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Alkohol, Familie und Partnerschaft

Miller 2003 Addiction 

Kolaborationsansatz anstelle von 3 traditionellen Ansätzen: reactive, pathological, causal. Insgesamt mehr Einbeziehung von Angehörigen erforderlich. CRAFT (Meyers & Miller 2001)

Orford et al 2005 Addiction

Different scales to measure impact of addiction to family. (Impact, Coping, Hope)

Iwen et al 2008 SUCHT

N=2903. 26,3% haben Angehörgen mit Alkoholproblem. Schlechtere subj. Gesundheitszustand und mehr seelische Beeinträchtigung, häufiger Raucher und häufiger anfällig für Alkoholscreening.

Copello et al 2009 Addiction

143 families of addicted patients. A wellconstructed selfhlep manual delivered by a primary care professional may be as effective for family members as selveral act-to-face sessions with the professional. No sign. differences between the 2 trials. Recent review proposed 3 types of interventions: 1) to achieve egagement of the substance user through working with the affected family members. 2) involve both the user and the family members. 3) Focus on affected family members in their own right.Stress-strain-coping-support model: rejects the idea that families or partners are pathological or dysfunctional. 
Sign improvements in both groups. Both families and professionals prefered face to face contact but no advatage in results. Dilemma beween cost saving and patient involvement and choice within health system. Have been linked to problem on average for 8,8 years.