Dual-substance use disorder couples: An integrative review and proposed theoretical model

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2024-05-18 DOI:10.1016/j.cpr.2024.102447

Louisa Kane, Donald H. Baucom, Stacey B. Daughters

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引用次数: 0

Abstract

Committed romantic relationships between two individuals with Substance Use Disorder (or dual-SUD couples) are prevalent. Dual-SUD couples have poor treatment engagement and outcomes. Research has established a reciprocal link between relationship dynamics (e.g., conflict, intimacy) and substance use. Thus, the couple's relationship presents a distinct social context for both partner's substance use. Dual-SUD couples face unique challenges due to substance use being a shared behavior that may serve as a rewarding source of compatibility, closeness, and short-term relationship satisfaction despite it being at the cost of other alternative sources of substance-free reinforcement. Yet, treatment options for these couples are scarce. Dual-maladaptive health behaviors (e.g., dual-substance use) are challenging to treat; however, theory and preliminary research suggests that transformation of couple's joint motivation toward adaptive health behavior change may result in a more satisfying relationship and improved treatment outcomes for both individuals. The current paper reviews the extant literature on dual-SUD couples from theoretical, empirical, and treatment research and proposes an expanded paradigm regarding how we understand dual-SUD couples with the aim of informing basic research and treatment development.

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双重药物使用障碍夫妇：综合评述和拟议理论模型。

两个药物使用障碍患者（或双重药物使用障碍夫妇）之间的恋爱关系非常普遍。双重 SUD 情侣的治疗参与度和治疗效果都很差。研究证实，关系动态（如冲突、亲密关系）与药物使用之间存在相互联系。因此，夫妻关系为双方使用药物提供了独特的社会背景。双重药物依赖的夫妇面临着独特的挑战，因为药物使用是一种共同的行为，它可以作为兼容性、亲密性和短期关系满意度的奖励来源，尽管它是以其他无药物强化来源为代价的。然而，针对这些夫妻的治疗方案却很少。双重适应性健康行为（如双重使用药物）的治疗具有挑战性；然而，理论和初步研究表明，转变夫妻双方的共同动机，使其向适应性健康行为转变，可能会使双方的关系更令人满意，并改善治疗效果。本文从理论、实证和治疗研究等方面回顾了有关双重药物滥用夫妇的现有文献，并就我们如何理解双重药物滥用夫妇提出了一个扩展范式，旨在为基础研究和治疗开发提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.