Orientação para pais de jovens com problemas associados ao uso de álcool e outras drogas: estudo sobre o impacto de uma intervenção no funcionamento familiar
Arquivos
Data
2012
Autores
Renner, Cristiana Ornellas 
Orientadores
Souza-Formigoni, Maria Lucia Oliveira de
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Frequentemente, jovens com problemas de uso abusivo de psicotrópicos relutam em procurar ajuda especializada e seus pais não sabem como lidar com tais situações. Diante desta demanda, foi desenvolvido um programa de orientação para pais de jovens usuários de substâncias psicotrópicas. Os objetivos deste estudo foram: avaliar o grau de adesão e de satisfação de pais de jovens com problemas associados ao uso de drogas a um programa de orientação; avaliar a influência da modalidade oferecida (individual ou em grupo) e da intensidade da intervenção (modelo com oito sessões ou uma única intervenção) no funcionamento familiar; investigar se houve mudanças nesse funcionamento familiar após um período de oito semanas. Participaram do estudo 140 pais ou responsáveis por jovens, de 12 a 25 anos que, segundo os pais, faziam uso abusivo de substâncias psicotrópicas. De modo aleatório, os pais foram alocados para um grupo controle (CON), que participou de uma única intervenção (N=48), para um grupo (IND) que participou de uma intervenção com 8 sessões semanais individuais (N=42) ou para um grupo (GRU) que participou de uma intervenção com 8 sessões semanais em grupo (N=50). Foi avaliado também um grupo controle negativo (CONEG), composto por 23 pais ou responsáveis por jovens que, segundo os pais ou responsáveis, não faziam uso abusivo de substâncias psicotrópicas. Para a avaliação do funcionamento familiar, o instrumento FES (Family Environment Scale - FES) foi aplicado a todos os participantes antes da primeira sessão de intervenção e reaplicado oito semanas após a mesma. A adesão ao programa foi alta: IND -80,9% e GRU - 78,5%. Foi observada melhora no funcionamento familiar após este período, principalmente nas áreas de coesão, expressividade, conflito, independência, interesses intelectuais, lazer, organização e controle do FES. De modo geral, os pais que receberam a intervenção de oito sessões (em grupo ou individual) apresentaram níveis de melhora no funcionamento familiar semelhantes aos dos pais que receberam apenas uma intervenção de sessão única. Estes dados sugerem que uma única sessão de orientação pode contribuir para melhorar o funcionamento familiar. No grupo controle negativo, que não recebeu nenhuma intervenção, não foram detectadas alterações significativas nos escores do FES no intervalo de oito semanas. Todos os participantes das intervenções relataram altos níveis de satisfação.
Young people with problems associated with psychotropic drugs use are often reluctant to seek advice, and their parents do not know how to handle such situations. Faced with this demand, we developed a counseling program aimed at parents of young psychotropic substance abusers. The objectives of this study were: to assess the degree of compliance and satisfaction of parents with the orientation program; to evaluate the influence of the kind of intervention offered (individual or group) as well as of its frequency (eight sessions or a single intervention) on family functioning; to investigate whether there were changes in family functioning after a period of eight weeks. Participants were 140 parents or guardians of young people (12-25 y.o.) who, according to their parents, were abusive users of psychotropic substances. The parents were randomly assigned to a control group (CON), which participated in a single intervention (N = 48), to a group (IND) which participated in an intervention with eight weekly individual sessions (N = 42) or to a group (GRU) which participated in an intervention with eight weekly group sessions (N =50). We also included a negative control group (CONEG), composed of 23 parents or guardians of young people who, according to their parents or guardians, were not psychotropic substances users. For the assessment of family functioning, the instrument FES (Family Environment Scale - FES) was applied to all participants before the first intervention session and eight weeks thereafter. Adherence to the program was high: IND -80,9% and GRU - 78,5%. Improvement was observed in family functioning after this period, especially in the FES areas of cohesion, expressiveness, conflict, independence, intellectual interests, leisure, organization and control. In general, parents who received the intervention of eight sessions (in group or individual) showed improvement in family functioning similar to that of parents who received only a single-session intervention. These data suggest that a single counseling session can help to improve family functioning. In the negative control group, which received no intervention, there were no significant changes in the FES scores after eight weeks. All participants reported high levels of satisfaction.
Young people with problems associated with psychotropic drugs use are often reluctant to seek advice, and their parents do not know how to handle such situations. Faced with this demand, we developed a counseling program aimed at parents of young psychotropic substance abusers. The objectives of this study were: to assess the degree of compliance and satisfaction of parents with the orientation program; to evaluate the influence of the kind of intervention offered (individual or group) as well as of its frequency (eight sessions or a single intervention) on family functioning; to investigate whether there were changes in family functioning after a period of eight weeks. Participants were 140 parents or guardians of young people (12-25 y.o.) who, according to their parents, were abusive users of psychotropic substances. The parents were randomly assigned to a control group (CON), which participated in a single intervention (N = 48), to a group (IND) which participated in an intervention with eight weekly individual sessions (N = 42) or to a group (GRU) which participated in an intervention with eight weekly group sessions (N =50). We also included a negative control group (CONEG), composed of 23 parents or guardians of young people who, according to their parents or guardians, were not psychotropic substances users. For the assessment of family functioning, the instrument FES (Family Environment Scale - FES) was applied to all participants before the first intervention session and eight weeks thereafter. Adherence to the program was high: IND -80,9% and GRU - 78,5%. Improvement was observed in family functioning after this period, especially in the FES areas of cohesion, expressiveness, conflict, independence, intellectual interests, leisure, organization and control. In general, parents who received the intervention of eight sessions (in group or individual) showed improvement in family functioning similar to that of parents who received only a single-session intervention. These data suggest that a single counseling session can help to improve family functioning. In the negative control group, which received no intervention, there were no significant changes in the FES scores after eight weeks. All participants reported high levels of satisfaction.
Descrição
Citação
RENNER, Cristiana Ornellas. Orientação para pais de jovens com problemas associados ao uso de álcool e outras drogas : estudo sobre o impacto de uma intervenção no funcionamento familiar. 2012. São Paulo, [125] p. Tese (Doutorado em Psicobiologia) - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, 2012.