Moriarty Helen, Stubbe Maria, Bradford Sarah, Tapper Sophie, Lim Bee Teng
Department of Primary Health Care and General Practice, Wellington School of Medicine and Health Sciences, University of Otago, P.O. Box 7343, Mein Street, Wellington South, New Zealand.
J Prim Health Care. 2011 Sep 1;3(3):210-7.
Information about the impact of addiction on New Zealand (NZ) families is scarce. A good understanding of the nature and extent of family problems is essential to help families become more resilient and minimise the consequences. This study aimed to explore experiences of NZ families living with addiction, identify impacts on non-addicted family members, their coping strategies and barriers to help seeking.
Literature and key stakeholder interviews informed the development of an interview schedule for 29 family participants recruited through health and social services. Interviews were recorded for analysis of central themes and critical elements that underpin those. Key stakeholders and informal informants were again consulted to discuss findings and interpretation.
Addiction has widespread effects on NZ families. The coping strategies described by the participants in this project lacked the positive connotations of resilience, namely positive adaptation under significant adversity.
Family impacts of addiction are complex, and similar family problems arise regardless of the substance(s) involved. This small exploratory study indicates that the implications for NZ families deserve further investigation. Future research is also required to further characterise the impact of behavioural addictions on families, addiction in particular ethnic groupings and the implications of the findings for clinical practice, other social and health services, and for public health and social policy.
关于成瘾对新西兰家庭影响的信息匮乏。深入了解家庭问题的本质和程度对于帮助家庭增强复原力并将后果降至最低至关重要。本研究旨在探索新西兰成瘾家庭的经历，确定对未成瘾家庭成员的影响、他们的应对策略以及寻求帮助的障碍。
通过文献研究和与关键利益相关者的访谈，为通过卫生和社会服务招募的29名家庭参与者制定了访谈提纲。对访谈进行录音，以分析核心主题及支撑这些主题的关键要素。再次咨询关键利益相关者和非正式信息提供者，以讨论研究结果及解读。
成瘾对新西兰家庭具有广泛影响。本项目参与者所描述的应对策略缺乏复原力的积极内涵，即在重大逆境下的积极适应。
成瘾对家庭的影响很复杂，无论涉及何种物质，都会出现类似的家庭问题。这项小型探索性研究表明，成瘾对新西兰家庭的影响值得进一步调查。未来还需要开展研究，以进一步明确行为成瘾对家庭的影响、特定族裔群体中的成瘾情况，以及研究结果对临床实践、其他社会和卫生服务以及公共卫生和社会政策的影响。
