{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:53:46Z","timestamp":1768445626222,"version":"3.49.0"},"reference-count":45,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Caregivers play a vital role in the treatment of individuals with substance use disorders (SUDs) and encounter numerous challenges. It is essential to highlight these challenges to develop appropriate interventions aimed at supporting caregivers of individuals with SUDs. The present study aimed to explore the challenges faced by caregivers while caring for their family members with SUDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative research design was employed, and data were collected through semi\u2010structured interviews. The sample consisted of 18 caregivers whose family members were admitted and currently undergoing treatment at a rehabilitation facility in Islamabad, Pakistan. These caregivers represented diverse socioeconomic backgrounds, ethnicities, and cities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The major themes that emerged from the study included personal challenges, economic challenges, social challenges, legal challenges, and healthcare\u2010related challenges. Each theme contained multiple sub\u2010themes, such as psychological factors, personality traits, family dynamics, societal pressures, financial burdens, drug regulation issues, criminal charges, treatment\u2010related challenges, and interactions with healthcare professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There appears to be a lack of consideration for caregivers' challenges in Pakistan in SUDs. It is crucial to provide caregivers of individuals with SUDs with evidence\u2010based and culturally adapted support to address the challenges they face while caring for their loved ones.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71090","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T03:58:34Z","timestamp":1753070314000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Challenges Faced by Caregivers of Individuals With Substance Use Disorder in Pakistan: A Qualitative Study"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2300-5678","authenticated-orcid":false,"given":"Anila Sadaf","family":"Mubashir","sequence":"first","affiliation":[{"name":"Department of Applied Psychology NUML University Rawalpindi Campus Rawalpindi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2486-4589","authenticated-orcid":false,"given":"Rida","family":"Kainaat","sequence":"additional","affiliation":[{"name":"Department of Applied Psychology NUML University Rawalpindi Campus Rawalpindi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0521-5708","authenticated-orcid":false,"given":"S. M. Yasir","family":"Arafat","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Bangladesh Specialized Hospital Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,20]]},"reference":[{"key":"e_1_2_18_2_1","unstructured":"United Nations Office on Drugs and Crime. World Drug Report2022 https:\/\/www.unodc.org\/unodc\/en\/data-and-analysis\/world-drug-report-2022.html."},{"key":"e_1_2_18_3_1","unstructured":"UNODC Pakistan. National Drug Use Survey2022."},{"issue":"7","key":"e_1_2_18_4_1","first-page":"1220","article-title":"Addiction in the Family Is a Major but Neglected Contributor to the Global Burden of Adult Ill\u2010Health","volume":"70","author":"Orford J.","year":"2010","journal-title":"Social Science and Medicine"},{"issue":"3","key":"e_1_2_18_5_1","first-page":"688","article-title":"Quality of Life and Caregiver Stress in Female Family Members of Poly Drug Abusers","volume":"13","author":"Rafiq S.","year":"2019","journal-title":"Pakistan Journal of Medicaand Health Sciences"},{"issue":"5","key":"e_1_2_18_6_1","first-page":"426","article-title":"Burden on Family Caregivers of the Mentally Ill: Findings From a Rural Community in Pakistan","volume":"56","author":"Imran N.","year":"2010","journal-title":"International Journal of Social Psychiatry"},{"issue":"437","key":"e_1_2_18_7_1","first-page":"11","article-title":"Comparison of Psychiatric Morbidity and Quality of Life Among Caregivers of Addicts in Different Treatment Stages","volume":"143","author":"Mikuli\u0107 R.","year":"2021","journal-title":"Acta Psychiatrica Scandinavica"},{"issue":"4","key":"e_1_2_18_8_1","first-page":"1876","article-title":"Family Roles in Sud Treatment Across Cultures: A Three\u2010Country Study","volume":"20","author":"Lee E.","year":"2022","journal-title":"International Journal of Mental Health and Addiction"},{"key":"e_1_2_18_9_1","first-page":"130","article-title":"Depression Among Caregivers of Individuals With Substance Use Disorder: A Cross\u2010Sectional Study Using DSM\u20105 Criteria","volume":"138","author":"Ali M.","year":"2022","journal-title":"Journal of Psychiatric