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首页> 外文期刊>BMC Psychiatry >Affected family members’ experience of, and coping with, aggression and violence within the context of problematic substance use: a qualitative study
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Affected family members’ experience of, and coping with, aggression and violence within the context of problematic substance use: a qualitative study

机译：受影响家庭成员在有问题的物质使用背景下对侵略和暴力的经历和应对：一项定性研究

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Background Families have an important role supporting a family member with problematic substance use (PSU), although this can often be challenging and confronting. Previous research has identified high rates of family aggression and violence within the context of PSU, although few studies have examined this issue from the perspective of affected family members (AFMs) supporting a member with PSU. The aims of the current study were to understand AFMs’ experience of aggression and violence while supporting a member with PSU, and to explicate the strategies they used to prevent and cope with this behaviour. Methods Semi-structured, audio-recorded qualitative interviews were conducted with 31 AFMs from the state of Victoria in Australia. Interpretative Phenomenological Analysis was used to guide data collection and analysis. Results Almost 70% of participants experienced PSU-related family aggression and/or violence. Two main themes and related sub-themes were ed from the data capturing their experiences of this behaviour and the strategies they used to try to prevent and cope in this situation. Aggression and/or violence were variable, changeable and unpredictable; and aggression and/or violence altering social interactions and family dynamics. As a consequence, it was upsetting, stressful and emotionally exhausting to AFMs. In response to this experience, and largely through trial and error, they used several direct strategies to try to prevent and cope with the behaviour; however, most continued to struggle in these circumstances. They also highlighted additional indirect measures, which, if adopted, would enhance their existing direct strategies. Conclusions More effective primary, secondary and tertiary preventive measures are needed to address family aggression and violence within the context of PSU. More support is needed for family members affected by PSU to enable them to ‘stand up to,’ to prevent and cope effectively with this behaviour, and to increase their help-seeking and access to specialist services and support groups. More appropriate policies and social services are needed to meet the needs of AFMs.
机译：背景技术家庭在为有问题的物质使用（PSU）的家庭成员提供支持方面起着重要作用，尽管这通常可能具有挑战性并面临挑战。尽管很少有研究从受影响的家庭成员（AFM）支持PSU的成员的角度研究此问题，但先前的研究已经确定了在PSU的背景下家庭侵略和暴力的发生率很高。本研究的目的是了解AFM在支持PSU成员的同时的侵略和暴力经历，并阐明他们用来预防和应对这种行为的策略。方法对来自澳大利亚维多利亚州的31个AFM进行了半结构化，音频记录的定性访谈。解释性现象学分析用于指导数据收集和分析。结果几乎70％的参与者经历了与PSU相关的家庭侵略和/或暴力。数据收集了两个主要主题和相关子主题，这些数据记录了他们对这种行为的经验以及他们在这种情况下试图预防和应对的策略。侵略和/或暴力是多变的，多变的和不可预测的;侵略和/或暴力改变了社会互动和家庭动力。结果，这使AFM感到不安，压力和情绪疲惫。为了回应这种经验，并在很大程度上是通过反复试验，他们使用了几种直接的策略来尝试预防和应对这种行为。但是，大多数人在这种情况下仍在挣扎。他们还强调了其他间接措施，如果采取这些措施，将会加强其现有直接战略。结论需要采取更有效的一级，二级和三级预防措施来解决PSU范围内的家庭侵略和暴力。需要为受PSU影响的家庭成员提供更多支持，以使其能够“站起来”，预防和有效应对这种行为，并增加他们的寻求帮助和获得专家服务和支持小组的机会。需要更适当的政策和社会服务来满足AFM的需求。

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