Jagad Amish Harish, (2014) Descriptive study on prevalence and factors associated with psychiatric morbidity among spouses of men with alcohol dependence. Masters thesis, Christian Medical College, Vellore.
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Abstract
INTRODUCTION: Alcohol use is not just a psychiatric or medical problem but also a social one. The fact that it’s socially validated in many cultures makes it even more difficult to treat and tends to be under reported. WHO statistics state that there are 2 billion alcohol users worldwide. Alcohol use contributes to 3.2 percent of deaths and 4.0 percent of disability-adjusted life years lost. In India, alcohol-related diseases rank among the top ten diseases and contribute to high number of years lived with disability. Thus, alcohol use poses a global public health concern. Alcohol use not only disrupts the life of the person who consumes alcohol, but also the life of their families, especially their spouses and also society at large. The interaction of alcohol and its impact on the marital relationship and consequently on the spouses’ mental health has always been a challenge to understand and treat. The neurobiology of alcohol dependence has been studied more closely than the impact of alcohol dependence on the family. International and national studies on family of alcohol users have largely focused on interpersonal conflicts between spouses including domestic violence. The mental health of spouses of alcohol users, a major area of concern, has been ignored. AIMS OF THE STUDY: 1. To assess the burden of psychiatric morbidity among spouses of men with alcohol dependence 2. To identify the factors associated with psychiatric morbidity among spouses of men with alcohol dependence. OBJECTIVES: 1. To estimate the prevalence of psychiatric morbidity among spouses of men with alcohol dependence. 2. To identify the factors related to psychiatric morbidity among spouses of men with alcohol dependence. MATERIALS AND METHODS: The study was a cross-sectional survey following quantitative research methodology. The research study was carried out in Department of Psychiatry, Christian Medical College, India. The estimated sample size was 100 (expected prevalence = 50 percent; half width of 95 percent confidence interval = 10 percent). Considering issues like non-response, incomplete data, etc an extra 25 percent of the estimated sample size was calculated and the final sample size was 125. The tools used in the study were –SADD (Severity Of Alcohol Dependence Data questionnaire) severity of alcohol dependence, CISR (Clinical Interview Schedule Revised) Tamil version for the psychiatric morbidity among spouses, and HITS (Hurt, Insult, Threaten Scream) for domestic violence. The data were analyzed using SPSS version 16.0. RESULTS: This study found a high prevalence (73%) of psychiatric morbidity among spouses of men with alcohol dependence. The frequency of various psychiatric syndromes was as follows – 48% (N=48) had moderate depression; 11% (N=11) had Obsessive Compulsive Disorder, 75% (N=75) had reported anxiety symptoms and 14% (N=14) had panic attacks. Poor family support, severity of alcohol dependence and of domestic violence emerged as factors that were positively correlated with psychiatric morbidity among spouses. Logistic regression analysis showed that after adjusting for age, socio-economic class, past history of psychiatric treatment, family history of mental illness, stressful life event, severity of alcohol dependence and domestic violence, the correlation between CISR caseness (psychiatric morbidity) and domestic violence was still significantly correlated. CONCLUSION: High psychiatric morbidity among spouses demands urgent attention. This would be of advantage to the spouses themselves as well as for their alcohol dependent partner’s therapeutic needs. Considering the fact that high degree of domestic violence increases the psychological distress among spouses it is a need of time to look in to legal and social aspects of the security of the vulnerable population. Protective factors like a healthy and supportive family environment should be encouraged. Prompt treatment to those who have significant psychiatric morbidity can be given only when spouses are questioned or screened for the same keep a high index of clinical suspicion.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | prevalence, factors associated, psychiatric morbidity, spouses of men, alcohol dependence. |
| Subjects: | MEDICAL > Psychiatry |
| Depositing User: | Subramani R |
| Date Deposited: | 09 Jul 2020 16:43 |
| Last Modified: | 09 Jul 2020 16:43 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12519 |
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