Substance Use in Early Psychosis: Mixed Methods Impact on Family.

IF 2.6 4区医学 Q3 PSYCHIATRY

Journal of Dual Diagnosis Pub Date : 2025-09-13 DOI:10.1080/15504263.2025.2557193

Julie M McCarthy, Cheryl Y S Foo, Megan Liew, Edoardo N Bianchi, Eleanor Sultana, Roger D Weiss, Kim T Mueser

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引用次数: 0

Abstract

Objective: Nearly half of people with early psychosis report lifetime problematic substance use. Current treatments have limited impact on substance use and supporting the client's family could improve recovery. The current study explored: (1) the impact of substance use and early psychosis on the family, and (2) experiences with their client relative's treatment. Methods: Participants were family members (n = 19) of clients with early psychosis and substance use. We used quantitative and qualitative data from the Community Reinforcement and Family Training for Early Psychosis and substance use (CRAFT-EP) pilot study to assess family members' views. Results: Many participants reported concern about the client's cannabis use and its negative impact on family wellbeing and communication, with most participants wanting more guidance on how to support the client's treatment. Conclusions: Implementing family interventions are needed to improve family relationship quality and communication to promote recovery among people with early psychosis who use substances.

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早期精神病药物使用：混合方法对家庭的影响。

目的：近一半的早期精神病患者报告终生有问题的物质使用。目前的治疗方法对药物使用的影响有限，支持客户的家庭可以促进康复。目前的研究探讨：(1)药物使用和早期精神病对家庭的影响，(2)与他们的客户亲属的治疗经验。方法：研究对象为早期精神病和药物使用患者的家庭成员（n = 19）。我们使用来自早期精神病和药物使用社区强化和家庭培训（CRAFT-EP）试点研究的定量和定性数据来评估家庭成员的观点。结果：许多参与者报告了对客户大麻使用及其对家庭健康和沟通的负面影响的担忧，大多数参与者希望获得更多关于如何支持客户治疗的指导。结论：需要实施家庭干预，以改善家庭关系质量和沟通，促进早期精神病药物使用人群的康复。

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来源期刊

Journal of Dual Diagnosis Multiple-

CiteScore

4.90

自引率

13.60%

发文量

期刊介绍： Journal of Dual Diagnosis is a quarterly, international publication that focuses on the full spectrum of complexities regarding dual diagnosis. The co-occurrence of mental health and substance use disorders, or “dual diagnosis,” is one of the quintessential issues in behavioral health. Why do such high rates of co-occurrence exist? What does it tell us about risk profiles? How do these linked disorders affect people, their families, and the communities in which they live? What are the natural paths to recovery? What specific treatments are most helpful and how can new ones be developed? How can we enhance the implementation of evidence-based practices at clinical, administrative, and policy levels? How can we help clients to learn active recovery skills and adopt needed supports, clinicians to master new interventions, programs to implement effective services, and communities to foster healthy adjustment? The Journal addresses each of these perplexing challenges.