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Published in: Addiction Science & Clinical Practice 1/2021

Open Access 01-12-2021 | Research

Perceived family cohesion, social support, and quality of life in patients undergoing treatment for substance use disorders compared with patients with mental and physical disorders

Authors: Bente Birkeland, Bente Weimand, Torleif Ruud, Darryl Maybery, John-Kåre Vederhus

Published in: Addiction Science & Clinical Practice | Issue 1/2021

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Abstract

Purpose

Support from family and other social network elements can be important in helping patients to cope with practical and emotional consequences of diseases. The aim of the study was to examine perception of family and social support and quality of life (QoL) in patients undergoing treatment for substance use disorders (SUDs). We compared them with patients in treatment for mental disorders (MDs) and physical disorders (PDs).

Methods

We used data from a national multicenter study that recruited patients (N  =  518) from three treatment domains; SUD treatment units, MD treatment units, and PD treatment units (severe neurological conditions or cancer). Data on family cohesion, social support, and QoL were compared across patient groups. In addition, data on health variables was collected. We used a multiple linear regression procedure to examine how health and support variables were associated with QoL.

Results

Family cohesion and social support in the SUD and MD groups were rated at similarly low levels, substantially lower than in the PD group. The SUD group exhibited a somewhat lower QoL than did the PD group, but their QoL was still in the near-to-normal range. In contrast, the MD group had markedly low QoL. When examining factors associated with QoL, we found that greater family cohesion and social support were positively associated with QoL. Mental distress was the strongest factor, and was negatively associated with QoL (beta − 0.15, 95% CI  =  − 0.17/− 0.14, p  <  0.001).

