Family Dynamics and Mental Health Outcome Among Substance Abusers

Abstract

Substance use disorders (SUDs) constitute a significant public health concern and are frequently associated with adverse mental health outcomes. Although existing research has largely emphasized biological and individual psychological determinants, the role of family dynamics in shaping mental health during treatment has received limited quantitative attention in the Indian socio-cultural context. The present study examines the relationship between family dynamics and mental health outcomes among individuals undergoing treatment for substance use disorders. Using a quantitative correlational research design, data were collected from 200 individuals receiving treatment at the ‘Punarjanm’ Integrated Rehabilitation Centre for Addicts (IRCA) in Gorakhpur, Uttar Pradesh. Family dynamics and perceived familial support were assessed using standardized, culturally validated instruments, while mental health outcomes including depression, anxiety, and psychological distress were measured using widely accepted clinical scales. Correlational and multiple regression analyses were employed to examine associations between family-related factors and mental health outcomes. The findings indicate that positive family characteristics, emotional cohesion, open communication, and perceived familial support are associated with lower levels of depression, anxiety, and psychological distress. In contrast, family conflict and excessive control are linked to poorer outcomes. Perceived familial support remained a protective factor.