Abstract There is a lack of research illustrating the extent of psychiatric problems
in European TCs. Furthermore, there is a need to obtain more insight into gender
differences concerning comorbidity in the TC population. In an attempt to respond
to previous shortcomings, three speciﬁc goals were formulated for the current study.
The primary aim was to explore the lifetime prevalence of affective disorders in
European TC clients. The second aim was to focus on related gender differences.
And ﬁnally, client characteristics measured by the EuropASI were related to mood
and anxiety disorders measured by the SCID-I. Nine out of ten substance abusers
treated in a European TC program have an affective disorder. Gender differences
are noted for two anxiety disorders: men have more obsessive-compulsive disorders;
women have more post-traumatic stress disorders. The study illustrates that not
only gender but also other client characteristics should be taken into account when
Keywords Gender differences Æ Client characteristics Æ Affective disorders Æ
Therapeutic community Æ Europe
The Therapeutic Community (TC) modality was initially introduced in the United
States as a group therapy answer to the growing population of young substance
J. De Wilde, Ph.D. (&) Æ E. Broekaert, Professor Æ V. Soyez, Ph.D.
Department of Orthopedagogics, Ghent University, H. Dunantlaan 2, Ghent B-9000, Belgium
Y. Rosseel, Professor
Department of Data Analysis, Ghent University, Ghent, Belgium
P. Delespaul, Professor
Department of Psychiatric and Neuropsychology, Maastricht University, Maastricht,
Psychiatr Q (2007) 78:39–51
The Role of Gender Differences and Other Client
Characteristics in the Prevalence of DSM-IV Affective
Disorders Among a European Therapeutic Community
Joke De Wilde, Ph.D. Æ Eric Broekaert, Professor Æ
Yves Rosseel, Professor Æ Philippe Delespaul, Professor Æ
Veerle Soyez, Ph.D.
Published online: 11 November 2006
Springer Science+Business Media, LLC 2006