Clark R E
Dept of Community and Family Medicine, Dartmouth Medical School, Hanover, NH 03755-3862, USA.
Schizophr Bull. 2001;27(1):93-101. doi: 10.1093/oxfordjournals.schbul.a006862.
This paper explores the relationship between direct support from family members and friends and substance use outcomes for people with co-occurring severe mental illness and substance use disorders. Data are from a 3-year randomized trial of 203 patients in treatment for dual disorders. Informal (family) caregivers for 174 participants were asked about economic assistance and direct care that they provided to participants. Associations between family support and substance use outcomes were examined with bivariate comparisons of abstainers and nonabstainers and with regression models using change in substance use and cumulative substance use as dependent measures. Family economic support was associated with substance abuse recovery in bivariate and regression analyses. Caregiving hours were significantly associated with substance use reduction but not with cumulative substance use. Informal support was not associated with changes in psychiatric symptoms. The findings suggest that direct family support may help people with dual disorders to reduce or eliminate their substance use. Further research is needed to confirm this connection and to establish the mechanisms by which support is useful.
本文探讨了家庭成员和朋友的直接支持与同时患有严重精神疾病和物质使用障碍的患者的物质使用结果之间的关系。数据来自一项针对203名双相障碍患者的为期3年的随机试验。研究询问了174名参与者的非正式（家庭）照顾者，了解他们为参与者提供的经济援助和直接照顾情况。通过对戒酒者和未戒酒者进行双变量比较，并使用物质使用变化和累积物质使用作为因变量的回归模型，研究了家庭支持与物质使用结果之间的关联。在双变量和回归分析中，家庭经济支持与物质滥用康复相关。照顾时长与物质使用减少显著相关，但与累积物质使用无关。非正式支持与精神症状的变化无关。研究结果表明，家庭直接支持可能有助于双相障碍患者减少或戒除物质使用。需要进一步的研究来证实这种联系，并确定支持发挥作用的机制。