Conclusion

Service providers need to be aware of the weaker networks and less regulatory family and/or social support available to patients with SUDs. Providers should focus consistently on the social networks of patients and include patients’ families in treatment processes.
Literature
1.
go back to reference GDB 2016 Alcohol and Drug Use Collaborators. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psychiatry. 2018;5(12):987–1012.CrossRef GDB 2016 Alcohol and Drug Use Collaborators. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psychiatry. 2018;5(12):987–1012.CrossRef
2.
go back to reference Kringlen E, Torgersen S, Cramer V. A Norwegian psychiatric epidemiological study. Am J Psychiatry. 2001;158(7):1091–8.PubMedCrossRef Kringlen E, Torgersen S, Cramer V. A Norwegian psychiatric epidemiological study. Am J Psychiatry. 2001;158(7):1091–8.PubMedCrossRef
3.
go back to reference Ell K. Social networks, social support and coping with serious illness: the family connection. Soc Sci Med. 1996;42(2):173–83.PubMedCrossRef Ell K. Social networks, social support and coping with serious illness: the family connection. Soc Sci Med. 1996;42(2):173–83.PubMedCrossRef
5.
go back to reference Eek N, Romberg K, Siljeholm O, Johansson M, Andreasson S, Lundgren T, Fahlke C, Ingesson S, Backman L, Hammarberg A. Efficacy of an internet-based community reinforcement and family training program to increase treatment engagement for AUD and to improve psychiatric health for CSOs: a randomized controlled trial. Alcohol Alcohol. 2020;55(2):187–95.PubMedPubMedCentralCrossRef Eek N, Romberg K, Siljeholm O, Johansson M, Andreasson S, Lundgren T, Fahlke C, Ingesson S, Backman L, Hammarberg A. Efficacy of an internet-based community reinforcement and family training program to increase treatment engagement for AUD and to improve psychiatric health for CSOs: a randomized controlled trial. Alcohol Alcohol. 2020;55(2):187–95.PubMedPubMedCentralCrossRef
6.
go back to reference Mouttapa M, Weiss JW, Hermann M. Is image everything? The role of self-image in the relationship between family functioning and substance use among Hispanic adolescents. Subst Use Misuse. 2009;44(5):702–21.PubMedCrossRef Mouttapa M, Weiss JW, Hermann M. Is image everything? The role of self-image in the relationship between family functioning and substance use among Hispanic adolescents. Subst Use Misuse. 2009;44(5):702–21.PubMedCrossRef
7.
go back to reference Velleman RD, Templeton LJ, Copello AG. The role of the family in preventing and intervening with substance use and misuse: a comprehensive review of family interventions, with a focus on young people. Drug Alcohol Rev. 2005;24(2):93–109.PubMedCrossRef Velleman RD, Templeton LJ, Copello AG. The role of the family in preventing and intervening with substance use and misuse: a comprehensive review of family interventions, with a focus on young people. Drug Alcohol Rev. 2005;24(2):93–109.PubMedCrossRef
8.
go back to reference Gutman LM, Eccles JS, Peck S, Malanchuk O. The influence of family relations on trajectories of cigarette and alcohol use from early to late adolescence. J Adolesc. 2011;34(1):119–28.PubMedCrossRef Gutman LM, Eccles JS, Peck S, Malanchuk O. The influence of family relations on trajectories of cigarette and alcohol use from early to late adolescence. J Adolesc. 2011;34(1):119–28.PubMedCrossRef
9.
go back to reference Levola J, Kaskela T, Holopainen A, Sabariego C, Tourunen J, Cieza A, Pitkanen T. Psychosocial difficulties in alcohol dependence: a systematic review of activity limitations and participation restrictions. Disabil Rehabil. 2014;36(15):1227–39.PubMedCrossRef Levola J, Kaskela T, Holopainen A, Sabariego C, Tourunen J, Cieza A, Pitkanen T. Psychosocial difficulties in alcohol dependence: a systematic review of activity limitations and participation restrictions. Disabil Rehabil. 2014;36(15):1227–39.PubMedCrossRef
10.
go back to reference Orford J, Copello A, Velleman R, Templeton L. Family members affected by a close relative’s addiction: The stress-strain-coping-support model. Drugs Educ Prev Pol. 2010;17(Suppl 1):36–43.CrossRef Orford J, Copello A, Velleman R, Templeton L. Family members affected by a close relative’s addiction: The stress-strain-coping-support model. Drugs Educ Prev Pol. 2010;17(Suppl 1):36–43.CrossRef
11.
go back to reference Copello AG, Velleman RD, Templeton LJ. Family interventions in the treatment of alcohol and drug problems. Drug Alcohol Rev. 2005;24(4):369–85.PubMedCrossRef Copello AG, Velleman RD, Templeton LJ. Family interventions in the treatment of alcohol and drug problems. Drug Alcohol Rev. 2005;24(4):369–85.PubMedCrossRef
12.
