:26:20,280 --> 00:26:21,440 Speaker 1: It's ready, are you