Pihkala Heljä, Dimova-Bränström Neda, Sandlund Mikael
a Psychiatric Clinic , Skellefteå Hospital , Skellefteå , Sweden.
b Psychiatry , Umeå University Hospital , Umeå , Sweden.
Nord J Psychiatry. 2017 Jul;71(5):395-401. doi: 10.1080/08039488.2017.1308009. Epub 2017 Apr 3.
Many children are affected by parental substance use disorder. Beardslee's family intervention (BFI) is a family-based psycho-educative method for children of mentally ill parents, used in psychiatric practise in several Nordic countries. The method has also been used to some extent when a parent suffers from substance use disorder.
The aim of the study was to explore the family members' experiences of the BFI when a parent has a diagnosis of substance use disorder, to gain new knowledge about the process of the BFI in this area.
Ten children and 14 parents were interviewed about their experiences 6 months after a BFI. The interviews were analyzed by qualitative content analysis. The children's psychological symptoms were measured by the Strengths and Difficulties Questionnaire at baseline and after 6 months.
Increased openness about the substance use disorder in the families was a recurrent theme throughout the material and a central issue reported in the children's experiences. The children had a high level of psychological symptoms according to the SDQ at baseline, but the majority of them felt that the BFI made a positive difference in their families and for themselves. The parents reported improved wellbeing of their children.
Positive experienced effects for children and parents are reported in families with parental substance use disorder, with possible connection to use of BFI. The present study suggests that Beardslee's family intervention is applicable as a preventive method for children in families with a parent suffering from substance use disorder.
许多儿童受到父母物质使用障碍的影响。比尔德斯利家庭干预法（BFI）是一种针对患有精神疾病父母的子女的家庭心理教育方法，在北欧几个国家的精神病学实践中得到应用。当父母患有物质使用障碍时，该方法也在一定程度上得到了应用。
本研究的目的是探讨当父母被诊断患有物质使用障碍时，家庭成员对比尔德斯利家庭干预法的体验，以获取有关该方法在这一领域实施过程的新知识。
在比尔德斯利家庭干预法实施6个月后，对10名儿童和14名家长进行了关于他们体验的访谈。采用定性内容分析法对访谈进行分析。在基线和6个月后，通过优势与困难问卷对儿童的心理症状进行测量。
家庭中对物质使用障碍的开放性增加是整个材料中反复出现的主题，也是儿童体验中报告的核心问题。根据优势与困难问卷，儿童在基线时心理症状水平较高，但他们中的大多数人认为比尔德斯利家庭干预法对他们的家庭和自身产生了积极影响。家长们报告说孩子的幸福感有所提高。
在父母患有物质使用障碍的家庭中，报告了对儿童和父母的积极体验效果，这可能与比尔德斯利家庭干预法的使用有关。本研究表明，比尔德斯利家庭干预法可作为一种预防方法应用于父母患有物质使用障碍的家庭中的儿童。
