Investigation of factors associated with low adherence to treatment of codependency in family members of psychoactive substance users
Keywords:
Codependency, Family relations, Patient compliance, Substance-related disorders, TelemedicineAbstract
The aim of this study was to investigate possible factors that prevent adherence to the treatment of codependent family members of problem drug use individuals. A quasi-experimental study was carried out with 133 relatives of psychoactive substances users who called the Brazilian drug hotline (Ligue 132) between 2013 and 2015, from the five regions of Brazil. The following instruments were used: General service protocol; Family assistance protocol; Holyoake Codependency Index; Behavioral Adherence Scale; and Adherence Factor Questionnaire. Univariate analysis of data was performed for categorical variables and Chi-square test for comparison between variables, with p < 0.05. The sample showed a predominance of women (91.7%), especially mothers (82.7%). Among the investigated factors, alcohol as the substance involved in the problem showed a significant association with the non-adherence to treatment through teleintervention of family members.
Downloads
References
Ahmad-Abadi, F. K., Maarefvand, M., Aghaei, H., Hosseinzadeh, S., Abbasi, M., & Khubchandani, J. (2017). Effectiveness of satir-informed family-therapy on the codependency of drug dependents’ family members in Iran: a randomized controlled trial. Journal of Evidence-Informed Social Work, 14(4), 301-310. https://doi.org/10.1080/23761407.201 7.1331147
Arico, S., Zannero, A., Galatola, G., Valenti, M., & Carrao, G. S. (1994). Family compliance to a treatment programme for alcoholics: a prospective study of prognostic factors. Alcohol & Alcoholism, 29(6), 679-685. https://doi.org/10.1093/ oxfordjournals.alcalc.a045603
Arlt, A. D. (2017). Why current drug adherence programs fail: addressing psychological risk factors of nonadherence. Current Opinion Psychiatry, 30(5), 326-333. https://doi.org/10.1097/YCO.0000000000000345
Askian, P., Krauss, S. E., Baba, M., Kadir, R. A., & Sharghi, H. M. (2016). Characteristics of co-dependence among wives of persons with substance use disorder in Iran. International Journal of Mental Health and Addiction,14, 268-283. https://doi.org/10.1007/s11469-016-9631-0
Barros, H. M. T., Santos, V., Mazoni, C., Dantas, D, C, M., & Ferigolo, M. (2008). Neuroscience education for health profession undergraduates in a call-center for drug abuse prevention. Drug and Alcohol Dependence, 98, 270-274. https://doi.org/10.1016/j.drugalcdep.2008.07.002
Bortolon, C. B., Moreira, T. C., Signor, L., Guahyba, B. L., Figueiró, L. R., Ferigolo, M., & Barros, H. M. T. (2017). Six-Month outcomes of a randomized, motivational tele-intervention for change in the codependent behavior of family members of drug users. Substance Use & Misuse, 52(2), 164-174. https://doi.org/10.1080/10826084.2016.1223134
Dear, G., & Roberts, C. (2005). The validation of the holyoake codependency index. Journal of Psychology, 139(4), 293- 313. https://doi.org/10.3200/jrlp.139.4.293-314
Eysenbach, G. (2005). The law of attrition. Journal of Medical Internet Research, 7(1), e11. https://doi.org/10.2196/ jmir.7.1.e11
Foulds, J., Newton-Howes, G., Guy, N. H., Boden, J. M., & Mulder, R. T. (2017). Traços dimensionais de personalidade e resultado do tratamento com álcool: uma revisão sistemática e metanálise. Addiction, 112(8), 1345-1357. http:// dx.doi.org/10.1111/add.13810
Lampis, J., Cataudella, S., Busonera, A., & Skowron, E. A. (2017). The role of differentiation of self and dyadic adjustment in predicting codependency. Contemporary Family Therapy, 39(1), 62-72. http://dx.doi.org/10.1007/s10591017-9403-4
Laranjeira, R., Madruga, C. S., Pinsky, I., Caetano, R., & Mitsuhiro, S. S. (2014). II Lenad: levantamento nacional de álcool e drogas – Relatório 2012. São Paulo: INPAD. Disponível em: https://inpad.org.br/wp-content/uploads/2014/03/Lenad- II-Relat%C3%B3rio.pdf
Lima, D. J. R., Sakiyama, H. M. T., Padin, M. F. R., Canfield, M., Bortolon, C. B., Mitsuhiro, S. S., & Laranjeira, R. R. (2019). Characteristics of Brazilian women affected by a substance misusing relative. Journal of Addictive Diseases, 37(3-4), 1-5. https://doi.org/10.1080/10550887.2019.1637994
