Indicadores de la calidad de la relación diádica de mujeres en tratamiento por drogodependencia

Objectives: The quality of relationship between family caregivers and care recipients with dual disorders can impact care recipients well-being and treatment outcomes as well as caregivers well-being and involvement in care. This paper examines the impact of caregiver stressors and well-being on relationship quality of family caregivers of women with substance use disorders or co-occurring substance and mental disorders. Methods: Eighty-two women receiving in-patient or out-patient substance abuse treatment and the family member/significant other, nominated by each woman, who provided her with the most social support, were interviewed in this nonexperimental cross-sectional study. A stresscoping model was utilized to identify the impact of family caregivers stressors (care recipient behavioral, substance abuse, and mental healthproblems) and caregiver well-being (burden and depressive symptomatology) on caregivers perceptions of the quality of their relationship with their care recipient. Results: Findings from multiple regression analyses, across four types of caregiver well-being, show that greater perceived support to the caregiver was predicted by fewer perceived care recipient substance abuse problems, whereas higher levels of undermining of the caregiver was predicted by greater care recipient behavioral problems and by the family caregiver being a significant other of the care recipient. Care recipient classification as having a current dual disorder as compared to a current substance use disorder only was not a significant predictor of perceived support given to the caregiver or of perceived undermining of the family member. Conclusions: The findings suggest interventions for family caregivers need to be tailored to address different and possibly multiple groups of caregivers, specific types of stressors, and care recipient behavioral problems. Objetivos: La calidad de la relación entre los familiares cuidadores y las personas dependientes con trastornos duales puede ejercer una gran influencia en el bienestar de los mismos y en los resultados del tratamiento, así como en el bienestar de los cuidadores y su implicación en el cuidado. Este trabajo analiza el impacto de los factores estresantes del cuidador y su bienestar en la calidad de la relación de los familiares cuidadores de mujeres que padecen trastornos de drogodependencia o trastornos mentales y de drogodependencia comórbidos. Métodos: En este estudio trasversal no experimental, se entrevis