RESUMO: Objetivou-se investigar o impacto do alcoolismo na dinâmica familiar, avaliando a coesão e adaptabilidade das famílias quanto aos fatores de risco para sofrimento psíquico em adolescentes. Tal estudo transversal de base populacional foi realizado em João Pessoa/PB/Brasil, em 2011, com 21.214 estudantes da rede estadual de ensino, obtendo-se amostra de 715 adolescentes. Utilizou-se técnica de amostragem sistemática, autoponderada, através dos instrumentos CAGE familiar, SRQ-20 e a Escala FACES III. Resultados indicaram que 242(33,9%) entrevistados conviviam com familiares alcoolistas; destes, 97(40,1%) tinham algum tipo de sofrimento mental; e entre estes, 47(48,5%) apresentaram famílias com classificação de médio risco mental, mantendo-se funcionais, no que se refere à coesão e adaptabilidade. Concluiu-se que adolescentes que convivem com familiares alcoolistas apresentam sofrimento psíquico, ainda que convivam em contextos classificados como funcionais com médio risco para o adoecimento mental familiar. Palavras Chave: Enfermagem; saúde mental; alcoolismo; relações familiares. ABSTRACT: This transversal, population-based study to investigate the impact of alcoholism on family dynamics and evaluate the families' cohesion and adaptability in relation to risk factors for psychological distress in adolescents, was conducted in João Pessoa, Paraíba State, in 2011. The sample of 715 from a population of 21,214 state school students was obtained by systematic, self-weighted, sampling technique, using the Family CAGE and SRQ-20 questionnaires and the FACES III scale. The results indicated that 242 respondents (33.9%) lived with alcoholic family members, of whom 97 (40.1%) displayed some kind of mental suffering; of these, 47 (48.5%) had families with average mental risk classification, but which remained functional in terms of cohesion and adaptability. It was concluded that adolescents living with alcoholic relatives suffer psychological distress, even though living in family contexts classified as functional with average risk for family mental illness.
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