Machado, C. A., Moreira, T. C., Ferigolo, M., Oliveira, M. S., & Barros, H. M. T. (2012). Envolvimento de clientes com diferentes formas de violência em um serviço de telemedicina para dependência química. Revista de Saúde Pública de Santa Catarina, 5(2), 22-29. https://doi.org/10.1590/S0101-81012008000400007
Moreira T. C., Signor, L., Figueiró, L. R., Fernandes, S., Bortolon, C. B., Benchaya, M, C., ... Barros, H. M. T. (2014). Non-adherence to telemedicine interventions for drug users: systematic review. Revista de Saúde Pública, 48(3), 521-531. https://doi.org/10.1590/S0034-8910.2014048005130
Morisky, D. E., Ang, A., Krousel-Wood, M., & Ward, H. J. (2008). Predictive validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension, 10(5), 348-354. https://doi.org/10.1111/j.1751-7176.2008.07572.x
Oene, G. H. W., Burger, H., Grobbee, D. E., & Schrijvers, A. J. P. (2007). Identification of patients at high risk of noncompliance in substance dependence treatment. European Addiction Research, 13(2), 74-80. https://doi. org/10.1159/000097936
Oliveira-Filho, A. D., Morisky, D. E., Neves, S. J. F., Costa, F. A., & Lyra, D. P. (2014). Escala de adesão à medicação Morisky de 8 itens: validação de uma versão em português do Brasil em adultos hipertensos. Pesquisa em Farmácia Social e Administrativa, 10(3), 554-561. https://doi.org/10.1016/j.sapharm.2013.10.006
Panaghi, L., Ahmadabadi, Z., Khosravi, N., Sadeghi, M. S., & Madanipour, A. (2016). Living with addicted men and codependency: the moderating effect of personality traits. Addiction Health, 8(2), 98-106.
Reiners, A. A. O., Azevedo, R. C. S., Vieira, M. A., & Arruda, A. L. G. (2008). Produção bibliográfica sobre adesão/não-adesão de pessoas ao tratamento de saúde. Ciência & Saúde Coletiva, 13(Supl. 2), 2299-2306. https://doi.org/10.1590/ S1413-81232008000900034
Rohden, A. I., Benchaya, M. C., Camargo, R. S., Moreira, T. C., Barros, H. M. T., & Ferigolo, M. (2017). Dropout prevalence and associated factors in randomized clinical trials of adolescents treated for depression: systematic review and meta-analysis. Clinical Therapeutics, 39, 971-992. https://doi.org/10.1016/j.clinthera.2017.03.017
Sakiyama, H. M. T., Padin, M. F. R., Canfield, M., Laranjeira, R., & Mitsuhiro, S. S. (2015). Family members affected by a relative’s substance misuse looking for social support: who are they? Drug and Alcohol Dependence, 147, 276-279. https://doi.org/10.1016/j.drugalcdep.2014.11.030
Silva, M. P., Oliveira, A. M. N., Silva, P. A., Algeri, S., & Soares, M. C. F. (2019). Family orientation group as a strategy for care in chemical codependency. Investigación y Educación En Enfermería, 37(3), 1-9. https://doi.org/10.17533/ udea.iee.v37n3e08
Tamutiene, I., & Laslett, A.-M. (2016). Associative stigma and other harms in a sample of families of heavy drinkers in Lithuania. Journal of Substance Use, 22(4), 425-433. https://doi.org/10.1080/14659891.2016.1232760
Ulusoy, Y., & Guçray, S. S. (2017). Adaptation of composite codependency scale to Turkish: a validity and reliability study. Journal of International Social Research, 10(49), 373-379.
United Nations Office on Drugs and Crime. (2017). Word Drug Report. Austria: UNODC. Retrieved from http://www.unodc. org/lpo-brazil/pt/frontpage/2017/06/cerca-de-29-5-milhes-de-pessoas-em-todo-o-mundo-sofrem-de-transtornos-provocados-pelo-uso-de-drogas--os-opiides-so-os-mais-prejudiciais_-aponta-relatrio-mundial-sobre-drogas-2017-do-unodc.html https://doi.org/10.18356/c595e10f-en
Vederhus, J., Kristensen, O., & Timko, C. (2019). How do psychological characteristics of family members affected by substance use influence quality of life? Quality of Life Research, 28, 2161-2170. https://doi.org/10.1007/s11136-019- 02169-x
Zielinski, M., Bradshaw, S., Mullet, N., Hawkins, L., Shumway, S., & Chavez, M. S. (2019). Codependency and prefrontal cortex functioning: preliminary examination of substance use disorder impacted family members. American Journal on Addictions, 28(5), 1-9. https://doi.org/10.1111/ajad.12905
World Health Organization. (2003). Adherence to long-term therapies: evidence for action. Geneva: Author. Retrieved from http://www.who.int/chp/knowledge/publications/adherence_report/en/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Heloisa Praça BAPTISTA, Cassandra Borges BORTOLON, Taís de Campos MOREIRA, Helena Maria Tannhauser BARROS
This work is licensed under a Creative Commons Attribution 4.0 International License.