Investigation of factors associated with low adherence to treatment of codependency in family members of psychoactive substance users

Heloisa Praça Baptista,Cassandra Borges Bortolon,Taís De Campos Moreira,Helena Maria Tannhauser Barros

doi:10.1590/1982-0275202138e200023

Abstract

Abstract 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.

Highlights

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
The sample was predominantly female (91.7%), aged 45 years or over (70.0%), who sought help regarding the use of psychoactive substances for a male relative (82.7%), aged 25 or over (66.4%)
This study sought to investigate the possible factors that interfered in the adherence to the telemedicine procedure for family members of users of psychoactive substances

Summary

Introduction

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. Notou-se que o álcool, entre as substâncias utilizadas pelos usuários, apresentou associação significativa com a não adesão dos familiares a tele intervenção. The use of psychoactive substances, in addition to causing significant losses in the user’s life, generates negative and lasting effects on members of the family system, and there may be many people in distress living with this problem drug user (Ahmad-Abadi et al, 2017; Lima et al, 2019; Vederhus, Kristensen, & Timko, 2019; Zielinski et al, 2019)

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Discussion

Conclusion