Gotowa bibliografia na temat „Concerned significant others (CSOs)”

Abstract Background and aims Research recognizes the extent of harm experienced by concerned significant others (CSOs) of gamblers. This systematic review’s aims are to examine the interventions for CSOs, evaluate potential benefits, and thematically describe treatment processes. The Stress-Strain-Coping-Support model (SSCS) served as the theoretical framework. Methods Database searches were conducted in: MEDLINE, CINAHL Complete, Web of Science Core Collection, Social Services Abstracts, Applied Social Science Index and Abstracts, Cochrane Central Register of Controlled Trials, and APA PsycInfo (between 01/Jan 2011–10/Jun 2021). Other search methods were also utilized. Inclusion criteria: interventions for CSOs with CSO specific outcomes. The Evidence Project Risk of Bias Tool was used for assessment. Results 19/768 records were included. Nine interventions were utilized: 3 CSO directed, 4 for couples, and 2 low threshold online interventions. A quantitative synthesis (N = 7 studies) of effect size estimates for depression and anxiety measures didn’t indicate any intervention to have better outcomes than others. Core themes in the treatment process identified in the qualitative synthesis (N = 7) included: information and understanding, social support, coping skills, communication, and strain. Limitations in the evidence related to sampling, control-conditions and outcome measurements. Discussion and conclusion Several interventions were identified, yet no specific interventions appeared more beneficial than others. Using the SSCS model, commonalities and differences in intervention content were identified, along with themes that influence treatment processes. The need for tailored interventions is discussed. Future treatment efficacy research should carefully select study designs and outcome measurements. PROSPERO (CRD42021229408).

Two competing models of understanding concerned significant others (CSOs) of people with addictions have emerged: codependency (CD) and stress-coping. In the context of CSOs of problem gamblers, some research has begun to examine the effectiveness of the stress-coping model, but no research to date has examined the utility of incorporating the CD concept into treatment planning. The purpose of this paper is to: critique the CD concept while highlighting possible differences between problem gambling and substance abuse (i.e., financial issues, the ability to hide the problem, cognitive distortions, and societal attitudes); identify important considerations when working with CSOs of problem gamblers; make recommendations for program managers regarding hiring and training practices; and recommend directions for research and in-depth program evaluations to assess what is actually occurring in existing practice.

Aims: This study investigates the proportion of concerned significant others (CSOs) of problem gamblers at population level and describes the extent and type of gambling harms for CSOs. Methods: Cross-sectional random sample data ( n = 4515) were collected in 2015. The data were weighted based on age, gender and residence. CSOs were identified using a question including seven options. Gambling harms were inquired using structured questions. Descriptive statistics and Chi-Squared and Fischer’s exact tests were used. Results: Overall, the proportion of CSOs was 19.3%. Males had close friends with gambling problems more often than females, while females had family members with gambling problems more often than males. Of the CSOs, 59.5% had experienced one or more harms. Females experienced more harms than males. Typical harms were worry about health or well-being of close ones, emotional distress and problems in interpersonal relationships. CSOs with a problem gambler in the family, particularly a partner, child/children or mother, experienced harms more often than CSOs with a problem gambler as a close friend. Conclusions: Female gender was associated with a larger extent of harms. The extent of harms was greatest if the problem gambler was a family member; however, a substantial amount of harms were experienced when the problem gambler was a close friend. CSOs and their position in evaluating gambling harms in general should be acknowledged. Persons beyond the nuclear family and the harms they encounter should be better acknowledged in prevention and harm minimisation. Early identification and a clear referral path to tailored support in occupational, social and healthcare settings may be considered.

Treatment options for concerned significant others (CSOs) of problem gamblers are limited, and available treatments focus exclusively on the distress of CSOs. Community Reinforcement and Family Training (CRAFT) is a comprehensive treatment program for CSOs of substance abusers that has been shown to reduce CSO distress in addition to the substance abuser's alcohol or drug behaviour. CRAFT capitalizes on the well-documented fact that family members have considerable influence on the substance abuser's decision to enter treatment. The present study modified the CRAFT approach into an individual treatment format for CSOs of problem gamblers and examined its efficacy in comparison to a CRAFT self-help workbook in a randomized clinical trial. A total of 31 participants were recruited. No statistical differences were found between the groups; however, effect sizes indicated that participants who received the CRAFT individual intervention seemed to have better outcomes than did those who received the CRAFT workbook (decreased days and dollars gambled by the gambler and improved CSO functioning). No differences between groups were found for gambler treatment entry rates over the follow-up period in terms of effect sizes. The results provide initial, but limited, support for the CRAFT approach delivered to CSOs of treatment-resistant problem gamblers in an individual treatment format compared with the self-help workbook format. Further research with larger sample sizes is needed to gauge the efficacy of the CRAFT individual intervention compared with the CRAFT self-help workbook.

