Family structural issues and chemical dependency: A review of the literature from 1985 to 1991

Mackensen, Gail; Cottone, R. Rocco

doi:10.1080/01926189208250892

Cited by 17 publications

(8 citation statements)

References 42 publications

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“…Separation and individuation can be hazardous to family homeostasis, and having a cocaine-addicted child may be fundamental for the maintenance (although pathological) of the family coalition. These findings are in accordance with those of other authors using different methodologies (Friedman et al, 1987;Hoffman, 1981;Mackensen and Cottone, 1992), who also studied triangulation in drug addict families. These findings, however, should be regarded as preliminary.…”

Section: Discussionsupporting

confidence: 95%

Cocaine Addiction and Family Dysfunction: A Case-Control Study in Southern Brazil

Pinheiro

Magalhães

et al. 2006

Substance Use & Misuse

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Family-related factors play a crucial role in the onset, development, and maintenance of drug misuse and addiction. To investigate the hypothesis that families with a cocaine addicted son display more dysfunction than control families, we applied the Personal Authority in the Family System and the Self-Report Measure of Family Functioning to 67 case triads (child-father-mother) in which the son was an inpatient with a primary diagnosis of cocaine abuse or dependence and to 67 matched control triads from the community (Pelotas, Brazil) in 2000. Case children, mothers, and fathers were significantly more likely to present nuclear family triangulation than their matched control subjects. In addition, case triads had a significantly greater chance of perceiving family functioning as enmeshment. These results suggest both structural and functional differences in these families. We argue for the need of interventions in the family as a whole and for further research in this area.

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Section: Discussionsupporting

confidence: 95%

Cocaine Addiction and Family Dysfunction: A Case-Control Study in Southern Brazil

Pinheiro

Magalhães

et al. 2006

Substance Use & Misuse

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“…Although family functioning is an extremely broad construct consisting of a host of dimensions, specific domains of family functioning including cohesion, communication, support, and organization have been shown to be problematic in substance-abusing families [16, 27, 28] and have repeatedly served as significant predictors of adolescent problems in community samples [29–31], clinical samples [32, 33], and among substance-abusing samples [16]. Further, research involving general population [34] and at-risk samples of youth [35, 36] has shown that family functioning problems mediate relations between parent and youth psychopathology.…”

Section: Introductionmentioning

confidence: 99%

Relations Between Parent Psychopathology, Family Functioning, and Adolescent Problems In Substance-Abusing Families: Disaggregating the Effects of Parent Gender

Burstein¹,

Stanger

Dumenci

2012

Child Psychiatry Hum Dev

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The present study: (1) examined relations between parent psychopathology and adolescent internalizing problems, externalizing problems, and substance use in substanceabusing families; and (2) tested family functioning problems as mediators of these relations. Structural equation modeling was used to estimate the independent effects of parent psychopathology and family functioning problems by parent gender. Participants included 242 parents in treatment for substance abuse and/or dependence and 59 of their coparents (16.9% in treatment for substance-abuse/dependence) from middle income households (SES: M = 4.7; SD = 2.1). Ratings were obtained for 325 adolescents (48% female; 27.8% non-Caucasian) between the ages of 10 and 18 years (M = 13.5 years; SD = 2.5 years). Parent psychopathology, family functioning problems, and adolescent problems were assessed with parent and coparent ratings on the Symptom Checklist (SCL-90)/Brief Symptom Inventory (BSI), the Family Relationship Measure, and the Child Behavior Checklist, respectively. Results indicated that maternal psychopathology was directly related to adolescent internalizing problems and substance use, but maternal perceptions of family functioning problems failed to mediate relations between maternal psychopathology and adolescent problems. By contrast, paternal perceptions of family functioning problems uniquely mediated relations between paternal psychopathology and adolescent externalizing problems. Findings underscore the importance of examining how mothers and fathers may differentially impact adolescent problems in substance-abusing families.

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“…At the familial level as well, poor patterns of communication and problem solving are often present in dysfunctional families, both those in which alcohol problems are present and those in which they are not (57)(58)(59). In addition, a variety of marital, sexual, financial, and child-bearing problems that develop over time in alcoholic families are related to unresolved communication issues (60).…”

Section: Jennison and Johnsonmentioning

confidence: 99%

Parental Alcoholism as a Risk Factor for DSM-Iv-Defined Alcohol Abuse and Dependence in American Women: The Protective Benefits of Dyadic Cohesion in Marital Communication

Jennison

Johnson

2001

The American Journal of Drug and Alcohol Abuse

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Important trends in research over the past decade indicate that women are as greatly affected by familial alcoholism as are men. Although it is increasingly recognized that the adverse drinking outcomes predicted for adult children of alcoholics (COAs) are not inevitable, and only a small percentage develop alcohol dependence or grow up to be alcoholic, relatively little knowledge exists regarding moderating factors that reduce their vulnerability. This study identifies a multiple mediator latent structural model of the intergenerational transmission of risk for DSM-IV-assessed alcohol abuse and dependence among women COAs in adulthood. The effects of both parental alcoholism and family environment are estimated at three time points spanning 10 years across 5-year intervals (1984, 1989, and 1994) using data from a subsample of 4,449 women in the National Longitudinal Survey of Youth (NLSY). Dyadic cohesion in marital communication (greater marital cohesion, harmony, and less verbal disagreement, discord, and conflict) is a proposed moderating factor that may operate in adulthood to lower the risk of female COAs developing alcohol abuse and dependence. Maximum likelihood standardized estimates of the effects of alcohol mediators measured over time indicate that direct parental effects for adverse outcomes decline when COAs are in their late 20s and early 30s. Indirect parental effects through environmental influences dramatically increase the risk of abuse and dependence among COAs at this time if they have one or more alcoholic siblings, especially an alcoholic sister. Dyadic cohesion and positive interpersonal communication patterns were found to moderate effectively the relationship that existed among parental alcoholism, environmental influences, and adverse alcohol consequences. COAs with satisfactory marital communication also evidenced higher levels of intimacy with their partners, perceived the division of housework to be fairer, shared more responsibilities and burdens of the household, and had less conflict over critical domestic issues than other women COAs. The protective benefits of a good marriage against the risks of alcoholism remained when applied to younger and older subjects, across diverse backgrounds, and after adjusting for other factors such as employment status.

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Family structural issues and chemical dependency: A review of the literature from 1985 to 1991

Cited by 17 publications

References 42 publications

Cocaine Addiction and Family Dysfunction: A Case-Control Study in Southern Brazil

Cocaine Addiction and Family Dysfunction: A Case-Control Study in Southern Brazil

Relations Between Parent Psychopathology, Family Functioning, and Adolescent Problems In Substance-Abusing Families: Disaggregating the Effects of Parent Gender

Parental Alcoholism as a Risk Factor for DSM-Iv-Defined Alcohol Abuse and Dependence in American Women: The Protective Benefits of Dyadic Cohesion in Marital Communication

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