Family members of relatives with alcohol, drug and gambling problems: a set of standardized questionnaires for assessing stress, coping and strain
- 9 September 2005
- Vol. 100 (11), 1611-1624
- https://doi.org/10.1111/j.1360-0443.2005.01178.x
Abstract
To describe a set of standard questionnaire measures for the assessment of the needs of family members of relatives with alcohol, drug or gambling problems, and to present evidence of their reliability and validity from a series of related studies. Includes cross-sectional and repeated-measurement studies. Family members affected by and concerned about the problem drinking or drug-taking of close relatives in treatment and non-treatment samples in the United Kingdom (white and Sikh) and Mexico City; family members of untreated heavy drinkers; and family members of problem gamblers. Four measures derived from a stress-strain-coping-support model of alcohol, drugs and gambling problems and the family: Family Member Impact scale (FMI), Symptom Rating Test (SRT), Coping Questionnaire (CQ), and Hopefulness-Hopelessness scale (HOPE). FMI, SRT and CQ assess stress, strain and coping, respectively. The exact role of HOPE in the model remains to be determined. The support component remains unmeasured. Results from a number of studies support the internal reliability, discriminant and construct validity and sensitivity to change of the SRT and its two constituent scales (psychological and physical symptoms) and at least two subscales of the CQ (engaged and tolerant-inactive coping). Although showing evidence of satisfactory reliability and some evidence of discriminant validity, further work may be required on the CQ withdrawal coping subscale. Evidence suggests that the FMI is reliable and valid and may have a factor structure that will support future research (distinguishing worrying behaviour from active disturbance). HOPE is a new measure showing promising characteristics. A set of standard measures is available for helping to assess the needs of concerned and affected family members, derived from an explicit model of the family in relation to excessive drinking, drug taking or gambling. It may have a role to play in correcting the current neglect of the needs of such family members, estimated to be in the region of nearly a million adults in Britain aloneKeywords
This publication has 52 references indexed in Scilit:
- A four-year follow-up of close family members of Birmingham untreated heavy drinkersAddiction Research & Theory, 2005
- How is Excessive Drinking Maintained? Untreated Heavy Drinkers' Experiences of the Personal Benefits and Drawbacks of their DrinkingAddiction Research & Theory, 2002
- Early impact of the BEST intervention for parents stressed by adolescent substance abuseJournal of Community & Applied Social Psychology, 2001
- Effects of coping skills training, group support, and information for spouses of alcoholics: A controlled randomized studyNordic Journal of Psychiatry, 2001
- Methods for reducing alcohol and drug related family harm in non-specialist settingsJournal of Mental Health, 2000
- Counselling in the treatment of pathological gambling: An overviewBritish Journal of Guidance & Counselling, 1999
- Social Support in Coping with Alcohol and Drug Problems at Home: Findings from Mexican and English FamiliesAddiction Research, 1998
- What happened to the family in the harm reduction debate?Drug and Alcohol Review, 1996
- The Drinker's Partner Distress Scale: An Instrument for Measuring the Distress Caused by Drinkers to Their PartnersInternational Journal of the Addictions, 1995
- Nagging and other drinking control efforts of spouses of uncooperative alcohol abusers: Assessment and modificationJournal of Substance Abuse, 1992