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A review of interventions aimed at the affected others of addictions

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View Open Access Article View Snapshot Back to Search Results

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Author(s): Merkouris, Stephanie ; Rodda, Simone N. ; Dowling, Nicki A.

Journal: Addiction

Year Published: 2022

Date Added: May 02, 2022

Many people experience harm from someone else’s addiction. These people are called “affected others”. Some interventions target affected others directly. This article reviewed studies of the effectiveness of interventions targeted at affected others. The authors found 22 relevant articles. About 70% of these studies focused on interventions for alcohol-related harms, while 20% focused on gambling harms and 10% focused on illicit drugs. Many of these studies had medium some concerns to or high risk of bias. Overall, the results showed that affected other interventions appeared to increase life satisfaction and coping skills and decrease depressive symptoms for affected others. They also appeared to decrease relationship discord and help get the people with the addiction to start treatment. These outcomes were measured right after the intervention finished. No intervention effects were observed at short-term follow-up. More research is needed to understand longer-term outcomes.


Citation: Merkouris, S. S., Rodda, S. N., & Dowling, N. A. (2022). Affected other interventions: A systematic review and meta-analysis across addictions. Addiction. Advance online publication. https://doi.org/10.1111/add.15825

Article DOI: https://doi.org/10.1111/add.15825

Keywords: addiction ; affected others ; alcohol use ; drugs ; family ; gambling ; gaming ; interventions ; meta-analysis ; psychosocial ; significant others ; substance use ; systematic review ; treatment

Topics: Comorbidities ; Crime and Deviance ; Family and Friends ; Gambling Resources ; Information for Operators ; Information for Treatment Providers ; Substance Use

Conceptual Framework Factors:   Psychological - Comorbid Disorders ; Psychological Factors ; Social - Family and Peer Gambling Involvement ; Social Factors ; Gambling Resources ; Resources - Interventions

Study Design: Systematic Review

Study Funding:

This project was funded by the New South Wales Government’s Responsible Gambling Fund.

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  • Services
    • Funding Opportunities
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    • Data Repository
    • Evidence Centre
    • Gambling from a Public Health Perspective
    • Prevention and Education Review: Gambling-Related Harm
    • Research to Inform Action Evidence Hub
    • Safer Gambling Evaluation Evidence Hub
    • Resources for Safer Gambling During COVID-19
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    • National Strategy to Reduce Gambling Harms in Great Britain
    • Academic Forum for the Study of Gambling (AFSG)
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