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首页> 外文期刊>Addictive behaviors >Family intervention for co-occurring substance use and severe psychiatric disorders: participant characteristics and correlates of initial engagement and more extended exposure in a randomized controlled trial.
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Family intervention for co-occurring substance use and severe psychiatric disorders: participant characteristics and correlates of initial engagement and more extended exposure in a randomized controlled trial.

机译：共同使用药物和严重精神疾病的家庭干预：参与者的特征以及初始参与和更长时间接触的随机对照试验中的相关性。

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Clients with severe mental illness and substance use disorder (i.e., dual disorders) frequently have contact with family members, who may provide valuable emotional and material support, but have limited skills and knowledge to promote recovery. Furthermore, high levels of family conflict and stress are related to higher rates of relapse. The present study was a two-site randomized controlled trial comparing a comprehensive, behaviorally-based family intervention for dual disorders program (FIDD) to a shorter-term family psychoeducational program (FPE). The modal family was a single male son in his early 30s diagnosed with both alcohol and drug problems and a schizophrenia-spectrum disorder participating with his middle-aged mother, with whom he lived. Initial engagement rates following consent to participate in the study and the family intervention programs were moderately high for both programs (88% and 84%, respectively), but rates of longer term retention and exposure to the core elements of each treatment model were lower (61% and 55%, respectively). Characteristics of the relatives were the strongest predictors of successful initial engagement in the family programs with the most important predictor being relatives who reported higher levels of benefit related to the relationship with the client. Subsequent successful exposure to the family treatment models was more strongly associated with client factors, including less severity of drug abuse and male client gender. The results suggest that attention to issues of motivating relatives to participate in family intervention, and more focused efforts to address the disruptive effects of drug abuse on the family could improve rates of engagement and retention in family programs for dual disorders.
机译：患有严重精神疾病和药物滥用障碍（即双重障碍）的服务对象经常与家庭成员接触，他们可以提供宝贵的情感和物质支持，但促进康复的技能和知识有限。此外，高水平的家庭冲突和压力与较高的复发率有关。本研究是一项两点随机对照试验，比较了基于行为的家庭综合干预双重障碍计划（FIDD）和短期家庭心理教育计划（FPE）。该模范家庭是他30多岁时的一个男儿子，被诊断患有酒精和毒品问题，并且与他所居住的中年母亲一起患有精神分裂症-频谱疾病。同意参加研究和家庭干预计划后，两个计划的初始参与率均中等偏高（分别为88％和84％），但长期保留率和每种治疗模型的核心要素暴露率较低（分别为61％和55％）。亲戚的特征是成功开始参与家庭计划的最强预测因子，最重要的预测因子是亲戚，他们报告与客户关系的收益更高。随后成功暴露于家庭治疗模式与患者因素有更强的联系，包括较少的药物滥用严重性和男性患者性别。结果表明，关注激发亲戚参与家庭干预的问题，以及更加集中的努力来解决药物滥用对家庭的破坏性影响，可以提高双重疾病家庭计划的参与率和保留率。

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