Rehabilitation

The role of attachment style in overall family functioning and in individual substance abuse patterns has been researched extensively. Lifestyle constructs have been seen as predictors of substance abuse related behaviors, including future drug related difficulties. Dysfunctional family environments have been seen as predictors of poor mental health outcomes in family members. Despite the high rates of co-morbidity in alcohol and drug dependent individuals, parental lifestyle, attachment style, and the overall influence of family environment on the psychological traits of substance dependent individuals had not been previously examined. This study examined a group of parents and their adult children (actively in substance abuse treatment, with diagnoses of substance dependence) who participated in a weeklong family education program at an inpatient treatment center. Direct effects were found between attachment style, lifestyle and patient traits, as well as several significant total effects (combined direct effect and the effect of overall family environment). Specific indirect effects were also found from individual family environment mediators, including moral religious emphasis and control, on the relationship between independent and dependent variables. An analysis of the results is given, along with a discussion of clinical implications and directions for future research.

individuals who self-identify as sex addicts, unique health and social consequences are not well understood because of factors, such as stigma. It is important that the nursing community understand this phenomenon to address, understand, and provide sensitive and meaningful care. However, there is limited research on this topic. The purpose of this study was to explore the lived experience of individuals who self-identify as sex addicts. Through snowball sampling, five men and five women between 27 to 45 years old, and older. participated in the phenomenological study. Meaning units and themes were revealed through the participants' experiences as follows: A Connecting with Others: 1. Reaching Out 2. Seeking Shared Understanding 3. Connecting with Your Higher Power B Managing Stigma: 1. Revealing Concealing C Integrating the Past for Recovery: 1. Reflecting Triggers 2. Overcoming Powerlessness. D Being Vigilant: 1. Intentional Refocusing 2. Living an Honest Life E Giving of Oneself: 1. Informing Others 2. Doing Service. The overall structure synthesized from the meaning units and themes was: "The lived experience of seeking health in recovery from sex addiction is dancing on the outer circle, connected to a community that understands fear, shame and the struggle to remain vigilant for pitfalls while intentionally refocusing on living an honest life of giving and receiving." Seeking health incorporates a holistic, community involved, multifaceted approach to recovery. Understanding how individuals seek health in recovery provides a framework to impart meaningful, sensitive nursing care.

Traumatic Brain Injury (TBI) is a disability resulting in functional impairments and heightened dependence on others. Family members of persons with TBI can assume added responsibilities during the adjustment to the disability and rehabilitation process, placing strain on the family system. Community re-integration is a primary goal of the rehabilitation process for persons with TBI as this is a step in developing autonomy and promoting independence and productive activity throughout different areas of the person's life (e.g., work, social networks, and home life). This study was designed to examine predictors of community re-integration outcomes of TBI survivors and empirically test the resiliency model of family stress, adjustment, and adaptation while incorporating family needs by surveying caregiving family members. Specific aims of the study include validating relationships of the resiliency model with individual and family outcomes in adaptation and supporting future recommendations for healthcare providers working with families with members with TBI.