Family functioning as a predictor of progress in substance abuse treatment

Maria F. Costantini, Laurie Wermuth, James L. Sorensen, John S. Lyons

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


This study tested the hypothesis that the level of family functioning is related to changes in the patient's progress while in treatment. We studied the relation of family functioning, as measured by the Family Adaptability and Cohesion Scales' (FACES II) dimensions of cohesion and adaptability, to 7 dimensions of the severity of patient drug use, as measured by the Addiction Severity index (ASI). The results indicated that family functioning, the cohesion dimension in particular, predicts severity of patient's dysfunction resulting from drug use and family and psychological problems. In particular, 28% of the variability in the ASI Drug Problems, 52% of the variability in the ASI Family Problems, and 29% of the variability in the ASI Psychological Problems were accounted for by the FACES II cohesion score. Although the study has several limitations, it supports the relevance of family factors in the treatment of drug-addicted patients.

Original languageEnglish
Pages (from-to)331-335
Number of pages5
JournalJournal of Substance Abuse Treatment
Issue number4
StatePublished - 1992

Bibliographical note

Funding Information:
The authors gratefully acknowledge the contribution of Carol Williams and Phil Tracy and thank the staff and patients of Substance Abuse Services, UCSF at San Francisco General Hospital. This study was supported by grant lROlDA03363 from the National Institute on Drug Abuse.


  • adaptability
  • cohesion
  • family functioning
  • methadone maintenance
  • substance abuse treatment

ASJC Scopus subject areas

  • Psychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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