Family functioning and health issues associated with codependency in families of drug users

Bortolon, Cassandra Borges; Signor, Luciana; Moreira, Taís de Campos; Figueiró, Luciana Rizzieri; Benchaya, Mariana Canellas; Machado, Cassio Andrade; Ferigolo, Maristela; Barros, Helena Maria Tannhauser

doi:10.1590/1413-81232015211.20662014

Cited by 41 publications

(35 citation statements)

References 15 publications

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“…Foram rastreados potenciais 55 arti gos, sendo incluídos nesta revisão 16 arti gos que preencheram os critérios de inclusão e exclusão mencionados para esta revisão 8,9,14,17,[30][31][32][33][34][35][36][37][38][39][40][41] . A Tabela 1 mostra os arti gos incluídos, suas respecti vas metodologias e os principais achados e comentários dos estudos avaliados.…”

Section: Resultsunclassified

“…Isso signifi ca dizer que apesar de amplamente uti lizado na práti ca clínica de muitos serviços de atenção aos usuários de substâncias psicoati vas e popularizado entre os grupos de mútua ajuda 23,24 para familiares cujo algum dos membros tem problemas com álcool e drogas, segue sendo um constructo pouco explorado de forma empírica e não pode ainda ser considerado de fato uma doença 14,18 . 41 mostraram níveis significativamente maiores de sintomatologia psicológica entre os indivíduos que convivem com algum dependente de álcool e têm uma história familiar positiva de alcoolismo, os quais sugerem que os achados são parcialmente consistentes com a sintomatologia hipotética descrita para a codependência 31,41 . Além disso, percebe-se que os conceitos existentes de codependência dentro de um modelo de doença parecem sugerir que uma vez codependente, para sempre codependente em recuperação, não havendo uma clara noção de cura.…”

Section: Discussionunclassified

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Codependency in families of alcohol and other drug users: is it in fact a disease?

Diehl

Silva²,

Bosso³

2017

Revista Debates Em Psiquiatria

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ResumoO conceito de codependência, embora muito popular no meio clínico do campo das dependências químicas, segue sendo considerado um constructo muito criticado e controverso no meio científico. Nosso objetivo foi avaliar o estado da arte sobre o constructo de codependência de familiares de usuários de álcool e outras drogas quanto à etiologia e outros possíveis fatores relacionados. Tratase de uma revisão da literatura através da busca de artigos indexados em bases de dados, publicados nos idiomas inglês, português e espanhol, utilizando-se os descritores codependência, transtornos relacionados ao uso de substâncias e família. Foram incluídos 16 artigos nesta revisão, os quais retratam que o conceito de codependência segue teorizado e pouco explorado de forma empírica. Tentativas de escalas de rastreio foram realizadas sem replicações de estudos de campo. De uma forma geral, aqueles que se autoidentificam como pessoas codependentes, uma vez que recebem suporte, relatam alguns benefícios positivos. O termo, mais do que um conceito psicológico de fato validado, parece representar um movimento social que deu empoderamento aos membros das famílias de usuários de álcool e outras drogas. Mais estudos de campo sobre a validação conceitual da codependência e os fatores a ela relacionados devem ser conduzidos, a fim de corroborar sua real utilidade clínica e ampliação de evidência da existência desse fenômeno. Palavras-chave:Codependência, transtornos relacionados ao uso de substâncias, família. AbstractThe concept of codependency is very popular in the clinical setting in the field of addiction but continues to be a highly criticized and controversial construct in the scientific literature. The objective of this paper was to evaluate state-of-the-art information on the construct of codependency of family members of users of alcohol and other drugs with regard to etiology and other possible related factors. In this literature review, databases were searched for indexed articles published in English, Portuguese, and Spanish, using the keywords codependency, substance-related disorders, and family. A total of 16 articles were included in the review; according to these articles, the concept of codependency continues to be essentially theoretical and little explored empirically. Attempts have been made to use screening scales, but replication in field studies are lacking. Overall, individuals who self-identify as codependent report positive benefits -probably because they receive support. The term codependency, more than a validated psychological concept, seems to represent a social movement that has empowered family members of users of alcohol and other drugs. More field studies are necessary to achieve the conceptual validation of codependency, as well as to investigate factors related to it. Only then will the real clinical usefulness of this phenomenon be confirmed, and the body of evidence of its existence expanded.

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Section: Resultsunclassified

Section: Discussionunclassified

Codependency in families of alcohol and other drug users: is it in fact a disease?

