This study aimed to understand family communication and overall well-being
of young adults in the context of familial opioid misuse
using the family systems framework.
A cross-sectional, mixed-methods, online survey of young adults aged 18 to 30 years (n=137) was conducted. A cluster analysis was performed based on family organization and structural characteristics. MANCOVA was utilized to compare groups identified using the cluster analysis in terms of (1) family’s belief about opioid misuse, (2) worry regarding opioid misuse, (3) family communication, and (4) overall well-being
of young adults.
A cluster analysis resulted in three groups (group 1: no familial opioid misuse
with high family cohesion
; group 2: familial opioid misuse
with moderate family cohesion
; group 3: those with/without familial opioid misuse
and low family cohesion
). Group 3 had the lowest family communication compared to group 1 and group 2 (P
<0.001 and P
=0.001, respectively) and had lower overall well-being
compared to group 1 (P
=0.008). Group 2 had a higher worry score than group 1 (P
<0.001). Qualitative analysis using Labov’s narrative analysis elucidated that having someone misusing opioids with other substances (eg, alcohol) in the family can negatively impact the emotions of family members.
Our findings indicated that family cohesion
had a greater impact on family communication and overall well-being
of young adults even in the presence of familial opioid misuse
. This suggests that higher family cohesion
may positively influence young adults to cope with issues related to familial opioid misuse