go back to reference Vederhus JK, Timko C, Kristensen O, Hjemdahl B, Clausen T. Motivational intervention to enhance post-detoxification 12-step group affiliation: a randomized controlled trial. Addiction. 2014;109(5):766–73.PubMedPubMedCentralCrossRef Vederhus JK, Timko C, Kristensen O, Hjemdahl B, Clausen T. Motivational intervention to enhance post-detoxification 12-step group affiliation: a randomized controlled trial. Addiction. 2014;109(5):766–73.PubMedPubMedCentralCrossRef
13.
go back to reference Bassuk EL, Hanson J, Greene RN, Richard M, Laudet A. Peer-delivered recovery support services for addictions in the United States: a systematic review. J Subst Abuse Treat. 2016;63:1–9.PubMedCrossRef Bassuk EL, Hanson J, Greene RN, Richard M, Laudet A. Peer-delivered recovery support services for addictions in the United States: a systematic review. J Subst Abuse Treat. 2016;63:1–9.PubMedCrossRef
14.
go back to reference Tomaka J, Thompson S, Palacios R. The relation of social isolation, loneliness, and social support to disease outcomes among the elderly. J Aging Health. 2006;18(3):359–84.PubMedCrossRef Tomaka J, Thompson S, Palacios R. The relation of social isolation, loneliness, and social support to disease outcomes among the elderly. J Aging Health. 2006;18(3):359–84.PubMedCrossRef
15.
go back to reference Muller AE, Skurtveit S, Clausen T. Building abstinent networks is an important resource in improving quality of life. Drug Alcohol Depend. 2017;180:431–8.PubMedCrossRef Muller AE, Skurtveit S, Clausen T. Building abstinent networks is an important resource in improving quality of life. Drug Alcohol Depend. 2017;180:431–8.PubMedCrossRef
16.
go back to reference Birtel MD, Wood L, Kempa NJ. Stigma and social support in substance abuse: implications for mental health and well-being. Psychiatry Res. 2017;252:1–8.PubMedCrossRef Birtel MD, Wood L, Kempa NJ. Stigma and social support in substance abuse: implications for mental health and well-being. Psychiatry Res. 2017;252:1–8.PubMedCrossRef
17.
go back to reference Stevens E, Jason LA, Ram D, Light J. Investigating social support and network relationships in substance use disorder recovery. Subst Abuse. 2015;36(4):396–9.CrossRef Stevens E, Jason LA, Ram D, Light J. Investigating social support and network relationships in substance use disorder recovery. Subst Abuse. 2015;36(4):396–9.CrossRef
18.
go back to reference Maulik PK, Eaton WW, Bradshaw CP. The effect of social networks and social support on mental health services use, following a life event, among the Baltimore epidemiologic catchment area cohort. J Behav Health Serv Res. 2011;38(1):29–50.PubMedCrossRef Maulik PK, Eaton WW, Bradshaw CP. The effect of social networks and social support on mental health services use, following a life event, among the Baltimore epidemiologic catchment area cohort. J Behav Health Serv Res. 2011;38(1):29–50.PubMedCrossRef
19.
go back to reference Pharoah F, Mari J, Rathbone J, Wong W. Family intervention for schizophrenia. Cochrane Database Syst Rev. 2010;12:CD000088. Pharoah F, Mari J, Rathbone J, Wong W. Family intervention for schizophrenia. Cochrane Database Syst Rev. 2010;12:CD000088.
20.
go back to reference Dour HJ, Wiley JF, Roy-Byrne P, Stein MB, Sullivan G, Sherbourne CD, Bystritsky A, Rose RD, Craske MG. Perceived social support mediates anxiety and depressive symptom changes following primary care intervention. Depress Anxiety. 2014;31(5):436–42.PubMedCrossRef Dour HJ, Wiley JF, Roy-Byrne P, Stein MB, Sullivan G, Sherbourne CD, Bystritsky A, Rose RD, Craske MG. Perceived social support mediates anxiety and depressive symptom changes following primary care intervention. Depress Anxiety. 2014;31(5):436–42.PubMedCrossRef
21.
go back to reference Tiffany ST, Friedman L, Greenfield SF, Hasin DS, Jackson R. Beyond drug use: a systematic consideration of other outcomes in evaluations of treatments for substance use disorders. Addiction. 2012;107(4):709–18.PubMedCrossRef Tiffany ST, Friedman L, Greenfield SF, Hasin DS, Jackson R. Beyond drug use: a systematic consideration of other outcomes in evaluations of treatments for substance use disorders. Addiction. 2012;107(4):709–18.PubMedCrossRef
22.
go back to reference Laudet AB. The case for considering quality of life in addiction research and clinical practice. Addict Sci Clin Pract. 2011;6(1):44–55.PubMedPubMedCentral Laudet AB. The case for considering quality of life in addiction research and clinical practice. Addict Sci Clin Pract. 2011;6(1):44–55.PubMedPubMedCentral
23.