Diehl

Silva²,

Bosso³

2017

Revista Debates Em Psiquiatria

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“…The concept of codependency emerged in the 1940s in the context of treatment for substance misuse in the USA. Its resilience has been demonstrated by the amount of academic papers and exploratory research published across the world, for example: in Italy (Lampis et al 2017), in Iran (Askian et al 2016), India (Bhowmick et al 2001;Sarkar et al 2015;Kaur 2016), Taiwan (Chang 2012(Chang , 2018, Australia (Marks et al 2012), Brazil (Bortolon et al 2016), Turkey (Ançel and Kabakçi 2009;Ulusoy and Guçray 2017), Korea (Kwon 2001), and Sweden (Zetterlind and Berglund 1999).…”

mentioning

confidence: 99%

“…For example, across decades, researchers have attempted to identify the main psychological factors associated with codependency without clear agreement (O'Brien and Gaborit 1992;Carson and Baker 1994;Irvin 1995;Hughes-Hammer et al 1998;Wells et al 2006;Hoeningmann-Lion and Whithead 2007;Marks et al 2012;Lampis et al 2017). There has been an attempt to provide evidence for codependency in families with substance misuse problems (Prest and Storm 1988;Bhowmick et al 2001;Sarkar et al 2015;Bortolon et al 2016;Askian et al 2016). The results of these studies highlight that the evidence is still inconclusive.…”

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confidence: 99%

The Lived Experience of Codependency: an Interpretative Phenomenological Analysis

Bacon

McKay

Reynolds

et al. 2018

Int J Ment Health Addiction

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Codependency is a complex and debatable concept, which has been used over the years by mental health professionals to inform their practices. Researchers have attempted to identify the main problems associated with codependency; however, their evidence is still inconclusive. This is the first time that interpretative phenomenological analysis (IPA) has been used to explore the lived experience of codependency from the perspective of self-identified codependents. Eight participants recruited from local support groups for codependency in the UK, offered in-depth information about their subjective experiences, and embedded in their lifeworld. Data was gathered through interviews and a visual method. The shared experience of codependency was portrayed by the participants as a complex but tangible multidimensional psychosocial problem in their lives. It incorporated three interlinked experiences: a lack of clear sense of self, an enduring pattern of extreme, emotional, relational, and occupational imbalance, and an attribution of current problems in terms of parental abandonment and control in childhood.

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“…National and international studies about families that experience substance-related problems usually focus on the negative and deficient aspects of the family life, such as fragility, family dysfunction, and characteristics of codependency (1)(2)(3)(4)(5)(6)(7) . Therefore, the family is recognized as a risk factor and scenario in view of drug complexity, which requires a targeted approach from health professionals to compensate for family limitations and deficits.…”

Section: Introductionmentioning

confidence: 99%

Family resilience and chemical dependency: perception of mental health professionals

2017

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Objective: To learn the perception of health professionals from the Psychosocial Attention Center for Alcohol and Other Drugs regarding the resilience attributes that are critical to family members of psychoactive substance dependents. Method: A qualitative descriptive study conducted from February to May 2016, using a focus group technique for data collection. In total, 15 professionals participated in the study: 13 health professionals and two administrative professionals. The statements were recorded and transcribed, and these data were analyzed using the technique of thematic content analysis. Results: Health professionals recognize the family resilience attributes needed for efficient and assertive communication, as well as organizational patterns and facilitating family strengths, factors that contribute to improved family relationship and family functionality. Final considerations: This study contributed to a perspective of clinical intervention with family members that is not limited to the negative aspects of family relationship and life, such as fragility and family dysfunction. Descriptors: Family; Psychological Resilience; Substance-Related Disorders; Mental Health; Health Personnel. RESUMO Objetivo: Conhecer a percepção dos profissionais de saúde de Centro de Atenção Psicossocial -Álcool e Outras Drogas sobre atributos fundamentais de resiliência das famílias de dependentes de substâncias psicoativas. Método: Estudo qualitativo, descritivo, realizado em fevereiro e maio de 2016, através da técnica de grupo focal para coleta de dados. Participaram 15 trabalhadores: 13 da área de saúde e 2 da administração. Os relatos foram gravados por áudio, transcritos e os dados foram analisados pela técnica de análise de conteúdo temática. Resultados: As equipes de saúde reconhecem os atributos da resiliência familiar que perpassam os domínios da comunicação eficiente e assertiva, padrões organizacionais e forças familiares facilitadoras, fatores que auxiliam na melhora da relação familiar e de sua funcionalidade. Considerações finais: O estudo contribuiu para uma perspectiva de intervenção clínica com familiares que não se limita a aspectos negativos da relação e convivência familiar, tais como fragilidades e disfuncionalidade familiar.

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Family functioning and health issues associated with codependency in families of drug users

Abstract: Family functioning and health issues associated with codependency in families of drug usersFuncionamento familiar e questões de saúde associados com codependência em familiares de usuários de drogas

Cited by 41 publications

References 15 publications

Codependency in families of alcohol and other drug users: is it in fact a disease?

Codependency in families of alcohol and other drug users: is it in fact a disease?

The Lived Experience of Codependency: an Interpretative Phenomenological Analysis

Family resilience and chemical dependency: perception of mental health professionals

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