Comparing interactions pattern in families with and without substance dependent member and providing appropriate interventionist strategies

Document Type : Original

Authors

1 Professor, Department of Consultation, Islamic Azad University, Tehran Science and Research Branch, Tehran, Iran

2 Assistant Professor, Department of Measurement and Allameh Tabatabaie University, Tehran, Iran

3 Ph.D. Student, Islamic Azad University, Science and Research Branch, Tehran, Iran

Abstract

Background and aim: From a systemic approach to family therapy, dysfunction of families is attributed to addiction. This study compares functioning of families with and without substance dependent member to identify the pattern of interactions in families with substance member and to provide appropriate treatment strategies.
Methods: The method of research is ex post facto. The population includes families with drug dependent member located in west and east of Tehran and referred to outpatient treatment centers. Four centers selected randomly. The sample includes 50 persons of referred persons to these centers which satisfied the minimum requirements for reception. Also 50 ordinary persons matched to compare with former group. The participants answered to family assessment device instrument. Data analyzed by Multivariate Analysis of Variance (MANOVA).
Results: The results show that these two types of families differ significantly in all aspects except their role. Also the results show that families with drug dependent members which the rate of relapse is high and there is a positive history of addiction are more dysfunction. The difference is not significant regarding drug type.
 Conclusion: The study suggests efficient prevention treatment strategies and appropriate model of treatment according to the characteristics of drug dependent member families

