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Family dysfunction differentially affects alcohol and methamphetamine dependence: a view from the Addiction Severity
Nagisa Sugaya1, Ayako Haraguchi, Yasukazu Ogai
1Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo 156-8506, Japan. sugaya-ng@igakuken.or.jp
Family dysfunction differentially impacts alcohol and methamphetamine dependence. Poor family relationships correlate with psychiatric issues in alcohol dependence and relationship difficulties in methamphetamine dependence.
Area of Science:
- Psychiatry
- Addiction Medicine
- Sociology
Background:
- Family dysfunction is a significant factor in substance dependence.
- Understanding its differential impact on various substance use disorders is crucial for targeted interventions.
Purpose of the Study:
- To investigate the distinct effects of family dysfunction on alcohol dependence versus methamphetamine dependence in a Japanese male patient cohort.
- To identify specific family relationship issues associated with problem severity in different domains.
Main Methods:
- Utilized the Addiction Severity Index (ASI) through semi-structured interviews.
- Assessed 321 male patients with alcohol dependence and 68 male patients with methamphetamine dependence.
- Evaluated seven functional domains: Medical, Employment/Support, Alcohol use, Drug use, Legal, Family/Social relationships, and Psychiatric.
Main Results:
- Alcohol dependence: Poor relationships with parents, siblings, and friends linked to psychiatric problems; poor sibling/partner relationships linked to employment issues; poor partner relationships linked to family/social issues.
- Methamphetamine dependence: Difficulty forming relationships with fathers noted; psychiatric problems correlated with medical, employment/support, and family/social issues.
- Family relationships significantly associated with psychiatric problems in both groups.
Conclusions:
- Family dysfunction exerts differential influences on alcohol and methamphetamine dependence.
- Family relationships are strongly implicated in psychiatric comorbidities associated with substance dependence.
- The ASI is a valuable tool for assessing multifaceted problems in substance dependence.
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