Michael A. Cucciare , Xiaotong Han , Sara Yousef , Christine Timko
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In the second set of models, we examined whether those effects remained after adding baseline CO characteristics.</p></div><div><h3>Results</h3><p>In the first set of models, COs of older age and whose patient reported less CO-patient relationship stress had better mental health. Also, married COs and those with higher income and whose patient reported no violence in the CO-patient relationship had better quality of life. In the second set of models, COs whose patient entered treatment due to criminal justice involvement, with more social support, less reported stigma, and less use of avoidance coping had better mental health. Also, married COs, those with higher income, and less reported discrimination stigma had better quality of life.</p></div><div><h3>Conclusions</h3><p>Understanding patient and CO characteristics that are associated with COs' outcomes may inform AUD treatment programs' efforts to help COs. Identifying modifiable determinants of CO outcomes is important to clinical practice regardless of whether the patient chooses to obtain treatment.</p></div>","PeriodicalId":73960,"journal":{"name":"Journal of substance use and addiction treatment","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Predictors of concerned others' mental health and quality of life over 12 months following adults' entry into treatment for an alcohol use disorder\",\"authors\":\"Michael A. Cucciare , Xiaotong Han , Sara Yousef , Christine Timko\",\"doi\":\"10.1016/j.josat.2024.209434\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>People in treatment for alcohol use disorders (AUDs) can negatively impact their Concerned Others (COs). This longitudinal study examined patient and CO characteristics associated with CO outcomes.</p></div><div><h3>Method</h3><p>Participants were 279 dyads of patients entering residential treatment and their CO. Outcomes were COs' mental health and quality of life. The study collected patient and CO predictors and CO outcomes at baseline and 3-, 6-, and 12-month follow-ups as part of a randomized controlled trial. In the first set of models, the analytic approach identified baseline patient predictors associated with COs' outcomes measured at baseline and follow-ups. In the second set of models, we examined whether those effects remained after adding baseline CO characteristics.</p></div><div><h3>Results</h3><p>In the first set of models, COs of older age and whose patient reported less CO-patient relationship stress had better mental health. Also, married COs and those with higher income and whose patient reported no violence in the CO-patient relationship had better quality of life. In the second set of models, COs whose patient entered treatment due to criminal justice involvement, with more social support, less reported stigma, and less use of avoidance coping had better mental health. Also, married COs, those with higher income, and less reported discrimination stigma had better quality of life.</p></div><div><h3>Conclusions</h3><p>Understanding patient and CO characteristics that are associated with COs' outcomes may inform AUD treatment programs' efforts to help COs. 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引用次数: 0
摘要
导言:接受酒精使用障碍(AUDs)治疗的人可能会对其关心的其他人(COs)产生负面影响。这项纵向研究考察了与CO结果相关的患者和CO特征:方法:研究对象为 279 个接受住院治疗的患者及其关注者。研究结果是关心他人的心理健康和生活质量。作为随机对照试验的一部分,该研究在基线和 3 个月、6 个月和 12 个月的随访中收集了患者和 CO 的预测因素以及 CO 的结果。在第一组模型中,分析方法确定了与基线和随访时测量的慢性阻塞性肺疾病结果相关的患者基线预测因素。在第二组模型中,我们研究了在加入基线 CO 特征后,这些影响是否仍然存在:结果:在第一组模型中,年龄较大且患者报告的医患关系压力较小的慢性阻塞性肺病患者的心理健康状况较好。此外,已婚的 CO 和收入较高的 CO,以及病人报告在 CO 患者关系中没有暴力行为的 CO,其生活质量也较高。在第二组模型中,病人因涉及刑事司法而接受治疗、获得更多社会支持、报告的耻辱感较少以及使用回避应对方法较少的 COs 的心理健康状况较好。此外,已婚、收入较高、报告的歧视羞辱较少的主治医生的生活质量也较高:结论:了解与慢性阻塞性肺病患者的治疗结果相关的患者和慢性阻塞性肺病患者的特征,可为澳大利亚慢性阻塞性肺病治疗项目提供帮助。无论患者是否选择接受治疗,确定慢性阻塞性肺病结果的可改变决定因素对临床实践都非常重要。
Predictors of concerned others' mental health and quality of life over 12 months following adults' entry into treatment for an alcohol use disorder
Introduction
People in treatment for alcohol use disorders (AUDs) can negatively impact their Concerned Others (COs). This longitudinal study examined patient and CO characteristics associated with CO outcomes.
Method
Participants were 279 dyads of patients entering residential treatment and their CO. Outcomes were COs' mental health and quality of life. The study collected patient and CO predictors and CO outcomes at baseline and 3-, 6-, and 12-month follow-ups as part of a randomized controlled trial. In the first set of models, the analytic approach identified baseline patient predictors associated with COs' outcomes measured at baseline and follow-ups. In the second set of models, we examined whether those effects remained after adding baseline CO characteristics.
Results
In the first set of models, COs of older age and whose patient reported less CO-patient relationship stress had better mental health. Also, married COs and those with higher income and whose patient reported no violence in the CO-patient relationship had better quality of life. In the second set of models, COs whose patient entered treatment due to criminal justice involvement, with more social support, less reported stigma, and less use of avoidance coping had better mental health. Also, married COs, those with higher income, and less reported discrimination stigma had better quality of life.
Conclusions
Understanding patient and CO characteristics that are associated with COs' outcomes may inform AUD treatment programs' efforts to help COs. Identifying modifiable determinants of CO outcomes is important to clinical practice regardless of whether the patient chooses to obtain treatment.