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STRESS, COPING, AND WELL-BEING AMONG FAMILY MEMBERS OF WOMEN WITH SUBSTANCE USE OR CO-OCCURRING DISORDERS

Moore, Barbara Colin
http://rave.ohiolink.edu/etdc/view?acc_num=case1156529516

Abstract Details

2007, Doctor of Philosophy, Case Western Reserve University, Social Welfare.
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.
David Biegel (Advisor)
139 p.
substance abuse; co-occurring disorders; women; family members; stress and coping; maladaptive coping

Recommended Citations

Citations

  • Moore, B. C. (2007). STRESS, COPING, AND WELL-BEING AMONG FAMILY MEMBERS OF WOMEN WITH SUBSTANCE USE OR CO-OCCURRING DISORDERS [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1156529516

    APA Style (7th edition)

  • Moore, Barbara. STRESS, COPING, AND WELL-BEING AMONG FAMILY MEMBERS OF WOMEN WITH SUBSTANCE USE OR CO-OCCURRING DISORDERS. 2007. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1156529516.

    MLA Style (8th edition)

  • Moore, Barbara. "STRESS, COPING, AND WELL-BEING AMONG FAMILY MEMBERS OF WOMEN WITH SUBSTANCE USE OR CO-OCCURRING DISORDERS." Doctoral dissertation, Case Western Reserve University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=case1156529516

    Chicago Manual of Style (17th edition)

case1156529516
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© 2006, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.