Research"},{"issue":"12","key":"e_1_2_18_10_1","first-page":"431","article-title":"Severity of Depression in Primary Caregivers of Psychoactive Substance Users","volume":"16","author":"Idrees M.","year":"2022","journal-title":"Pakistan Journal of Medicaand Health Sciences"},{"issue":"3","key":"e_1_2_18_11_1","first-page":"688","article-title":"Quality of Life and Caregiver Stress in Female Family Members of Poly Drug Abusers","volume":"13","author":"Rafiq S.","year":"2019","journal-title":"Pakistan Journal of Medicaand Health Sciences"},{"issue":"1","key":"e_1_2_18_12_1","first-page":"79","article-title":"A Comparison of Caregiver Burden in Substance Use Disorder and Other Severe Mental Disorders","volume":"32","author":"Mihan R.","year":"2023","journal-title":"American Journal on Addictions"},{"issue":"3","key":"e_1_2_18_13_1","first-page":"305","article-title":"Unheard Voices: Exploring Caregivers' Experiences in Substance Abuse Contexts","volume":"25","author":"Settley T.","year":"2020","journal-title":"Journal of Substance Use and Addiction Treatment"},{"issue":"2","key":"e_1_2_18_14_1","first-page":"67","article-title":"The Role of Caregiver Self\u2010Efficacy and Knowledge in Managing Burden in Substance Abuse","volume":"34","author":"Elsayed H. A.","year":"2023","journal-title":"Journal of Addictions Nursing"},{"issue":"11","key":"e_1_2_18_15_1","first-page":"2170","article-title":"Psychological Distress Among Caregivers of Patients With Substance Use Disorders","volume":"72","author":"Marri M.","year":"2022","journal-title":"Journal of the Pakistan Medical Association"},{"issue":"1","key":"e_1_2_18_16_1","first-page":"36","article-title":"The Experiences of Affected Family Members: A Summary of Two Decades of Qualitative Research","volume":"20","author":"Orford J.","year":"2013","journal-title":"Drug Education, Prevention, and Policy"},{"key":"e_1_2_18_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-0979.2005.00383.x"},{"key":"e_1_2_18_18_1","doi-asserted-by":"publisher","DOI":"10.47391\/JPMA.10727"},{"key":"e_1_2_18_19_1","article-title":"Coping Strategies and Quality of Life Among Caregivers of Sud Patients in Pakistan","volume":"129","author":"Rehman S.","year":"2021","journal-title":"Journal of Substance Abuse Treatment"},{"issue":"2","key":"e_1_2_18_20_1","first-page":"11","article-title":"Comparison of Psychiatric Morbidity and Quality of Life Between Caregivers of SUD Patients and Controls","volume":"29","author":"Arapovic\u2010Johansson B.","year":"2021","journal-title":"Acta Informatica Medica"},{"issue":"4","key":"e_1_2_18_21_1","first-page":"551","article-title":"Psychiatric Comorbidity Among Caregivers of Patients With Addiction Disorders: A Cross\u2010Sectional Analysis","volume":"60","author":"Stanojevic D.","year":"2021","journal-title":"Acta Clinica Croatica"},{"issue":"3","key":"e_1_2_18_22_1","first-page":"140","article-title":"Burden and Needs of Informal Caregivers of Patients With Mental Illness in Karachi, Pakistan","volume":"10","author":"Ahmed M.","year":"2020","journal-title":"Pakistan Journal of Public Health"},{"key":"e_1_2_18_23_1","doi-asserted-by":"publisher","DOI":"10.54393\/pjhs.v3i05.96"},{"issue":"6","key":"e_1_2_18_24_1","first-page":"602","article-title":"Inclusion of Caregivers in Substance Abuse Treatment: Pakistani Professionals' Perspectives","volume":"25","author":"Jawad S.","year":"2020","journal-title":"Journal of Substance Use and Addiction Treatment"},{"key":"e_1_2_18_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-10-71"},{"key":"e_1_2_18_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61263-X"},{"issue":"437","key":"e_1_2_18_27_1","first-page":"11","article-title":"Psychiatric Morbidity and Quality of Life Among Caregivers of Patients With Suds","volume":"143","author":"Mikuli\u0107 R.","year":"2021","journal-title":"Acta Psychiatrica Scandinavica"},{"issue":"6","key":"e_1_2_18_28_1","first-page":"1173","article-title":"Promoting Caregiver Well\u2010Beingin Substance Use Disorder Recovery","volume":"28","author":"Haider Z.","year":"2019","journal-title":"International Journal of Mental Health Nursing"},{"issue":"1","key":"e_1_2_18_29_1","first-page":"384","article-title":"Depression in Caregivers of Patients With Substance Use Disorders","volume":"19","author":"Kasi P. M.","year":"2019","journal-title":"BMC Psychiatry"},{"key":"e_1_2_18_30_1","first-page":"1","article-title":"Emotional Distress Among Caregivers of Individuals With Substance Use Disorders: A Qualitative Analysis","volume":"112","author":"Williams F.","year":"2020","journal-title":"Journal of Substance Abuse Treatment"},{"issue":"3","key":"e_1_2_18_31_1","first-page":"167","article-title":"Caregiver Confidence and Role Stress: Impacts on Psychological Health","volume":"44","author":"Smith R. 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