The Relationship Between Parental History and Substance Use Severity in Drug Treatment Patients

Boyd, Susan J.; Plemons, Bradford W.; Schwartz, Robert P.; Johnson, Jodi; Pickens, Roy W.

doi:10.1080/105504999306045

Cited by 15 publications

(6 citation statements)

References 44 publications

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“…In line with other research, alcohol problems were the most frequently reported problem among family members and were uniformly high, ranging from 42% among grandparents to 66% among parents (Boyd et al, 1999; Powell et al, 1982; Rounsaville et al, 1991). In the drug and psychiatric problem domains, rates of family history increased by generation, with younger family members (i.e., siblings) showing the highest rates of these problems.…”

Section: Discussionsupporting

confidence: 85%

“…Family history of substance abuse is an important correlate of problem severity in primary substance abusers (Kendler et al, 2008; Coviello et al, 2004; Pickens et al, 2001; Merikangas et al, 1998; Bierut et al, 1998; Boyd et al, 1999; Rutherford, Metzger & Alterman, 1994). Positive family history is associated with increased severity of substance use disorders as well as a range of family, social, and psychological problems (Boyd et al, 1999; Coviello et al, 2004; Pickens et al, 2001; Rutherford et al., 1994).…”

mentioning

confidence: 99%

“…Positive family history is associated with increased severity of substance use disorders as well as a range of family, social, and psychological problems (Boyd et al, 1999; Coviello et al, 2004; Pickens et al, 2001; Rutherford et al., 1994). Boyd and colleagues (1999) not only found a positive relationship between parental drug or alcohol problems and problem substance use in probands, but that this relationship was also strengthened when probands had two affected parents. Thus, severity of substance use problems may be affected by the number of relatives with problem use.…”

mentioning

confidence: 99%

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Impact of Family History in Persons With Dual Diagnosis

Wilson

Bennett

Bellack

2013

Journal of Dual Diagnosis

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Objective This study examined relationships among family history of alcohol, drug, and psychiatric problems and substance use severity, interpersonal relationships, and service use in individuals with dual diagnosis. Methods Data were collected with the family history section of the Addiction Severity Index administered as part of three studies of individuals with dual disorders (N=413). Participants were categorized into family history risk groups for each problem domain based on the number of first and second degree relatives with alcohol, drug, or psychiatric problems. Results Rates of alcohol, drug, and psychiatric problems were high across family member categories and highest overall for siblings. Over two-thirds of the sample was categorized in the high-risk group in the alcohol problem domain, almost half of the sample was categorized as high-risk in the drug problem domain, and over a third of the sample was categorized as high-risk in the psychiatric problem domain. Across problem domains, individuals in the high-risk group reported more relationship problems with parents and siblings and higher rates of lifetime emotional, physical, and sexual abuse than did those in the low or moderate-risk groups. Conclusions Family history of alcohol, drug, and psychiatric problems is associated with greater rates of poor family relationships and history of abuse. Assessment of these different forms of family history in multiple family members can aid treatment providers in identifying individuals with dual disorders who may benefit from trauma-informed care as part of their overall mental health and substance abuse treatment services.

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Section: Discussionsupporting

confidence: 85%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Impact of Family History in Persons With Dual Diagnosis

Wilson

Bennett

Bellack

2013

Journal of Dual Diagnosis

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“…Across different developmental periods, parental substance use and emotional distress have been found to have a negative influence on parenting practices, family functioning, and child adjustment (Boyd et al 1999; Johnson and Leff 1999). For HIV infected parents, alcohol and illicit drug use represent a significant problem (Coyle 1998; Goldstein et al 2005) with 76% of HIV infected mothers reporting at least one drug use (Lee, Lester, and Rotheram-Borus 2002).…”

Section: Introductionmentioning

confidence: 99%

Adjustment of Adolescents of Parents Living with HIV

Wu¹,

Slocum²,

Comulada³

et al. 2008

Journal of HIV/AIDS Prevention in Children & Youth

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Family environment and rates of mental health and behavioral problems in HIV-negative adolescents and their parents living with HIV (PWH) were compared to adolescents and parents from non HIV-affected families living in similar inner-city neighborhoods. Adolescents and their parents were interviewed and a case-control sample was constructed. Data on sixty-two matched pairs of adolescents of PWH and those of neighborhood parents and forty-six matched pairs of PWH and HIV-negative parents were examined. Compared to neighborhood controls, adolescents of PWH experienced greater life stressors and family conflict and reported lower self-esteem. PWH reported greater emotional distress and substance use. However, there were no significant differences in emotional distress or externalized problem behaviors between the two adolescent groups. Clinical implications are discussed.

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“…Genetic risk factors appear to contribute to the manifestation of substance use disorders. In several studies, a family history of substance use was an important predictor of disease onset and disease severity in substance abusers without comorbid psychiatric diagnoses (Bierut et al, 1998; Boyd et al, 1999; Coviello et al, 2004; Kendler et al, 2008; Merikangas et al, 1998). …”

Section: Introductionmentioning

confidence: 99%

Comorbid substance use disorders in schizophrenia: A latent class approach

Kerner

2015

Psychiatry Research

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Schizophrenia is a complex psychiatric disorder with a characteristic disease course and heterogeneous etiology. While substance use disorders and a family history of psychosis have individually been identified as risk factors for schizophrenia, it is less well understood if and how these factors are related. To address this deficiency, we examined the relationship between substance use disorders and family history of psychosis in a sample of 1,219 unrelated patients with schizophrenia. The lifetime rate of substance use disorders in this sample was 50%, and 30% had a family history of psychosis. Latent class mixture modeling identified three distinct patient subgroups: (1) individuals with low probability of substance use disorders; (2) patients with drug and alcohol abuse, but no symptoms of dependence; and (3) patients with substance dependence. Substance use was related to being male, to a more severe disease course, and more acute symptoms at assessment, but not to an earlier age of onset of schizophrenia or a specific pattern of positive and negative symptoms. Furthermore, substance use in schizophrenia was not related to a family history of psychosis. The results suggest that substance use in schizophrenia is an independent risk factor for disease severity and onset.

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The Relationship Between Parental History and Substance Use Severity in Drug Treatment Patients

Cited by 15 publications

References 44 publications

Impact of Family History in Persons With Dual Diagnosis

Impact of Family History in Persons With Dual Diagnosis

Adjustment of Adolescents of Parents Living with HIV

Comorbid substance use disorders in schizophrenia: A latent class approach

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