Senthil Kumar, A S (2015) A Comparative Analysis of Family Burden, Quality of Life and Psychiatric Morbidity between Female Spouses of Patients with Alcohol Dependence Syndrome, Schizophrenia, and Bipolar Affective Disorder. Masters thesis, Stanley Medical College, Chennai.
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Abstract
AIM OF THE STUDY: To compare the family burden, the quality of life and psychiatric morbidity between female spouses of patients with alcohol dependence syndrome, patients with schizophrenia, and patients with bipolar affective disorder. MATERIALS AND METHODS: In this cross-sectional, comparative study with consecutive samples of 64 male patients with alcohol dependence, 64 male patients with schizophrenia, and 64 male patients with bipolar affective disorder attending the outpatient Psychiatry department at this tertiary care hospital, and their spouses, who fulfil the study criteria and provide consent. Instruments used along with sociodemographic data were Burden Assessment Schedule for assessing burden in spouses, WHOQOL (BREF) scale for quality of life, and General Health Questionnaire-12, MINI plus, Beck Depression Inventory and Hospital Anxiety and Depression Scale (HADS~A) for psychiatric morbidity. DISCUSSION: Majority of the female spouses from all the three groups of study had severe family burden about 51% in alcohol dependence group, 76% in bipolar disorder group, and 82% in schizophrenia groups. Quality of life was poorer in schizophrenia group compared to the other groups. It correlated negatively with the burden severity in all three groups, more in spouses in alcohol dependence and schizophrenia groups. Psychiatric morbidity including severe depression was found more frequently in spouses of alcohol and bipolar disorder patients compared to schizophrenia. Burden severity and depression severity positively correlated significantly in all three groups. CONCLUSION: Increased burden of care, poor quality of life and psychiatric morbidity in female spouses are not only limited to major psychiatric disorders, but are also seen profoundly in alcohol dependence syndrome. This warrants specific spouse/family-focused psychological treatment approaches and further supportive measures for spouses, in view of preventing psychiatric morbidity in spouses and improving treatment adherence and prognosis in patients of alcohol dependence, bipolar disorder and schizophrenia.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Spouses ; Burden ; Quality of life ; Psychiatric morbidity ; Alcohol dependence ; Bipolar disorder ; Schizophrenia. |
| Subjects: | MEDICAL > Psychiatry |
| Depositing User: | Punitha K |
| Date Deposited: | 05 May 2018 14:50 |
| Last Modified: | 05 May 2018 14:50 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/7511 |
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