Journal of Substance Abuse Treatment 2015;49:27-34. [doi: 10.1016/j.jsat.2014.07.011]
Jessica N. Fish, PhD (Florida State University), Candice A. Maier, MS (University of Iowa), Jacob B. Priest, PhD (University of Iowa).
Latino Americans report underutilization of treatment and poor treatment response for substance use and abuse compared to other racial/ethnic groups; thus, it is important to assess factors that contribute to these disparities. The current study, an ancillary investigation of data from a National Drug Abuse Treatment Clinical Trials Network (CTN) study about Motivational Enhancement Treatment for Spanish-speaking individuals (CTN-0021), aimed to assess the influence of family conflict on substance abuse treatment response in a sample of Latino Americans using two different yet complementary analyses. First, ordinary least squares regression was used to assess the association between overall family conflict and pre- and post-treatment substance use. Second, repeated measures latent class analysis was used to identify groups based on family member conflict and timing of conflict during treatment. Findings indicated that family conflict contributed unique variance to concurrent substance use; however, pre-treatment family conflict was not related to post-treatment outcomes. Results also identified three distinct family conflict groups: no/low conflict, pre-treatment conflict, and post-treatment conflict who differed in pre- and post-treatment substance use. Post hoc investigation revealed that those who experienced pre-treatment conflict but low post-treatment conflict showed the greatest decrease in substance use.
Conclusions: Overall, findings suggest that for Latinos it may be beneficial for substance abuse treatment programs not only to screen and assess family conflict at intake, but to continue this assessment at follow-up. The assessment of family conflict post-treatment could identify individuals more at risk for relapse. Additionally, it may benefit substance abuse practitioners to regularly address family conflict when working with Latinos as those who reported the greatest change in family conflict from pre- to post-treatment also reported the greatest decrease in substance use at post-treatment follow-up. These findings, coupled with previous research highlighting the importance of family cohesion in Latino mental health and treatment outcomes, suggest that incorporating family members or family-based curriculum into treatment may help address family conflict in a way that improves Latino substance use outcomes. (Article (Peer-Reviewed), PDF, English, 2015)
Keywords: Behavior therapy | Cultural competence | CTN platform/ancillary study | Family therapy | Hispanics and Latinos | Minority groups | Motivational Enhancement Therapy (MET) | Motivational interviewing (MI) | Journal of Substance Abuse Treatment (journal)
Document No: 1088, PMID: 25216811.
Submitted by CTN Dissemination Librarians, 8/11/2014.