Keywords

References

Ashley, A. (2005). Effective family-based interventions for adolescents with substance use problems: A systematic review. Research On Social Work Practice. 15(2): 67-83.
 Beavers, W .R. (2003). Functional And Dysfunctional Families. In G. P. Sholevar, & L. D. Schwoeri (Eds.), Textbook of family and couples therapy(35-54). Washington Dc: American Psychiatric publishing Inc.
 Caviello, D .M; Alterman, A. I; Cacciola, J. S; Rutherford, M. J; & Zanis. (2004). The role of family history in addiction severity and treatment response. Journal Of Abuse Treatment, 26, 1-11.
 Chassin, L; Presson, C; Seo, D; Sherman, S. J; Macy, J; Wirth, R. J; & Curran, P.(2008). Multiple trajectories Of Cigarette smoking and the intergenerational longitudinal study of a Midwestern community sample. Health psychology, 27(6),819-829.
 Epstein, N; Baldwin, L;& Bishop, D. (1983). The McMaster family assessment device. Journal Of Marital And Family Therapy, 9: 171-180.
 Feaster, D. J; Robbins, M; Henderson, C; & Horigian, V. (2010). Equivalence of family functioning and externalizing behaviors in adolescent substance abuser of different race/ethnicity. Journal of substance abuse treatment, 38: 113.
Fishman, H. C; & Fishman, T. (2003). Structural Family Therapy. In G. P. Sholevar, & L. D. Schwoeri (Eds.), Textbook of family and couples therapy(35-54). Washington Dc: American Psychiatric publishing Inc.
Haffmann, J. P; & Cerbone, F. G. (2002). Parental substance use disorder and the risk of adolescent drug abuse: An event history analysis. Drug Alcohol Depend, 66(3):255-64.
 Henggeler, S. W,& Schaeffer, C. M. (2010). Treating serious emotional and behavioral problems using multisystemic therapy. Australian & New Zealand Journal Of Family therapy,31(2):149-164.
 Horigian,V.E; Suares-Morales,L; Robbins, M. S; Zarate, M; Mayorga, C. M; Mitrani, V.B, Zapocznik, J. (2005).Brief strategic family therapy for adolescents with behavior problems. In J. L. Lebow (Eds), Handbook of clinical family therapy(73-101). Hoboken, New Jersey: Jon willy & Sons
Kaufman, E & Yoshioka.M. (2005). Substance abuse treatment and family therapy: A treatment improvement protocol(TIP 39). Rockvill,MD20857.
 Kumpfer, K. L; Alvarado, R; Whiteside, H. O. (2003). Family-based intervention for substance use and misuse prevention. Prevention Substance Use & Misuse, 38, (11-13),1759-1789.
 Ledoux, S; Miller, P; Choquet, M;& Plant, M. (2002). Family structure, parent-child relationships, and alcohol and other drug use among teenagers in France and united kingdom. q. 37 (1): 52-60.
Liddel, H. A. (2003). Multidimensional family therapy for early adolescent substance abuse treatment manual. Lioyed, C.(1998). Risk factor for problem drug use: identifying vulnerable groups. Drug: Education, Prevention And Policy, 5(3),217-232.
 Luk, J. W; Farhat, T; Jannotti, R; & Simons-Morton, B. G. (2010). Parent-child communication and substance use among adolescent: Do father and mother communication play a different role for sons and daughters?. Addictive Behaviors, 35:426-431.
Micucci, J. A. (2009). The adolescent in family therapy, harnessing the power of relationships (2nd ed.)., New York: Guilford press. Nurco, D. N; Kinlock, T. W; O`Grady, E; & Hanlon, T. E. (1998). Differential contribution of family and peer factors to the etiology of narcotic addiction. Drug And Alcohol Dependence, 51: 229- 237.
 Repetti, R. L; Taylor, Sh. E; & Seeman. T. E. (2002). Risky families: family social environment and the mental and physical health of offspring. Psychological Bulletin, 128(2): 330-360.
 Robbins, M. S; Bachrach, K; & Szapocznik, J. (2002). Bridging the research-practice gap in adolescent substance abuse treatment: the case of brief strategic family therapy. Journal Of Substance Abuse Treatment, 23, 123- 132.
 Robbins, M. S; Szapocznik, J; Horigian.E; Feaster, D; Puccinilli, M; Jacobs, P; Burlew, k; Werstlien, R; Bachrach, K; & Brigham, G. (2009). Brief strategic family therapy for adolescent drug abuser: A multisite effectiveness study. Contemporary Clinical Trials, 30,269-278.
 Robbins, M; Feaster, D; Horigian, V; Puccinelli, M. J; Henderson, C; & Szapocznic, J.(2011). Therapist adherence in brief strategic family therapy for adolescent drug abusers. Journal Of Consulting & Clinical Psychology, 79(1): 43-53. Santisteban, D. A; Coatsworth, J. D; Prez-vidal, A; Kurtines, W. M; Schwartz, S. J; & Szapocznik, J. (2003). The efficacy of brief strategic family therapy in modifying adolescent behavior problem and substance use. Journal Of Psychology,17,121-133.
Santisteban, D. A; Coatsworth, J. D; Prez-vidal, A; Mitrani, V; Jean-Gilles, M; & Szapocznik, J. (1997). Brief structural/strategic family therapy with African American and Hispanic high-risk youth. Journal Of Community Psychology,25(5), 453-471.
 Schafer, G. (2008). Multiple family group therapy in a drug an alcohol rehabilitation center: resident experiences. Australian & New Zealand Journal Of Family therapy, 29(2): 88-96.
Sheriden, M. J.(1995). A proposed intergenerational model of substance abuse family functioning and abuse/neglect. Child Abuse & Neglect, 19(5):519-530.
Sim, T; & Wong, D. (2006). Working with Chinese families in adolescent drug treatment. Journal Of Social Work Practice. 22(1), 103-118.
 Skeer, M; McCornick, M; Normal, S. T; Buka, S. L; & Gilman, S. E. (2009). A Prospective study of familial conflict psychological stress and the development of substance use disorders in adolescence. Drug And Alcohol Dependence, 104(1-2):65-72.
 Szapocznik, J; Hervis, O. E; & Schwartz, S. (2003). Brief strategic family therapy for adolescent drug abuse(NIH Publication No. 03-4751). NIDA Therapy Manuals For Drug Addiction. Rockville, MD: National Institute On Drug Abuse. Szapocznik, J; & Williams, R.(2000). Brief strategic family therapy: Twenty- five years if interplay among theory, research and practice in adolescent behavior problem and drug abuse. Clinical Child And Psychology Review, 3(2), 117-134.
Tafa, M; & Baiocco, R.(2009). Addictive behavior and family functioning during adolescence. The American tournal of family therapy, 37(5): 388.
 Vungkhanching, M; Sher, K. J; Jachson, K. M; & Parra, G.(2004). Relation of attachment style to family history of alcoholism and alcohol use disorders in early adulthood. Drug And Dependence, 75, 47-53.
Waldron, H. B; & Turner, C. W.(2008). Evidence-based psychosocial treatment for adolescent substance abuse. Journal Of Clinical Child & Adolescent Psychology, 37(1) ,238-261.

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History

  • Receive Date: 23 October 2011
  • Accept Date: 30 January 2012

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