Brown Suzanne, Biegel David E, Tracy Elizabeth M
Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH 44106, USA.
Care Manag J. 2011;12(3):94-100. doi: 10.1891/1521-0987.12.3.94.
Family members are important to the well-being of their relatives with substance use disorders or co-occurring substance use and mental disorders. Many caregivers experience high levels of burden, negatively impacting their capacity to provide support to their ill family member. The Andersen health care utilization model (Andersen & Newman, 1973, 2005) was used to identify the impact of predisposing, enabling and need factors hypothesized to predict caregivers' likelihood of asking for help and support with their caregiving role. The sample include 82 women recruited from outpatient or inpatient substance abuse treatment centers and 82 family caregivers nominated by these women. Findings showed that almost half of caregivers were unlikely to ask for help. Multiple regression analysis found that two need variables were statistically signficant predictors of caregivers' likelihood to ask for help. Caregivers who had higher subject burden (worry) and caregivers who provided more assistance with daily living were more likely to ask for help. It is suggested that case managers assess the amount of worried family caregivers' experience because their worries may provide the motivation to ask for help or to participate in help when it is offered to them.
家庭成员对于患有物质使用障碍或同时患有物质使用和精神障碍的亲属的幸福至关重要。许多照料者承受着高水平的负担，这对他们为患病家庭成员提供支持的能力产生了负面影响。采用了安德森医疗保健利用模型（安德森和纽曼，1973年、2005年）来确定易患因素、促成因素和需求因素的影响，这些因素被假定用于预测照料者寻求帮助以及在照料角色上获得支持的可能性。样本包括从门诊或住院物质滥用治疗中心招募的82名女性，以及由这些女性提名的82名家庭照料者。研究结果表明，几乎一半的照料者不太可能寻求帮助。多元回归分析发现，两个需求变量是照料者寻求帮助可能性的统计学显著预测因素。承受更高主观负担（担忧）的照料者以及在日常生活中提供更多帮助的照料者更有可能寻求帮助。建议个案管理者评估家庭照料者所经历的担忧程度，因为他们的担忧可能会促使他们寻求帮助或在有帮助提供时参与其中。
