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探寻南亚地区家庭应对酗酒问题的历程:一项范围综述

Mapping the journey of families navigating problem drinking in South Asia: a scoping review.

作者信息

Rebello Nikitha Sibil, Sekaran Varalakshmi Chandra, Ashok Lena, Bailey Ajay, Mallya Deepak, Patil Divya Sussana

机构信息

Department of Global Public Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Department of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.

出版信息

BMC Public Health. 2025 May 9;25(1):1715. doi: 10.1186/s12889-025-22967-y.

DOI:10.1186/s12889-025-22967-y
PMID:40346530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12063230/
Abstract

BACKGROUND

Problem drinking is a serious issue as it affects persons with problem drinking and family members including children, adolescents, spouses, and extended family members, thus affecting the entire family environment. This review aims to explore the evidence regarding challenges faced by family members including adolescent children, spouses, and extended family members due to a person with a problem drinking. The findings from the review will help inform further research to develop interventions for family members and for parents having problem drinking issues.

METHODS

This scoping review was undertaken using the Joanna Briggs Institute framework. Six online databases were searched for relevant articles published in English from January 2003 to June 2023. Both quantitative and qualitative studies conducted in South Asia on challenges faced by family members living with either parent/s with problem drinking were included. Challenges were sorted into physical, psychological/emotional, social, and financial, as faced by family members.

RESULTS

Forty-seven articles met the inclusion criteria. Of the 47 studies, 37 studies described challenges faced by spouses while 10 studies described challenges among adolescent children in households with parental problem drinking. Most studies focused on psychological/emotional challenges while more than half reported physical challenges. Since the scoping review aimed to map the evidence available on challenges faced by family members of a person with problem drinking, data was presented narratively.

CONCLUSIONS

This scoping review explored multifaceted challenges and consequences among families affected by a person with problem drinking. The review has provided insights into the complexities of problem drinking leading to disruptive family relationships, poor parenting, emotional vulnerabilities, and psychiatric morbidities. Healthcare professionals need to consider the challenges that affect the family while also considering each individual in the family in managing parental problem drinking.

摘要

背景

饮酒问题是一个严重的问题,因为它会影响有饮酒问题的人及其家庭成员,包括儿童、青少年、配偶和其他家庭成员,进而影响整个家庭环境。本综述旨在探讨有关家庭成员(包括青少年子女、配偶和其他家庭成员)因他人饮酒问题而面临的挑战的证据。综述结果将有助于为进一步研究提供信息,以制定针对家庭成员和有饮酒问题的父母的干预措施。

方法

本范围综述采用乔安娜·布里格斯研究所的框架进行。检索了六个在线数据库,以查找2003年1月至2023年6月期间发表的英文相关文章。纳入了在南亚进行的关于与有饮酒问题的父母一方或双方共同生活的家庭成员所面临挑战的定量和定性研究。家庭成员面临的挑战分为身体、心理/情感、社会和经济方面。

结果

47篇文章符合纳入标准。在这47项研究中,37项研究描述了配偶面临的挑战,10项研究描述了父母有饮酒问题的家庭中青少年子女面临的挑战。大多数研究关注心理/情感挑战,超过一半的研究报告了身体挑战。由于范围综述旨在梳理关于有饮酒问题者的家庭成员所面临挑战的现有证据,因此数据采用叙述形式呈现。

结论

本范围综述探讨了受饮酒问题者影响的家庭中多方面的挑战和后果。该综述揭示了饮酒问题的复杂性,这些问题导致家庭关系破裂、不良养育方式、情绪脆弱性和精神疾病。医疗保健专业人员在管理父母饮酒问题时,需要考虑影响家庭的挑战,同时也要考虑家庭中的每一个个体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1658/12063230/240c85b4766d/12889_2025_22967_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1658/12063230/4254c59c3a34/12889_2025_22967_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1658/12063230/f37a86cbf928/12889_2025_22967_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1658/12063230/240c85b4766d/12889_2025_22967_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1658/12063230/4254c59c3a34/12889_2025_22967_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1658/12063230/f37a86cbf928/12889_2025_22967_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1658/12063230/240c85b4766d/12889_2025_22967_Fig3_HTML.jpg

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