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Predictors of depressive symptomatology in family caregivers of women with substance use disorders or co-occurring substance use and mental disorders
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Family Social Work, 13(1), January 2010, pp.25-44.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Families play a significant role in the well-being of relatives with co-occurring substance misuse and mental health problems through the provision of direct care, management of symptoms, retention of treatment and emotional support. This paper describes a stress-process model to investigate the impact of having a female family member with substance use or co-occurring substance use and mental disorder on family caregivers’ depressive symptomatology. Eighty two women receiving substance abuse treatment and the family member providing the most social support for each woman participated. Findings showed that greater caregiver depressive symptomatology was predicted by greater care recipient emotional problems, less care recipient social support, and poor caregiver health. The caregivers were twice as likely to suffer from depressive symptomatology compared to those in the general population. In conclusion, the author suggests that interventions aimed at improving the care recipients’ social network may help to improve the carers well-being.
Predictors of burden of family caregivers of women with substance use disorders or co-occurring substance and mental disorders
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 7(1/2), 2007, pp.25-49.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This American study examined the impact of having a female family member with a substance use or co-occurring disorders on family caregivers. Predictors of subjective burden (worry, stigma, and displeasure) and objective burden (family disruption) on caregivers and on types of burden were explored. Subjects were 82 women receiving substance abuse treatment and their family member providing most social support. Behavioural problems of the recipient and lack of social support for caregivers predicted higher levels of family member burden, with different types of social support predicting different types of burden. Having a dual disorder did not predict family member burden. Implications of findings for treatment are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The impact of caregiver-care recipient relationship quality on family caregivers of women with substance use disorders of co-occurring substance and mental disorders
- Authors:
- KATZ-SALTZMAN Shiri, BIEGEL David E., TOWNSEND Aloen
- Journal article citation:
- Journal of Family Social Work, 11(2), 2008, pp.141-165.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A cross-sectional, interview-based study of 82 carers of female family members with a substance use, or co-occurring substance use and mental health disorder, is reported, with the aim of assessing carer burden. Regression findings indicate that relationship quality influences both subjective and objective burden. Higher levels of emotional support given to the care recipient by the carer predicted lower levels of carer displeasure, while higher levels of undermining of the care recipient by the carer predicted higher levels of carer stigma. Higher levels of emotional support received by the carer from the care recipient were associated with lower carer displeasure and lower objective burden, while higher levels of undermining of the carer by the care recipient predicted higher objective burden. The implications for practice and service delivery are discussed.
Predictors of burden among lower socioeconomic status caregivers of persons with chronic mental illness
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Community Mental Health Journal, 30(5), October 1994, pp.473-494.
- Publisher:
- Springer
Uses a stress-coping-support framework to examine the predictors of caregiver burden with a sample of 103 lower social class family caregivers of persons with chronic mental illness. Results show that the greater the frequency of client behavioural symptoms and the lower the amount of perceived support from family members, the higher the level of overall caregiver burden. Examination of the predictors of specific types of burden-family disruption, stigma, strain, and dependency - reveal that different constellations of variables predict different types of burden. The need for mental health agencies to address caregiver and client concerns is addressed. Implications are presented for practice and future research.
Predictors of dyadic relationship quality of women in substance abuse treatment
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Journal of Dual Diagnosis, 3(1), 2006, pp.87-112.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The quality of relationship between family caregivers and care recipients with dual disorders can impact care recipients' well-being and treatment outcomes as well as caregivers' well-being and involvement in care. This American study examines the impact of caregiver stressors and well-being on relationship quality of family caregivers of women with substance use disorders or co-occurring substance and mental disorders. Eighty-two women receiving in-patient or out-patient substance abuse treatment and the family member/significant other, nominated by each woman, who provided her with the most social support, were interviewed in this non-experimental cross-sectional study. A stress coping model was utilized to identify the impact of family caregivers' stressors (care recipient behavioural, substance abuse, and mental health problems) and caregiver well-being (burden and depressive symptomatology) on caregivers' perceptions of the quality of their relationship with their care recipient. Findings from multiple regression analyses, across four types of caregiver well-being, show that greater perceived support to the caregiver was predicted by fewer perceived care recipient substance abuse problems, whereas higher levels of undermining of the caregiver was predicted by greater care recipient behavioural problems and by the family caregiver being a significant other of the care recipient. Care recipient classification as having a current dual disorder as compared to a current substance use disorder only was not a significant predictor of perceived support given to the caregiver or of perceived undermining of the family member. The findings suggest interventions for family caregivers need to be tailored to address different and possibly multiple groups of caregivers, specific types of stressors, and care recipient behavioural problems. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).