Wilson Samara R, Rodda Simone, Lubman Dan I, Manning Victoria, Yap Marie B H
School of Psychological Sciences, Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Australia.
Turning Point, Eastern Health, Fitzroy, Australia; School of Population Health, University of Auckland, New Zealand.
J Subst Abuse Treat. 2017 Jul;78:56-62. doi: 10.1016/j.jsat.2017.04.009. Epub 2017 Apr 14.
Problematic alcohol and other drug (AOD) use impacts partners heavily, with an increased risk of experiencing domestic violence, financial stressors, health problems and relationship challenges. However, partners often do not seek help or support due to a range of barriers (e.g., shame, stigma, practical constraints). Online counselling may facilitate help-seeking by overcoming many of these barriers, however research is needed to explore what motivates partners to contact online counselling services, their experiences and needs, and how partners can be best supported online.
One hundred transcripts of partners of individuals with problem AOD use were sampled from a 24-hour national AOD synchronous online chat counselling service. Descriptive content analysis was used to investigate themes related to help-seeking.
Three broad themes, with seven sub-themes, were identified: (i) the reason for accessing online counselling (seeking advice, wanting to talk), (ii) discussing help-seeking and coping processes (past/present help-seeking or coping strategies, barriers and facilitators to seeking help and change), and (iii) planning for future assistance (future planning, treatment preferences).
Partners wanted to talk about their concerns with a non-judgemental professional. However, the majority of help-seekers wanted advice and assistance in problem-solving, coping and the process of seeking further help. Future studies need to examine the impact of online help-seeking by partners.
酒精及其他药物（AOD）使用问题对伴侣影响重大，会增加遭受家庭暴力、面临经济压力、出现健康问题及关系挑战的风险。然而，由于一系列障碍（如羞耻感、污名化、实际限制），伴侣往往不寻求帮助或支持。在线咨询可能通过克服这些障碍来促进求助行为，但需要开展研究，以探究促使伴侣联系在线咨询服务的因素、他们的经历和需求，以及如何在网上为伴侣提供最佳支持。
从一项24小时全国性AOD同步在线聊天咨询服务中抽取了100份有AOD使用问题者的伴侣的谈话记录。采用描述性内容分析法来调查与求助相关的主题。
确定了三个宽泛主题及七个子主题：（i）使用在线咨询的原因（寻求建议、想要倾诉），（ii）讨论求助及应对过程（过去/现在的求助或应对策略、寻求帮助和改变的障碍及促进因素），以及（iii）规划未来援助（未来规划、治疗偏好）。
伴侣希望与不评判的专业人士谈论他们的担忧。然而，大多数求助者希望在解决问题、应对及寻求进一步帮助的过程中获得建议和帮助。未来研究需要考察伴侣在线求助的影响。