go back to reference Vederhus JK, Pripp AH, Clausen T. Quality of life in patients with substance use disorders admitted to detoxification compared with those admitted to hospitals for medical disorders: follow-up results. Subst Abus Res Treat. 2016;10:31–7. Vederhus JK, Pripp AH, Clausen T. Quality of life in patients with substance use disorders admitted to detoxification compared with those admitted to hospitals for medical disorders: follow-up results. Subst Abus Res Treat. 2016;10:31–7.
24.
go back to reference Dietze P, Stoove M, Miller P, Kinner S, Bruno R, Alati R, Burns L. The self-reported personal wellbeing of a sample of Australian injecting drug users. Addiction. 2010;105(12):2141–8.PubMedCrossRef Dietze P, Stoove M, Miller P, Kinner S, Bruno R, Alati R, Burns L. The self-reported personal wellbeing of a sample of Australian injecting drug users. Addiction. 2010;105(12):2141–8.PubMedCrossRef
25.
go back to reference De Maeyer J, Vanderplasschen W, Broekaert E. Quality of life among opiate-dependent individuals: a review of the literature. Int J Drug Policy. 2010;21(5):364–80.PubMedCrossRef De Maeyer J, Vanderplasschen W, Broekaert E. Quality of life among opiate-dependent individuals: a review of the literature. Int J Drug Policy. 2010;21(5):364–80.PubMedCrossRef
26.
go back to reference Kallander EK, Weimand BM, Becker S, Van Roy B, Hanssen-Bauer K, Stavnes K, Faugli A, Kufas E, Ruud T. Children with ill parents: extent and nature of caring activities. Scand J Caring Sci. 2018;32(2):793–804.PubMedCrossRef Kallander EK, Weimand BM, Becker S, Van Roy B, Hanssen-Bauer K, Stavnes K, Faugli A, Kufas E, Ruud T. Children with ill parents: extent and nature of caring activities. Scand J Caring Sci. 2018;32(2):793–804.PubMedCrossRef
27.
go back to reference Olson DH. Circumplex model VII: validation studies and FACES III. Fam Process. 1986;25(3):337–51.PubMedCrossRef Olson DH. Circumplex model VII: validation studies and FACES III. Fam Process. 1986;25(3):337–51.PubMedCrossRef
28.
go back to reference Hagen KA, Ogden T, Bjornebekk G. Treatment outcomes and mediators of parent management training: a one-year follow-up of children with conduct problems. J Clin Child Adolesc Psychol. 2011;40(2):165–78.PubMedCrossRef Hagen KA, Ogden T, Bjornebekk G. Treatment outcomes and mediators of parent management training: a one-year follow-up of children with conduct problems. J Clin Child Adolesc Psychol. 2011;40(2):165–78.PubMedCrossRef
29.
go back to reference Cohen S, Hoberman HM. Positive events and social supports as buffers of life change stress. J Appl Soc Psychol. 1983;13(2):99–125.CrossRef Cohen S, Hoberman HM. Positive events and social supports as buffers of life change stress. J Appl Soc Psychol. 1983;13(2):99–125.CrossRef
30.
go back to reference Brown RL, Rounds LA. Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wis Med J. 1995;94(3):135–40.PubMed Brown RL, Rounds LA. Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wis Med J. 1995;94(3):135–40.PubMed
31.
go back to reference Strand BH, Dalgard OS, Tambs K, Rognerud M. Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nord J Psychiatry. 2003;57(2):113–8.PubMedCrossRef Strand BH, Dalgard OS, Tambs K, Rognerud M. Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nord J Psychiatry. 2003;57(2):113–8.PubMedCrossRef
32.
go back to reference Lindholt JS, Ventegodt S, Henneberg EW. Development and validation of QoL5 for clinical databases. A short, global and generic questionnaire based on an integrated theory of the quality of life. Eur J Surg. 2002;168(2):107–13.PubMedCrossRef Lindholt JS, Ventegodt S, Henneberg EW. Development and validation of QoL5 for clinical databases. A short, global and generic questionnaire based on an integrated theory of the quality of life. Eur J Surg. 2002;168(2):107–13.PubMedCrossRef
33.
go back to reference Ventegodt S, Merrick J, Andersen NJ. Measurement of quality of life II. From the philosophy of life to science. ScientificWorldJournal. 2003;3:962–71.PubMedPubMedCentralCrossRef Ventegodt S, Merrick J, Andersen NJ. Measurement of quality of life II. From the philosophy of life to science. ScientificWorldJournal. 2003;3:962–71.PubMedPubMedCentralCrossRef
34.
go back to reference Lindholt JS, Ventegodt S, Henneberg EW. Development and validation of QoL5 for clinical databases. A short, global and generic questionnaire based on an integrated theory of the quality of life. Eur J Surg. 2002;168(2):107–13.PubMedCrossRef Lindholt JS, Ventegodt S, Henneberg EW. Development and validation of QoL5 for clinical databases. A short, global and generic questionnaire based on an integrated theory of the quality of life. Eur J Surg. 2002;168(2):107–13.PubMedCrossRef
35.
