Alcohol intervention
Family outcomes
Fathers
Global mental health
Kenya
Therapeutic change
Journal
SSM. Mental health
ISSN: 2666-5603
Titre abrégé: SSM Ment Health
Pays: England
ID NLM: 9918248909306676
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
entrez:
1
6
2022
pubmed:
2
6
2022
medline:
2
6
2022
Statut:
ppublish
Résumé
Men's alcohol misuse does not occur in a vacuum but has a cascade of consequences for families and children, with ties to violence, poor parenting, and poor partner and child mental health. Despite the intersection of individual and interpersonal problems associated with men's alcohol use, studies exploring the impact of men's completion of alcohol misuse treatment on family and family member outcomes are scarce. Here we begin to explore this question. We conducted qualitative interviews (N = 13) with female partners and children (8-17 years) of men with problem drinking who completed individual treatment targeting alcohol misuse, depressed mood, and family-focused efforts in Eldoret, Kenya. Interviews and thematic content analysis were guided by ecological-transactional systems theory. Findings highlighted positive perceived changes for men, families, women and children that interacted together in a bi-directional pathway. Partners and children described men's reduced drinking, reduced spending, increased family-focused effort (e.g., coming home early), as well as increased emotion regulation, and openness to and communication with family. These changes were tied to perceived improvements in the couple and father-child relationship, including improved trust and time together, which were tied to improvements in women and children's emotional well-being (e.g., hope). Concurrently, reports noted men's increased effort to share money earned with the family which alleviated financial stress and helped ensure basic needs were met. Results aligned with the ecological transactional systems frame, with individuals in the family, family relationships, and economic climate each dynamically shaping each other. Although larger studies are needed, results provide promising signals regarding the potential downstream effects of individual treatment on family systems and members, which may in turn help maintain men's changes in drinking.
Sections du résumé
Background
UNASSIGNED
Men's alcohol misuse does not occur in a vacuum but has a cascade of consequences for families and children, with ties to violence, poor parenting, and poor partner and child mental health. Despite the intersection of individual and interpersonal problems associated with men's alcohol use, studies exploring the impact of men's completion of alcohol misuse treatment on family and family member outcomes are scarce. Here we begin to explore this question.
Methods
UNASSIGNED
We conducted qualitative interviews (N = 13) with female partners and children (8-17 years) of men with problem drinking who completed individual treatment targeting alcohol misuse, depressed mood, and family-focused efforts in Eldoret, Kenya. Interviews and thematic content analysis were guided by ecological-transactional systems theory.
Results
UNASSIGNED
Findings highlighted positive perceived changes for men, families, women and children that interacted together in a bi-directional pathway. Partners and children described men's reduced drinking, reduced spending, increased family-focused effort (e.g., coming home early), as well as increased emotion regulation, and openness to and communication with family. These changes were tied to perceived improvements in the couple and father-child relationship, including improved trust and time together, which were tied to improvements in women and children's emotional well-being (e.g., hope). Concurrently, reports noted men's increased effort to share money earned with the family which alleviated financial stress and helped ensure basic needs were met. Results aligned with the ecological transactional systems frame, with individuals in the family, family relationships, and economic climate each dynamically shaping each other.
Conclusions
UNASSIGNED
Although larger studies are needed, results provide promising signals regarding the potential downstream effects of individual treatment on family systems and members, which may in turn help maintain men's changes in drinking.
Identifiants
pubmed: 35647569
doi: 10.1016/j.ssmmh.2021.100019
pmc: PMC9137329
mid: NIHMS1809788
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : NIMH NIH HHS
ID : T32 MH096724
Pays : United States
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Références
Curr Drug Abuse Rev. 2012 Jun;5(2):135-47
pubmed: 22455509
Fam Process. 2015 Dec;54(4):600-9
pubmed: 25683252
Arch Gen Psychiatry. 2011 Jan;68(1):90-100
pubmed: 21199968
J Consult Clin Psychol. 2004 Apr;72(2):202-17
pubmed: 15065955
PLoS One. 2011;6(12):e29590
pubmed: 22216324
Drug Alcohol Rev. 2021 Feb;40(2):263-271
pubmed: 33084138
J Consult Clin Psychol. 2012 Jun;80(3):440-9
pubmed: 22289131
Addict Biol. 2017 Sep;22(5):1119-1159
pubmed: 27353220
J Consult Clin Psychol. 2020 Aug;88(8):708-725
pubmed: 32700954
J Fam Psychol. 2009 Dec;23(6):790-797
pubmed: 20001137
J Subst Abuse Treat. 2019 Sep;104:83-96
pubmed: 31370989
Addiction. 1993 Mar;88(3):349-62
pubmed: 8461852
J Child Psychol Psychiatry. 2014 Nov;55(11):1187-212
pubmed: 24980187
Soc Sci Med. 2013 Feb;78:70-7
pubmed: 23268776
Annu Rev Clin Psychol. 2007;3:285-310
pubmed: 17716057
Drug Alcohol Rev. 2016 Jan;35(1):22-29
pubmed: 26382188
Bull World Health Organ. 2004 Nov;82(11):858-66
pubmed: 15640922
Biochem Med (Zagreb). 2012;22(3):276-82
pubmed: 23092060
PLoS One. 2016 Apr 28;11(4):e0153907
pubmed: 27124177
Lancet. 2011 Oct 22;378(9801):1515-25
pubmed: 22008427
AIDS Behav. 2013 Nov;17(9):2845-63
pubmed: 23934267
Arch Gen Psychiatry. 2005 Jun;62(6):593-602
pubmed: 15939837
Clin Psychol Rev. 2015 Jul;39:71-82
pubmed: 25939033
Eur Child Adolesc Psychiatry. 2015 Feb;24(2):237-45
pubmed: 25522839
Subst Abuse Treat Prev Policy. 2020 Jan 2;15(1):1
pubmed: 31898529
Dev Psychol. 2002 Mar;38(2):179-93
pubmed: 11881755
Curr Opin Psychol. 2017 Feb;13:85-90
pubmed: 28813301
J Clin Psychiatry. 2008 Jan;69(1):122-9
pubmed: 18312046
J Abnorm Child Psychol. 2012 Nov;40(8):1265-76
pubmed: 22886384
Psychol Med. 2015 May;45(7):1551-63
pubmed: 25534496
J Consult Clin Psychol. 1993 Jun;61(3):373-80
pubmed: 8326037