In cross-sectional gambling studies, friends, family, and others close to those experiencing gambling problems (concerned significant others ‘CSOs’) tend to report detriments to their quality of life. To date, however, there have been no large, population-based longitudinal studies examining the health and wellbeing of CSOs. We analyse longitudinal data from the Household, Income and Labour Dynamics in Australia (HILDA) survey to examine the 18-year trajectories of general, social, health and financial wellbeing of household CSOs (n = 477) and compare these to those without a gambling problem in the household (n = 13,661). CSOs reported significantly worse long-term wellbeing than non-CSOs in their satisfaction with life, number of life stressors, and social, health and financial wellbeing. However, both social and financial wellbeing showed a temporal effect, declining significantly for CSOs at times closer to the exposure to the gambling problem. This finding suggests a causal link between living in a household with a person with a gambling problem and decreased CSO social and financial wellbeing. Policy responses, such as additional social and financial support, could be considered to assist CSOs impacted by another person’s gambling problem.

ABSTRACT Context Over the last 2 decades, problematic Internet use (PIU) has become a serious public health issue. Greater accessibility and daily use of the Internet have contributed to the emergence of this new social phenomenon. Scientific literature has exploded in the last few years, with studies focusing on its conceptualization, assessment, risk factors, comorbidities, and treatment. However, very few studies have taken into consideration the concerned significant others (CSOs) of people with PIU. Objective: This article aims to document the experiences of CSOs in order to target dimensions that should be included when evaluating the needs of this type of service user. Method: This scoping review identified 6 peer-reviewed articles published between 2000 and 2019. Results: The results highlight the following dimensions to take into consideration when evaluating the needs of partners: screen time, communication, conflicts, intimacy, financial problems, distribution of chores and responsibilities, psychological and emotional impacts, partners’ view of their spouse, and coping strategies. None of the reviewed articles examined the experiences of parents of adolescents with PIU. Conclusion: To our knowledge, this is the first scoping review that has been conducted on this topic. The results obtained emphasize the importance of conducting further research to better understand the issues faced by all types of CSOs of people with PIU and develop intervention programs tailored to their specific needs. Contexte: Au cours des deux dernières décennies, l’utilisation problématique d’Internet (UPI) est devenue un grave problème de santé publique. L’accessibilité accrue et l’utilisation quotidienne d’Internet ont contribué à l'émergence de ce nouveau phénomène social. La littérature scientifique a explosé ces dernières années avec des études portant sur la conceptualisation, l'évaluation, les facteurs de risque, les comorbidités et le traitement. Cependant, très peu d'études ont pris en considération les personnes significatives concernées (PSC) by "membres de l'entourage (ME) des personnes présentant une UPI. Objectif: Cet article vise à documenter les expériences des ME afin de cibler les dimensions qui devraient être incluses lors de l'évaluation des besoins de ce type d’utilisateurs de services. Méthode: Cette revue de la portée a permis d’identifier six articles évalués par des pairs et publiés entre 2000 et 2019. Résultats: Les résultats mettent en évidence les dimensions suivantes à prendre en considération lors de l'évaluation des besoins des partenaires de vie: temps d'écran, communication, conflits, intimité, problèmes financiers, répartition des tâches et des responsabilités, impacts psychologiques et émotionnels, vision des partenaires sur leur conjoint et stratégies d’adaptation. Aucun des articles examinés ne s’est penché sur les expériences des parents d’adolescents présentant une UPI. Conclusion: À notre connaissance, il s’agit de la première revue exploratoire réalisée sur ce sujet. Les résultats obtenus soulignent l’importance de poursuivre les recherches afin de mieux comprendre les problèmes rencontrés par tous les types de ME de personnes présentant une UPI et de développer des programmes d’intervention adaptés à leurs besoins spécifiques.

Abstract Aims Community Reinforcement Approach and Family Training (CRAFT) is a support program for concerned significant others (CSOs) to identified persons (IPs) with alcohol use disorders, with the purpose of engaging IPs to treatment and to improve CSO functioning. The purpose of the present study was to investigate the efficacy of an internet-based version of CRAFT (iCRAFT). Methods Randomized controlled trial comparing iCRAFT with a wait-list (WL) condition with a nation-wide uptake in Sweden. A total of 94 CSOs to a treatment refusing IP, who described the IP according to DSM-IV criteria for alcohol dependence or abuse, were included in the study. iCRAFT consisted of five weekly administered therapist-guided modules with the following content: (a) improve CSOs’ own mental health, (b) improve the CSOs skills in asking the IP to seek treatment, (c) positive communication skills training, (d) contingency management of IP drinking behavior. Main outcome measure was IPs initiative to seek treatment measured at 24 weeks. Secondary outcomes were IP’s daily alcohol consumption, CSOs mental health, quality of life and relational satisfaction. Results Of 94 participants, 15 CSOs reported IP treatment initiative during the study period. Of these, 10 belonged to the iCRAFT condition and five to the WL condition. The difference between conditions was nonsignificant, and the results were inconclusive. Participants in iCRAFT showed short-term improvements regarding depressive symptoms, quality of life and relational happiness. Conclusion This study was unable to demonstrate substantial changes in the iCRAFT program regarding IP treatment seeking or CSO mental health.