go back to reference Pasareanu AR, Opsal A, Vederhus JK, Kristensen O, Clausen T. Quality of life improved following in-patient substance use disorder treatment. Health Qual Life Outcomes. 2015;13:35.PubMedPubMedCentralCrossRef Pasareanu AR, Opsal A, Vederhus JK, Kristensen O, Clausen T. Quality of life improved following in-patient substance use disorder treatment. Health Qual Life Outcomes. 2015;13:35.PubMedPubMedCentralCrossRef
36.
go back to reference Vederhus JK, Kristensen O, Timko C. How do psychological characteristics of family members affected by substance use influence quality of life? Qual Life Res. 2019;28(8):2161–70.PubMedPubMedCentralCrossRef Vederhus JK, Kristensen O, Timko C. How do psychological characteristics of family members affected by substance use influence quality of life? Qual Life Res. 2019;28(8):2161–70.PubMedPubMedCentralCrossRef
37.
go back to reference Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 8th ed. Andover: Cengage Learning EMEA; 2019. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 8th ed. Andover: Cengage Learning EMEA; 2019.
38.
go back to reference IBM Corp. IBM SPSS statistics for windows, version 25.0. Armonk: IBM Corp; 2017. IBM Corp. IBM SPSS statistics for windows, version 25.0. Armonk: IBM Corp; 2017.
39.
go back to reference McCrady BS, Epstein EE, Hirsch LS. Maintaining change after conjoint behavioral alcohol treatment for men: outcomes at 6 months. Addiction. 1999;94(9):1381–96.PubMedCrossRef McCrady BS, Epstein EE, Hirsch LS. Maintaining change after conjoint behavioral alcohol treatment for men: outcomes at 6 months. Addiction. 1999;94(9):1381–96.PubMedCrossRef
40.
go back to reference Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, de Girolamo G, Graaf R, Demyttenaere K, Gasquet I, et al. Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl. 2004;420:38–46. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H, de Girolamo G, Graaf R, Demyttenaere K, Gasquet I, et al. Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand Suppl. 2004;420:38–46.
41.
go back to reference Levola J, Aalto M, Holopainen A, Cieza A, Pitkanen T. Health-related quality of life in alcohol dependence: a systematic literature review with a specific focus on the role of depression and other psychopathology. Nord J Psychiatry. 2014;68(6):369–84.PubMedCrossRef Levola J, Aalto M, Holopainen A, Cieza A, Pitkanen T. Health-related quality of life in alcohol dependence: a systematic literature review with a specific focus on the role of depression and other psychopathology. Nord J Psychiatry. 2014;68(6):369–84.PubMedCrossRef
42.
go back to reference Morgan TJ, Morgenstern J, Blanchard KA, Labouvie E, Bux DA. Health-related quality of life for adults participating in outpatient substance abuse treatment. Am J Addict. 2003;12(3):198–210.PubMedCrossRef Morgan TJ, Morgenstern J, Blanchard KA, Labouvie E, Bux DA. Health-related quality of life for adults participating in outpatient substance abuse treatment. Am J Addict. 2003;12(3):198–210.PubMedCrossRef
43.
go back to reference Landheim AS, Bakken K, Vaglum P. Impact of comorbid psychiatric disorders on the outcome of substance abusers: a six year prospective follow-up in two Norwegian counties. BMC Psychiatry. 2006;6:44.PubMedPubMedCentralCrossRef Landheim AS, Bakken K, Vaglum P. Impact of comorbid psychiatric disorders on the outcome of substance abusers: a six year prospective follow-up in two Norwegian counties. BMC Psychiatry. 2006;6:44.PubMedPubMedCentralCrossRef
44.
go back to reference Mueser KT, Noordsy DL, Drake RE, Fox L. Integrated treatment for dual disorders: a guide to effective practice. New York: Guilford Press; 2003. Mueser KT, Noordsy DL, Drake RE, Fox L. Integrated treatment for dual disorders: a guide to effective practice. New York: Guilford Press; 2003.
45.
go back to reference Pettersen H, Landheim A, Skeie I, Biong S, Brodahl M, Oute J, Davidson L. How social relationships influence substance use disorder recovery: a collaborative narrative study. Subst Abuse Res Treat. 2019;13:1–8. Pettersen H, Landheim A, Skeie I, Biong S, Brodahl M, Oute J, Davidson L. How social relationships influence substance use disorder recovery: a collaborative narrative study. Subst Abuse Res Treat. 2019;13:1–8.
Metadata
Title
Perceived family cohesion, social support, and quality of life in patients undergoing treatment for substance use disorders compared with patients with mental and physical disorders
Authors
Bente Birkeland
Bente Weimand
Torleif Ruud
Darryl Maybery
John-Kåre Vederhus
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2021
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/s13722-021-00252-8

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