Familiares afectados por el abuso de sustancias de otros parientes: características de una muestra brasileña

Abstract

ResumenAbstract original adicciones vol. xx, nº x · 2020Objetivo: Las características heterogéneas de familiares afectados (FA) de familiares con abuso de sustancias (FAS) han sido objeto de pocos estudios. Este estudio revisó la ocurrencia y los correlatos de FA con uno o más familiares con problemas de abuso de sustancias. Materiales y Métodos: Análisis secundario de un estudio transversal sobre las características de FA en Brasil (N = 3157). Valoramos los niveles de los FA de estrés, presión, afrontamiento y esperanza. Exploramos los factores asociados con los FA que tenían otros familiares con abuso de sustancias (otros-FAS) mediante regresiones logísticas ordinales. Resultados: El 61,6% de la muestra (1945/3157) informó de la ocurrencia de otros-FAS. De estos, el 47% (904/1945) informó que los otros-FAS eran familiares directos del FAS (cónyuge/pareja/hijos/ hermanos). La probabilidad de ocurrencia de otros-FAS estaba relacionada con que el FAS fuese mujer, de bajo nivel socioeconómico (NSE), con una edad entre los 35-44 años, fuese la madre o esposa/ novia/prometida del FAS, obtuviese una puntuación más alta en impacto familiar, síntomas psicológicos y físicos, evitamiento como mecanismo de afrontamiento, y que tuviese un FAS mayor. Conclusión: Información sobre las características de los FA es clave para entender cómo puede manifestarse la experiencia de daños asociados con el problema del familiar. Nuestros hallazgos aportan datos que pueden ser útiles para desarrollar intervenciones con el objetivo de reducir los daños sufridos por los FA. Palabras clave: Familiares afectados; Familiar con abuso de sustancias; Características; Presiones. Purpose: The heterogenic characteristics of affected family members (AFMs) of substance misusing relative (SMR) remain understudied. This study examined the occurrence and correlates of AFMs having more than one relative with substance use problems. Material and Methods: A secondary analysis of a cross-sectional study on the characteristics of affected family members in Brazil was performed (N= 3157). Levels of AFM stress, strain, coping and hopefulness were assessed. Factors associated with AFMs having other substance misusing relatives (other-SMRs) were explored using univariate logistic regressions. Results: The occurrence of having other-SMR was reported by 61.6% of the sample (1945/3157). Of this, 47% (904/1945) reported that the other-SMR was a member of the SMR's immediate family (spouse/partner/children/siblings). The likelihood of having other-SMRs was related to the AFM being female, from a low socioeconomic background, between the age of 35-44 years older, being SMR's mother or wife/girlfriend/fiancée, scoring higher on family member impact, psychological and physical symptoms, withdrawal coping and to have an older SMR. Conclusion: Information about the characteristics of AFMs is key to understanding how the experience of harm associated with the relative's problem might manifest. Our findings offer information that could be used when developing interventions...

Prevalence, consequences and factors associated with drug use among individuals over 50 years of age in the family perspective

“…Finally, our study shows that families face the problem of talking to their OPDP individuals about the drug use and its consequences (Table 3) whether that be to relieve their suffering, or in an attempt to contain the behaviors related to the use. Resources need to be made available to support families, since families often need help to establish healthy and satisfactory relationships, to improve the mental and physical health of all individuals (Marchi et al, 2017;Kuerbis, 2019;Pacheco et al, 2020). On the other hand, it is precisely these problems that lead families to seek some type of assistance, from either health or social services, such as the program in question.…”

“…Bearing that in mind that, in the present sample, the OPDP family member was usually a crack user, and the families were comprised of individuals who were not in treatment and family members had sought similar treatment in the last year. A large number of people, who seek treatment for substances and experience different types of violence related to drug use, belong to families who are doubly exposed to negative and harmful behaviors (Kuerbis, 2019;Pacheco et al, 2020). Thus, as part of a therapeutic alliance to enhance recovery, it is necessary to understand the interconnection between the family's problems and the personal problems of the OPDP (Diehl et al, 2016;Marchi et al, 2017).…”

“…Families are considered a cornerstone in supporting people with SUD, though families can also increase vulnerability. It is estimated that more than 25 million Brazilian individuals cohabit with a family member with SUD, according to the National Survey of Drug Users Families (Pacheco et al, 2020). There is an intersection of social vulnerabilities in families, which weaken the bonds, between the individual and the family, since, for each person with SUD; there are four others who live with the problem at home.…”

“…There is an intersection of social vulnerabilities in families, which weaken the bonds, between the individual and the family, since, for each person with SUD; there are four others who live with the problem at home. Thus, families play a crucial role both for prevention and therapeutic interventions associated with SUD (Pacheco et al, 2020).…”

A cross-sectional study of Malaysian low-income drug addict wives: Relationship between family impact, coping and mental wellbeing

“…A previous study found that people who live with drug abusers are stressed out a lot 3 and women who are drug addicts' wives or mothers face more severe negative consequences than other family members. [4][5][6][7] For the wives of drug addicts, mental health is a major issue. [8][9][10][11][12][13][14][15][16] Wives of drug addicts also often have problems with their social networks, like not being able to get help from others and not being able to keep in touch with family and friends, 10,13,[16][17][18] experiencing violence and persecution, 10,12,17,[19][20][21] experiencing issues related to marital conflict 8, 10,18,22 and experiencing economic strain.…”