Background. Substance Use Disorder can impede parent-child relationships. The Theory of Ambiguous Loss provides a structure for occupational therapy practitioners in developing interventions to support the parent-child relationship. Purpose. This study explores the roles of parents of adult children diagnosed with Substance Use Disorder in the context of the Theory of Ambiguous Loss. Method. Volunteer participants were recruited from three urban parental support groups. Inclusion criteria were involved in a support group and having an adult child diagnosed with Substance Use Disorder. Eight mothers and one father participated in semi-structured interviews using a phenomenological approach. Themes and structural descriptions were developed. Findings. Five themes were identified: hopeful coping, occupational interference, changes in social constructs and participation, burdenful caregiving and receiving, and blending of occupations. Themes offer intervention considerations for occupational therapy. Implications. Research provides additional conceptual consideration to build occupation-centered interventions for parents and their adult children in Substance Use Disorder recovery.

中文翻译：

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养育患有物质使用障碍的成年儿童的模糊性。

背景。物质使用障碍会阻碍亲子关系。模糊损失理论为职业治疗从业者提供了一个结构，以开发支持亲子关系的干预措施。目的。本研究探讨了在模糊损失理论的背景下被诊断患有物质使用障碍的成年子女的父母所扮演的角色。方法。志愿者参与者是从三个城市父母支持小组中招募的。纳入标准涉及支持小组，并有一名成年儿童被诊断患有物质使用障碍。八位母亲和一位父亲使用现象学方法参加了半结构化访谈。开发了主题和结构描述。发现。确定了五个主题：充满希望的应对、职业干扰、社会结构和参与的变化，繁重的照顾和接受，以及职业的融合。主题为职业治疗提供干预考虑。影响。研究为父母及其成年子女在物质使用障碍康复中建立以职业为中心的干预措施提供了额外的概念考虑。