Int. J. Environ. Res. Public Health 2011, 8(10), 3922-3937; doi:10.3390/ijerph8103922
Article

Family Dysfunction Differentially Affects Alcohol and Methamphetamine Dependence: A View from the Addiction Severity Index in Japan

1 Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo 156-8506, Japan 2 University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan 3 Ibaraki Prefectural Medical Center of Psychiatry, 654 Asahi-cho, Kasama-shi, Ibaraki 309-1717, Japan 4 National Hospital Organization Kurihama Alcoholism Center, 5-3-1, Nobi, Yokosuka, Kanagawa 246-0841, Japan 5 Tokyo Metropolitan Matsuzawa Hospital, 2-1-1 Kamikitazawa, Setagaya-ku, Tokyo, 156-0057, Japan
* Author to whom correspondence should be addressed.
Received: 15 July 2011; in revised form: 3 October 2011 / Accepted: 4 October 2011 / Published: 11 October 2011
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Abstract: We investigated the differential influence of family dysfunction on alcohol and methamphetamine dependence in Japan using the Addiction Severity Index (ASI), a useful instrument that multilaterally measures the severity of substance dependence. The participants in this study were 321 male patients with alcohol dependence and 68 male patients with methamphetamine dependence. We conducted semi-structured interviews with each patient using the ASI, which is designed to assess problem severity in seven functional domains: Medical, Employment/Support, Alcohol use, Drug use, Legal, Family/Social relationships, and Psychiatric. In patients with alcohol dependence, bad relationships with parents, brothers and sisters, and friends in their lives were related to current severe psychiatric problems. Bad relationships with brothers and sisters and partners in their lives were related to current severe employment/support problems, and bad relationships with partners in their lives were related to current severe family/social problems. The current severity of psychiatric problems was related to the current severity of drug use and family/social problems in patients with alcohol dependence. Patients with methamphetamine dependence had difficulty developing good relationships with their father. Furthermore, the current severity of psychiatric problems was related to the current severity of medical, employment/support, and family/social problems in patients with methamphetamine dependence. The results of this study suggest that family dysfunction differentially affects alcohol and methamphetamine dependence. Additionally, family relationships may be particularly related to psychiatric problems in these patients, although the ASI was developed to independently evaluate each of seven problem areas.
Keywords: alcohol dependence; methamphetamine dependence; Addiction Severity Index; family relationship

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MDPI and ACS Style

Sugaya, N.; Haraguchi, A.; Ogai, Y.; Senoo, E.; Higuchi, S.; Umeno, M.; Aikawa, Y.; Ikeda, K. Family Dysfunction Differentially Affects Alcohol and Methamphetamine Dependence: A View from the Addiction Severity Index in Japan. Int. J. Environ. Res. Public Health 2011, 8, 3922-3937.

AMA Style

Sugaya N, Haraguchi A, Ogai Y, Senoo E, Higuchi S, Umeno M, Aikawa Y, Ikeda K. Family Dysfunction Differentially Affects Alcohol and Methamphetamine Dependence: A View from the Addiction Severity Index in Japan. International Journal of Environmental Research and Public Health. 2011; 8(10):3922-3937.

Chicago/Turabian Style

Sugaya, Nagisa; Haraguchi, Ayako; Ogai, Yasukazu; Senoo, Eiichi; Higuchi, Susumu; Umeno, Mitsuru; Aikawa, Yuzo; Ikeda, Kazutaka. 2011. "Family Dysfunction Differentially Affects Alcohol and Methamphetamine Dependence: A View from the Addiction Severity Index in Japan." Int. J. Environ. Res. Public Health 8, no. 10: 3922-3937.

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