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Coping strategies used by concerned significant others of people with addictions

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Author(s): Côté, Mélissa ; Hardy, Kim ; Blanchette-Martin, Nadine ; Gatineau, Catherine ; Tremblay, Joël

Journal: Substance Abuse Treatment Prevention and Policy

Year Published: 2026

Date Added: September 08, 2026

Addictions can have negative effects on concerned significant others (e.g., parents, spouses). In this review, the researchers looked at the types of coping strategies concerned significant others use across substance, gambling, and screen-related addictions (e.g., gaming, social media).

The researchers identified 64 studies. Most studies focused on substance use, followed by gambling. Studies indicated that concerned significant others use a range of coping strategies. Some are aimed at changing the loved one’s addictive behaviour, like encouraging them to seek help. Others focus on protecting their own or their family’s wellbeing, like seeking social support or caring for children. Only two studies looked at coping strategies concerned significant others use in relation to screen-related addictions. The findings can inform researchers and service providers on how concerned significant others cope and tailor supports to their needs.


Citation: Côté, M., Hardy, K., Blanchette-Martin, N., Gatineau, C., & Tremblay, J. (2026). Addiction across substance use, gambling, and screen: A scoping review of coping strategies adopted by concerned significant others. Substance Abuse Treatment, Prevention, and Policy. Advance online publication. https://doi.org/10.1186/s13011-026-00739-0

Article DOI: https://doi.org/10.1186/s13011-026-00739-0

Keywords: Concerned Significant Other (CSO) ; coping ; gambling ; problematic Internet use ; substance use

Topics: Comorbidities ; Gambling and the Brain ; Substance Use

Conceptual Framework Factors:   Psychological - Comorbid Disorders ; Psychological - Coping Styles ; Social - Family and Peer Gambling Involvement

Study Design: Scoping Review

Study Funding:

Kim Hardy received funding from the Centre de recherche du CISSS de Chaudière-Appalaches, le CISSS de Chaudière-Appalaches et la Fondation Hôtel-Dieu de Lévis.

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