Couple and family involvement in adult mental health treatment: A systematic review

Meis, Laura; Griffin, Joan M.; Greer, Nancy; Jensen, Agnes; MacDonald, Roderick; Carlyle, Maureen; Rutks, Indulis; Wilt, Timothy J

doi:10.1016/j.cpr.2012.12.003

Cited by 77 publications

(83 citation statements)

References 71 publications

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“…BCT has a strong research base establishing its efficacy, and it has been shown to be more effective than more typical individual-based treatment (IBT) for married or cohabiting SUD patients. Specifically, BCT produces better outcomes than IBT, consisting of greater abstinence, fewer substance-related problems, and better relationship functioning (for reviews see Powers, Vedel and Emmelkamp, 2008; and Meis et al, 2013). Notably, the vast majority of the studies examining BCT have been conducted using couples where the male partner had an SUD and the female partner did not have any substance use disorder.…”

mentioning

confidence: 99%

A randomized clinical trial of behavioral couples therapy versus individually-based treatment for drug-abusing women.

O’Farrell¹,

Schumm²,

Murphy³

et al. 2017

Journal of Consulting and Clinical Psychology

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Objective Behavioral couples therapy (BCT) is more efficacious than individually-based therapy (IBT) for substance and relationship outcomes among patients with substance use disorder (SUD). This study compared BCT with IBT for drug-abusing women. Method Sixty-one women, mostly White, late thirties, with primary SUD other than alcohol (74% opioid diagnosis), and male partners were randomized to 26 sessions over 13-weeks of BCT plus 12-step-oriented IBT (i.e. BCT+IBT) or IBT. Substance-related outcomes: percentage days abstinent (PDA), percentage days drug use (PDDU), Inventory of Drug Use Consequences. Relationship outcomes: Dyadic Adjustment Scale (DAS) and days separated. Data were collected at baseline, post-treatment, and quarterly for 1-yr follow-up. Results On PDA, PDDU, and substance-related problems, both BCT+IBT and IBT patients showed significant (p < .01) large effect size improvements throughout the 1-yr follow-up (d > .8 for most time periods). BCT+IBT showed a significant (p < .001) large effect size (d = −.85) advantage versus IBT on fewer substance-related problems, while BCT+IBT and IBT did not differ on PDA or PDDU (p’s > .47). On relationship outcomes, compared to IBT, BCT+IBT had significantly higher male-reported DAS (p < .001, d = .57) and fewer days separated (p = .01, d = −.47) throughout the 1-yr follow-up. Conclusion BCT+IBT for drug-abusing women was more efficacious than IBT in improving relationship satisfaction and preventing relationship break-up. On substance use and substance-related problems, women receiving both treatments substantially improved, and women receiving BCT+IBT had fewer substance-related problems than IBT.

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mentioning

confidence: 99%

A randomized clinical trial of behavioral couples therapy versus individually-based treatment for drug-abusing women.

O’Farrell¹,

Schumm²,

Murphy³

et al. 2017

Journal of Consulting and Clinical Psychology

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“…Esses achados ampliam o leque de mecanismos pelos quais o perfil das famílias pode interferir no histórico de consumo, na busca por atendimento e na resposta ao desafio de cessar o uso de substâncias. Por analogia com outras condições clínicas, é possível compreender que a inclusão de familiares em cenários de atendimento, mesmo que não seja o grupo familiar em sua totalidade, pode reduzir hostilidades, amenizar conflitos, otimizar a comunicação interna aos grupos familiares, reduzir ou eliminar ganhos secundá-rios e qualificar as ações de cuidado, com chance de se chegar a melhores resultados nos planos terapêuticos [58][59][60] .…”

Section: Discussionunclassified

Influência da família no consumo de crack

Horta

Vieira

Balbinot

et al. 2014

J. bras. psiquiatr.

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RESUMOObjetivo: Dimensionar a contribuição de características de grupos familiares de usuários de crack tanto em situações de consumo quanto na promoção da cessação do uso da substân-cia. Métodos: Estudo observacional, transversal, misto, com delineamento quantitativo (estatísticas descritiva e analítica, por regressão de Poisson robusta) e qualitativo (análise temáti-ca de conteúdos de entrevistas individuais semiestruturadas). Resultados: Foram analisados dados oriundos de entrevistas com 519 usuários de crack, dos quais 48,3% referiram já ter feito uso compartilhado com algum familiar. A relação mais referida para compartilhamento do crack foi a conjugal, indicada por 30,6% dos entrevistados. A estimativa das razões de prevalência do desfecho abstinência na data da entrevista, por regressão de Poisson robusta controlada para fatores de confusão, para usuários de crack que referiram uso compartilhado com irmãos, foi de 0,940 (IC95%: 0,885-0,999; p = 0,045), tendo os que não referiram como referência. Na dimensão qualitativa, 20 entrevistados expuseram livremente modalidades de envolvimento dos familiares com o uso da droga, alguns indicando oposição ao consumo, outros estímulo, ou oferta, além da influência recíproca entre consumo de crack e conflitos familiares ou um ambiente considerado negativo. Além disso, os entrevistados que informaram ter familiares em tratamento em saúde mental tiveram 9% mais probabilidade de estar em uso cessado por 12 semanas ou mais (RP = 1,09; IC95%: 1,03-1,15; p = 0,005). Conclusão: Os grupos familiares aparecem não somente como fator de proteção, mas também como importante fator de risco para o uso do crack, e sua inclusão como grupo primário de atendimento se justifica com essas evidências. ABSTRACTObjective: This paper aims to study the contributions of families of crack users on promoting both consumption and cessation of consumption of this substance. Methods: A cross-sectional, mixed study with a quantitative design (descriptive and analytical statistics, by robust Poisson regression) and a qualitative design (thematic content analysis). Results: Among 519 crack users interviewed 48.3% reported having shared crack cocaine with some family member. The more expressive occurrence of sharing was for marital relations indicated by 30.6% of respondents. The estimated prevalence rates of the outcome crack usage stopped for more than 12 weeks, by robust Poisson regression controlling for confounding

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“…However, Sweden is still, to a certain extent, lacking a holistic approach and appropriate interventions to reduce further consequences of substance abuse, such as renewed traumas in terms of violence, exclusion from the labor market, loss of familial and social networks, and lost custody over their children. Treatment programs proved to be effective is family therapy and community reinforcement approach [43]. For those children who are now growing up in families, full or part time, where parents suffer from substance abuse, support structures are needed for the prevention of future mental and physical illness patterns [44].…”

Section: Wwhmentioning

confidence: 99%

Women with substance abuse problems exposed to men’s violence – A public mental health challenge

Birath¹,

Beijer²,

DeMarinis³

et al. 2014

Personality and Individual Differences

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Couple and family involvement in adult mental health treatment: A systematic review

Cited by 77 publications

References 71 publications

A randomized clinical trial of behavioral couples therapy versus individually-based treatment for drug-abusing women.

A randomized clinical trial of behavioral couples therapy versus individually-based treatment for drug-abusing women.

Influência da família no consumo de crack

Women with substance abuse problems exposed to men’s violence – A public mental health challenge

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