Comparação do ambiente familiar de dependentes de álcool e/ou outras drogas, avaliado pela escala do ambiente familiar (FES - Family Enviroment Scale)
Data
2004
Autores
Vianna, Vania Patricia Teixeira 
Orientadores
Souza-Formigoni, Maria Lucia Oliveira de
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: Nas áreas de saúde mental e assistência social é de fundamental importância a obtenção de dados a respeito do ambiente familiar,
pois este pode influenciar de modo decisivo o desenvolvimento de vários distúrbios e a evolução do tratamento. A dependência de drogas é um
fenômeno que afeta não somente o usuário, mas também seu sistema familiar, sendo de grande importância o estudo e a avaliação do funcionamento relacional de dependentes com suas famílias. Objetivos: 1) a tradução e adaptação da Escala do Ambiente Familiar (Family Environment Scale – FES) para a língua portuguesa falada no Brasil; 2) a aplicação do instrumento em famílias brasileiras sem queixas significativas quanto ao relacionamento familiar e a comparação dos resultados com os relatados em estudos internacionais; 3) comparar o ambiente familiar de dependentes de álcool e drogas com o de
pessoas sem diagnóstico de dependência de álcool e drogas utilizando a escala de avaliação do ambiente familiar FES; 4) comparar a avaliação do ambiente familiar realizada pelos dependentes de substâncias com a de seus familiares, utilizando a mesma escala. Foi utilizada uma amostra de conveniência, composta por 76 famílias voluntárias e 76 famílias das quais faziam parte pessoas dependentes de álcool e outras drogas, que haviam procurado tratamento em serviços especializados. Resultados: Não houve problemas significativos no entendimento da escala traduzida e adaptada, nem foram encontradas diferenças estatisticamente significativas entre a pontuação média de homens e mulheres. Em relação à maioria das subescalas a pontuação média atingida na amostra brasileira foi semelhante à relatada em estudos internacionais, mas a amostra brasileira atingiu maior pontuação nas subescalas coesão e organização e menor pontuação na subescala que avalia conflito. Foram detectadas diferenças significativas entre pacientes
dependentes de álcool e/ou drogas e controles na pontuação média de seis subescalas da FES: coesão, conflito, independência, lazer, organização e controle. Discussão: Estes dados confirmam os encontrados na literatura internacional, que relatam menores níveis de coesão, independência, lazer e
organização e níveis mais altos de conflito e controle em famílias com dependentes de álcool ou drogas. Quando comparamos a visão do ambiente
familiar que o paciente e seus cônjuges apresentam, observamos que embora não existam diferenças no grupo controle os pacientes consideraram existir maiores problemas nas áreas de expressividade e organização, do que seus
cônjuges.
Introduction: The acquisition of data on family environment is of fundamental importance in the fields of mental health and social work since it can influence the development and the evolution of several disorders. Drug dependence affects not only the user but also their families, being the study and evaluation of their family functioning of great importance. Objectives: This study aimed at: 1) translating and adapting the Family Environment Scale – (FES) to Brazilian Portuguese; 2) applying the instrument in a sample of Brazilian families with no complaints about their family relationship and comparing the results with those described in some international studies; 3) comparing the family environment of drug dependent's families with the family environment of families with no drug dependent members using the family environment scale "FES"; 4) comparing the evaluation of the family environment made by the drug dependent patients with the evaluation made by the other members in or of their families, using the FES. We used a sample composed by 76 families with at least one person who fulfilled criteria (DSM-IV) for drug abuse or dependence and who were in treatment in specialized services at the Departments of Psychobiology and Psychiatry of UNIFESP. A comparison group (control) was composed of 76 voluntary families, without significant complaints regarding the family environment whose members did not fulfill criteria for alcohol and/or drugs abuse or dependence and who were not under psychotherapy. Results: There were no significant problems in the understanding of the translated and adapted scale. No statistically significant differences in the scale punctuation were found between Brazilian men and women. Regarding the majority of the subscales the average punctuation reached by the Brazilian sample was similar to the ones reported in international studies. However, there were significant differences between the results described in international studies and in the Brazilian sample, which presented a higher punctuation in the subscales cohesion and organization and smaller punctuation in the subscale that evaluates conflict. Significant differences were detected between alcohol and/or drug dependent patients and the control group regarding their average punctuation in six subscales of the FES. The drug dependent group presented lower levels of cohesion, independence, leisure, organization and higher levels of conflict and control. These data confirm those reported in the international literature. The patients considered their families less expressive and organized than their partners, being this difference not present in the control group.
Introduction: The acquisition of data on family environment is of fundamental importance in the fields of mental health and social work since it can influence the development and the evolution of several disorders. Drug dependence affects not only the user but also their families, being the study and evaluation of their family functioning of great importance. Objectives: This study aimed at: 1) translating and adapting the Family Environment Scale – (FES) to Brazilian Portuguese; 2) applying the instrument in a sample of Brazilian families with no complaints about their family relationship and comparing the results with those described in some international studies; 3) comparing the family environment of drug dependent's families with the family environment of families with no drug dependent members using the family environment scale "FES"; 4) comparing the evaluation of the family environment made by the drug dependent patients with the evaluation made by the other members in or of their families, using the FES. We used a sample composed by 76 families with at least one person who fulfilled criteria (DSM-IV) for drug abuse or dependence and who were in treatment in specialized services at the Departments of Psychobiology and Psychiatry of UNIFESP. A comparison group (control) was composed of 76 voluntary families, without significant complaints regarding the family environment whose members did not fulfill criteria for alcohol and/or drugs abuse or dependence and who were not under psychotherapy. Results: There were no significant problems in the understanding of the translated and adapted scale. No statistically significant differences in the scale punctuation were found between Brazilian men and women. Regarding the majority of the subscales the average punctuation reached by the Brazilian sample was similar to the ones reported in international studies. However, there were significant differences between the results described in international studies and in the Brazilian sample, which presented a higher punctuation in the subscales cohesion and organization and smaller punctuation in the subscale that evaluates conflict. Significant differences were detected between alcohol and/or drug dependent patients and the control group regarding their average punctuation in six subscales of the FES. The drug dependent group presented lower levels of cohesion, independence, leisure, organization and higher levels of conflict and control. These data confirm those reported in the international literature. The patients considered their families less expressive and organized than their partners, being this difference not present in the control group.
Descrição
Citação
VIANNA, Vania Patricia Teixeira. Comparação do ambiente familiar de dependentes de álcool e/ou outras drogas, avaliado pela escala do ambiente familiar (FES - Family Enviroment Scale). Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2004.