关系质量对有精神健康和药物使用问题共存的被监禁伴侣的夫妻的影响》（The Impact of Relationship Quality on Couples With an Incarcerated Partner with Co-Occurring Mental Health and Substance Use Issues.
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This study aimed to examine the impact of incarcerated individuals with co-occurring ADHD and depression on their relationship quality, focusing on the roles of substance use, substance use treatment, and self-efficacy.</p><p><strong>Methods: </strong>The study analyzed the effects of substance use, substance use treatment, and self-efficacy on the relationship quality of couples where one partner was incarcerated and diagnosed with co-occurring ADHD and depression. The direct and indirect influences of these factors on relationship quality were assessed.</p><p><strong>Results: </strong>The findings indicated that higher levels of substance use and depressive symptoms, along with lower levels of self-efficacy and substance use treatment, were associated with lower relationship quality. ADHD indirectly affected relationship quality via substance use (β = -.015, 95% CI [-0.023, -0.008]) and self-efficacy (β = -.027, 95% CI [-0.039, -0.016]). Depression had both direct effects on relationship quality (β = -.180, 95% CI [-0.224, -0.138]) and indirect effects via substance use (β = -.023, 95% CI [-0.033, -0.015]), self-efficacy (β = -.040, 95% CI [-0.056, -0.025]), and through substance use and substance treatment (β = -.002, 95% CI [0.001, 0.005]).</p><p><strong>Conclusion: </strong>These findings highlight the need for further research to explore combined substance use and mental health treatment programs. Such interventions could potentially reduce recidivism rates, and promote the quality and maintenance of relationships among incarcerated individuals and their partners.</p>","PeriodicalId":517405,"journal":{"name":"Substance use : research and treatment","volume":"18 ","pages":"29768357241284097"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457253/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Impact of Relationship Quality on Couples With an Incarcerated Partner With Co-Occurring Mental Health and Substance Use Issues.\",\"authors\":\"Eman Tadros, Anh-Khoi Nguyen Le, Alexis Gregorash\",\"doi\":\"10.1177/29768357241284097\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>In 2020, approximately 1.7 million people were incarcerated in the United States, with nearly half of the general population being related to, or romantically involved with, an incarcerated individual. Over 70% of these incarcerated individuals met the criteria for a co-occurring mental health and substance use diagnoses. Individuals with co-occurring disorders often experience high rates of recidivism, which negatively impacts their non-incarcerated partners. This study aimed to examine the impact of incarcerated individuals with co-occurring ADHD and depression on their relationship quality, focusing on the roles of substance use, substance use treatment, and self-efficacy.</p><p><strong>Methods: </strong>The study analyzed the effects of substance use, substance use treatment, and self-efficacy on the relationship quality of couples where one partner was incarcerated and diagnosed with co-occurring ADHD and depression. The direct and indirect influences of these factors on relationship quality were assessed.</p><p><strong>Results: </strong>The findings indicated that higher levels of substance use and depressive symptoms, along with lower levels of self-efficacy and substance use treatment, were associated with lower relationship quality. ADHD indirectly affected relationship quality via substance use (β = -.015, 95% CI [-0.023, -0.008]) and self-efficacy (β = -.027, 95% CI [-0.039, -0.016]). Depression had both direct effects on relationship quality (β = -.180, 95% CI [-0.224, -0.138]) and indirect effects via substance use (β = -.023, 95% CI [-0.033, -0.015]), self-efficacy (β = -.040, 95% CI [-0.056, -0.025]), and through substance use and substance treatment (β = -.002, 95% CI [0.001, 0.005]).</p><p><strong>Conclusion: </strong>These findings highlight the need for further research to explore combined substance use and mental health treatment programs. 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引用次数: 0
摘要
目标：2020 年，美国约有 170 万人被监禁，近一半的普通民众与被监禁者有亲属关系或恋爱关系。其中超过 70% 的被监禁者符合精神健康和药物使用并发症的诊断标准。同时患有精神疾病的人往往有很高的累犯率，这对他们的非监禁伴侣造成了负面影响。本研究旨在考察共患多动症和抑郁症的被监禁者对其关系质量的影响，重点关注药物使用、药物使用治疗和自我效能的作用：研究分析了药物使用、药物使用治疗和自我效能对夫妻关系质量的影响，其中一方被监禁并被诊断出同时患有多动症和抑郁症。研究评估了这些因素对夫妻关系质量的直接和间接影响：研究结果表明，较高水平的药物使用和抑郁症状以及较低水平的自我效能和药物使用治疗与较低的关系质量有关。多动症通过药物使用（β = -.015，95% CI [-0.023，-0.008]）和自我效能（β = -.027，95% CI [-0.039，-0.016]）间接影响关系质量。抑郁症对人际关系质量有直接影响（β = -.180，95% CI [-0.224，-0.138]），并通过药物使用（β = -.023，95% CI [-0.033，-0.015]）、自我效能感（β = -.040，95% CI [-0.056，-0.025]）以及药物使用和药物治疗（β = -.002，95% CI [0.001，0.005]）产生间接影响：这些研究结果突出表明，有必要进一步开展研究，探索药物使用与心理健康相结合的治疗方案。此类干预措施有可能降低累犯率，并提高被监禁者及其伴侣之间的关系质量和维护水平。
The Impact of Relationship Quality on Couples With an Incarcerated Partner With Co-Occurring Mental Health and Substance Use Issues.
Objective: In 2020, approximately 1.7 million people were incarcerated in the United States, with nearly half of the general population being related to, or romantically involved with, an incarcerated individual. Over 70% of these incarcerated individuals met the criteria for a co-occurring mental health and substance use diagnoses. Individuals with co-occurring disorders often experience high rates of recidivism, which negatively impacts their non-incarcerated partners. This study aimed to examine the impact of incarcerated individuals with co-occurring ADHD and depression on their relationship quality, focusing on the roles of substance use, substance use treatment, and self-efficacy.
Methods: The study analyzed the effects of substance use, substance use treatment, and self-efficacy on the relationship quality of couples where one partner was incarcerated and diagnosed with co-occurring ADHD and depression. The direct and indirect influences of these factors on relationship quality were assessed.
Results: The findings indicated that higher levels of substance use and depressive symptoms, along with lower levels of self-efficacy and substance use treatment, were associated with lower relationship quality. ADHD indirectly affected relationship quality via substance use (β = -.015, 95% CI [-0.023, -0.008]) and self-efficacy (β = -.027, 95% CI [-0.039, -0.016]). Depression had both direct effects on relationship quality (β = -.180, 95% CI [-0.224, -0.138]) and indirect effects via substance use (β = -.023, 95% CI [-0.033, -0.015]), self-efficacy (β = -.040, 95% CI [-0.056, -0.025]), and through substance use and substance treatment (β = -.002, 95% CI [0.001, 0.005]).
Conclusion: These findings highlight the need for further research to explore combined substance use and mental health treatment programs. Such interventions could potentially reduce recidivism rates, and promote the quality and maintenance of relationships among incarcerated individuals and their partners.
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