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Stress, coping, and well-being among...

Moore, Barbara Colin.

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Stress, coping, and well-being among family members of women with substance use or co-occurring disorders.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Stress, coping, and well-being among family members of women with substance use or co-occurring disorders./
Author:	Moore, Barbara Colin.
Description:	139 p.
Notes:	Adviser: David Biegel.
Contained By:	Dissertation Abstracts International67-07A.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3226714
ISBN:	9780542781797

Stress, coping, and well-being among family members of women with substance use or co-occurring disorders.
Moore, Barbara Colin.

Stress, coping, and well-being among family members of women with substance use or co-occurring disorders. - 139 p.

Adviser: David Biegel.

Thesis (Ph.D.)--Case Western Reserve University, 2007.

The effects of illness-related stressors on family members of women with substance use disorders or co-occurring mental illness and substance use disorders were examined, and the mediating or moderating role of family member adaptive or maladaptive coping strategies was assessed. 82 women in inpatient or outpatient treatment for substance use disorders in a Midwestern community were interviewed. Of these, 46 (56.1%) met diagnostic criteria for one or more additional psychiatric disorders: major depression, dysthymia, posttraumatic stress disorder, mania, hypomania, or generalized anxiety disorder. The women were predominantly African-American and of lower socioeconomic status. The women in treatment nominated the most supportive family member or a significant other for participation in the study. 82 family members, one for each woman in treatment, were also interviewed. Findings were that illness-related client behavioral problems and extent of client drug or alcohol use were significantly related to greater family member burden. At the bivariate level, greater client behavioral problems were also related to higher levels of family member depressive symptomatology. Family member maladaptive coping was found to completely mediate the relationship between client behavioral problems and the Stigma dimension of family member burden. Family member maladaptive coping was also found to partially mediate the relationships between client behavioral problems and family member burden (frequency of Impact subscale) and between extent of client drug or alcohol use and family member burden (frequency of Impact). Family member maladaptive coping functioned as both a moderator and a mediator in the relationship between extent of client drug or alcohol use and family member Impact. Adaptive coping was found to be a partial mediator between client behavioral problems and family member Worry, but increases in adaptive coping were associated with greater family member Worry, rather than less Worry as hypothesized. Possible links between specific family member behaviors and outcomes for both family members and individuals in treatment are examined. Implications for research and practice are also discussed.

ISBN: 9780542781797Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Stress, coping, and well-being among family members of women with substance use or co-occurring disorders.
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245 1 0 $a Stress, coping, and well-being among family members of women with substance use or co-occurring disorders.
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500 $a Source: Dissertation Abstracts International, Volume: 67-07, Section: A, page: 2754.
502 $a Thesis (Ph.D.)--Case Western Reserve University, 2007.
520 $a The effects of illness-related stressors on family members of women with substance use disorders or co-occurring mental illness and substance use disorders were examined, and the mediating or moderating role of family member adaptive or maladaptive coping strategies was assessed. 82 women in inpatient or outpatient treatment for substance use disorders in a Midwestern community were interviewed. Of these, 46 (56.1%) met diagnostic criteria for one or more additional psychiatric disorders: major depression, dysthymia, posttraumatic stress disorder, mania, hypomania, or generalized anxiety disorder. The women were predominantly African-American and of lower socioeconomic status. The women in treatment nominated the most supportive family member or a significant other for participation in the study. 82 family members, one for each woman in treatment, were also interviewed. Findings were that illness-related client behavioral problems and extent of client drug or alcohol use were significantly related to greater family member burden. At the bivariate level, greater client behavioral problems were also related to higher levels of family member depressive symptomatology. Family member maladaptive coping was found to completely mediate the relationship between client behavioral problems and the Stigma dimension of family member burden. Family member maladaptive coping was also found to partially mediate the relationships between client behavioral problems and family member burden (frequency of Impact subscale) and between extent of client drug or alcohol use and family member burden (frequency of Impact). Family member maladaptive coping functioned as both a moderator and a mediator in the relationship between extent of client drug or alcohol use and family member Impact. Adaptive coping was found to be a partial mediator between client behavioral problems and family member Worry, but increases in adaptive coping were associated with greater family member Worry, rather than less Worry as hypothesized. Possible links between specific family member behaviors and outcomes for both family members and individuals in treatment are examined. Implications for research and practice are also discussed.
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