Moore Barbara C, Biegel David E, McMahon Thomas J
Yale University School of Medicine, VA Connecticut Healthcare System, West Haven, CT, USA.
J Soc Work Pract Addict. 2011 Jan;11(1):17-39. doi: 10.1080/1533256X.2011.544600.
Family members of women substance users may be at risk for stress-related problems. Family coping responses may affect outcomes for both families and women in treatment. Eighty-two women in treatment for substance use disorders (56 with comorbid psychiatric conditions) and 82 family members were interviewed. Stressors related to women's disorders were significantly related to increased family member burden. Women's behavioral problems predicted greater family member Worry, Displeasure, and Impact. Extent of women's drug or alcohol use predicted greater family member Stigma and Impact. Family member maladaptive coping partially mediated relationships between family member stressors and family member Displeasure and Impact. Family member maladaptive coping also functioned as a moderator between the stressors and Impact.
女性药物滥用者的家庭成员可能面临与压力相关问题的风险。家庭应对反应可能会影响家庭和接受治疗的女性的治疗结果。研究人员对82名接受药物使用障碍治疗的女性(其中56名患有共病精神疾病)和82名家庭成员进行了访谈。与女性疾病相关的压力源与家庭成员负担增加显著相关。女性的行为问题预示着家庭成员更大的担忧、不满和影响。女性药物或酒精使用的程度预示着家庭成员更大的耻辱感和影响。家庭成员的适应不良应对在一定程度上介导了家庭成员压力源与家庭成员不满和影响之间的关系。家庭成员的适应不良应对在压力源和影响之间也起到了调节作用。