Stress and strain: a qualitative study into the impact of having relatives with addiction problems on students' health and daily lives

Int J Qual Stud Health Well-being. 2023 Dec;18(1):2223864. doi: 10.1080/17482631.2023.2223864.

Abstract

Purpose: To explore the impact of having relatives with addiction problems on students' health, substance use, social life, and cognitive functioning, and to establish possible contributions of the participants' gender, type of relationship, and type of addiction of the relative(s).

Methods: A qualitative, cross-sectional study of semi-structured interviews with thirty students from a University of Applied Sciences in the Netherlands who had relatives with addiction problems.

Results: Nine major themes were identified: (1) violence; (2) death, illness, and accidents of relatives; (3) informal care; (4) perception of addiction; (5) ill health, use of alcohol and illegal drugs; (6) financial problems; (7) pressured social life; (8) affected cognitive functioning, and(9) disclosure.

Conclusions: Having relatives with addiction problems severely affected the life and health of participants. Women were more likely to be informal carers, to experience physical violence, and to choose a partner with addiction problems than men. Conversely, men more often struggled with their own substance use. Participants who did not share their experiences reported more severe health complaints. It was impossible to make comparisons based on the type of relationship or type of addiction because participants had more than one relative or addiction in the family.

Keywords: Addiction; Affected Family Members (AFM); family; family history of alcoholism; mental health; qualitative; strain; stress; university students; violence.

MeSH terms

  • Caregivers / psychology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Qualitative Research
  • Substance-Related Disorders* / psychology
  • Violence / psychology

Grants and funding

The study was funded by a doctoral grant from the Rotterdam University of Applied Sciences. This study was part of Vital Delta: Medical Delta’s journey towards vitality and health, funded by Taskforce for Applied Research SIA and Medical Delta. The funders played no role in this study’s design, conduct, or reporting.