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Family burden in injecting versus noninjecting opioid users
Naresh Nebhinani1, B N Anil2, Surendra Kumar Mattoo2
1Department of Psychiatry, Postgraduate Institute Medical Science, Rohtak, Haryana, India.
Family caregivers of opioid-dependent individuals, especially injecting drug users (IDU), experience significant burden. This burden is substantial regardless of patient or caregiver characteristics, highlighting a critical need for support.
Area of Science:
- Addiction Psychiatry
- Public Health
- Caregiver Studies
Background:
- Substance dependence profoundly impacts family dynamics and imposes a significant burden on family members.
- Understanding the specific burdens faced by caregivers of opioid-dependent individuals is crucial for developing targeted support.
Purpose of the Study:
- To assess and compare the burden experienced by family caregivers of opioid-dependent patients who are injecting drug users (IDU) versus non-injecting drug users (NIDU).
Main Methods:
- A cross-sectional study involving 80 opioid-dependent patients (40 IDU, 40 NIDU) and their family caregivers, diagnosed using ICD-10 criteria.
- Family Burden interview schedule was employed to quantify the subjective and objective burden on caregivers.
Main Results:
- Injecting drug users (IDU) group caregivers reported greater subjective and objective family burden compared to the non-injecting drug users (NIDU) group.
- Severe objective burden was associated with single status and unemployment among patients.
- Family burden was not significantly associated with patient age, education, duration of dependence, or caregiver characteristics.
Conclusions:
- All family caregivers reported a moderate to severe level of burden.
- The findings underscore the significant and pervasive impact of opioid dependence on family caregivers, necessitating further research and intervention development.
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