Suicide among veterans remains a serious public health issue, and poor social support is identified as a robust risk factor for suicide. The U.S. Department of Veterans Affairs uses a standard safety planning procedure for suicide prevention. While this intervention can help veterans identify social support sources, it does not directly incorporate a concerned significant other (CSO). Research suggests that veterans prefer a family member or friend to help shoulder the burden of a potential crisis. This qualitative feasibility project examined the role of CSOs in safety planning with veterans. Interviews were conducted with 29 veterans and four CSOs to investigate whether veterans wanted a CSO involved in their safety plan and to investigate associated logistical issues for implementation. Overwhelmingly, veterans (79.13%) reported that having a CSO directly involved in their safety plan would be helpful. Qualitative data are presented highlighting practical concerns for mental health providers developing safety plans with veterans.

Introduction: In the last 20 years, there has been growing evidence that heavy drinking causes serious harm not only to the person who drinks but also to the person's relations and concerned significant others (CSOs). A relationship with a heavy drinker is often full of conflicts, and CSOs are frequently exposed to aggression, psychological, and sometimes physical violence from the heavy drinker. Despite their struggles, CSOs often feel it is difficult to seek professional help for these problems. The aim of this study was to investigate what problems CSOs of people with alcohol problems experience prior to seeking professional help to handle these issues. Moreover, to investigate what led to seeking professional help at all. Methods: This is a qualitative study with 12 female help-seeking CSOs of persons with alcohol problems. The participants were recruited from a randomised controlled trial (RCT) on Community Reinforcement and Family Training (CRAFT). Semi-structured interviews were conducted, audio-recorded, and transcribed. The analysis was based on interpretative phenomenological analysis. Results: Three overall themes and one sub-theme emerged from the analysis: (1) The CSO’s feelings and experiences of the situation prior to help-seeking, (2) The relationship with the drinker, (3) Reasons for help-seeking and its trajectory; and the sub-theme, What the CSOs hoped to gain from help-seeking. Conclusion: The present study showed that female CSOs of people with alcohol problems had suffered for a long time before seeking professional help. They felt their daily lives were unpredictable and stressful. They were often exposed to verbal and mental abuse and their relationships with the drinking relative were often characterised by frequent rowing. The CSOs had tried to cope for a long time using a number of different strategies; seeking help seemed to be the last option considered. Despite all the struggles and pain, the CSOs also felt a lot of love for their drinking relative and hoped for the return of their once sober relative. Our findings can be viewed as a support to the stress-strain-coping-support (SSCS) model proposed by Orford and colleagues.

Introduction: In the last 20 years, there has been growing evidence that heavy drinking causes serious harm not only to the person who drinks but also to the person's relations and concerned significant others (CSOs). A relationship with a heavy drinker is often full of conflicts, and CSOs are frequently exposed to aggression, psychological, and sometimes physical violence from the heavy drinker. Despite their struggles, CSOs often feel it is difficult to seek professional help for these problems. The aim of this study was to investigate what problems CSOs of people with alcohol problems experience prior to seeking professional help to handle these issues. Moreover, to investigate what led to seeking professional help at all. Methods: This is a qualitative study with 12 female help-seeking CSOs of persons with alcohol problems. The participants were recruited from a randomised controlled trial (RCT) on Community Reinforcement and Family Training (CRAFT). Semi-structured interviews were conducted, audio-recorded, and transcribed. The analysis was based on interpretative phenomenological analysis. Results: Three overall themes and one sub-theme emerged from the analysis: (1) The CSO’s feelings and experiences of the situation prior to help-seeking, (2) The relationship with the drinker, (3) Reasons for help-seeking and its trajectory; and the sub-theme, What the CSOs hoped to gain from help-seeking. Conclusion: The present study showed that female CSOs of people with alcohol problems had suffered for a long time before seeking professional help. They felt their daily lives were unpredictable and stressful. They were often exposed to verbal and mental abuse and their relationships with the drinking relative were often characterised by frequent rowing. The CSOs had tried to cope for a long time using a number of different strategies; seeking help seemed to be the last option considered. Despite all the struggles and pain, the CSOs also felt a lot of love for their drinking relative and hoped for the return of their once sober relative. Our findings can be viewed as a support to the stress-strain-coping-support (SSCS) model proposed by Orford and colleagues.