Psychosocial Interventions to Improve Psychological, Social and Physical Wellbeing in Family Members Affected by an Adult Relative's Substance Use: A Systematic Search and Review of the Evidence.
Psychosocial Interventions to Improve Psychological, Social and Physical Wellbeing in Family Members Affected by an Adult Relative's Substance Use: A Systematic Search and Review of the Evidence.
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DOI：
10.3390/ijerph18041793
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发表时间：
2021-02-12
影响因子：
--
通讯作者：
Kaner E
中科院分区：
文献类型：
--
作者：
McGovern R;Smart D;Alderson H;Araújo-Soares V;Brown J;Buykx P;Evans V;Fleming K;Hickman M;Macleod J;Meier P;Kaner E
据估计，全世界有1亿多人受到近亲药物使用的影响，并经常经历相关的不利健康和社会后果。有越来越多的文献评估旨在减少这些不良后果的心理社会干预措施。我们搜索国际文献，使用严格的系统方法来搜索和审查有效干预措施的证据，以改善受成年亲属药物使用影响的家庭成员的幸福感。我们按照系统检索和回顾的方法，按干预类型叙述性地综合证据。符合我们入选标准的65篇论文(来自58个独立试验)被确定。与药物使用者和受影响的家庭成员共同提供的行为干预被认为在改善家庭成员的社会福利方面是有效的(减少亲密伴侣的暴力，提高关系的满意度和稳定性以及家庭功能)。受影响的成年家庭成员可能会从邻近的个人重点治疗干预部分获得心理上的好处。没有任何干预措施完全解决许多受药物使用影响的家庭所经历的复杂的多层面逆境。需要进一步的研究来确定多成分心理社会干预的效果，这种干预旨在支持药物使用者和受影响的家庭成员。
It is estimated that over 100 million people worldwide are affected by the substance use of a close relative and often experience related adverse health and social outcomes. There is a growing body of literature evaluating psychosocial interventions intended to reduce these adverse outcomes. We searched the international literature, using rigorous systematic methods to search and review the evidence for effective interventions to improve the wellbeing of family members affected by the substance use of an adult relative. We synthesised the evidence narratively by intervention type, in line with the systematic search and review approach. Sixty-five papers (from 58 unique trials) meeting our inclusion criteria were identified. Behavioural interventions delivered conjointly with the substance user and the affected family members were found to be effective in improving the social wellbeing of family members (reducing intimate partner violence, enhancing relationship satisfaction and stability and family functioning). Affected adult family members may derive psychological benefit from an adjacent individually focused therapeutic intervention component. No interventions fully addressed the complex multidimensional adversities experienced by many families affected by substance use. Further research is needed to determine the effect of a multi-component psychosocial intervention, which seeks to support both the substance user and the affected family member.
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影响因子：
1.5
作者：
Fals-Stewart, William;Clinton-Sherrod, Monique
通讯作者：
Clinton-Sherrod, Monique
影响因子：
5.9
作者：
Fals-Stewart, William;Birchler, Gary R.;Kelley, Michelle L.
通讯作者：
Kelley, Michelle L.
影响因子：
5.2
作者：
Baker, Ruth;Orton, Elizabeth;Kendrick, Denise
通讯作者：
Kendrick, Denise
DOI：
10.1017/s0141347300013628
发表时间：
1988-07-01
期刊：
BEHAVIOURAL PSYCHOTHERAPY
影响因子：
--
作者：
BENNUN, I
通讯作者：
BENNUN, I
影响因子：
3.9
作者：
Fals-Stewart, W;Kashdan, TB;Birchler, GR
通讯作者：
Birchler, GR