Behind Closed Doors: The Hidden Realities of Indian Children Living With Alcohol-Dependent Parents

Abstract

Background: The negative impact of Paternal Alcohol Use Disorder (PAUD) on children's psychosocial well-being is an overlooked issue that warrants more global research attention. Alcohol dependence is often seen as a hidden problem with subtle yet harmful effects, especially on the children of those with alcohol dependence. These children often remain invisible due to their loyalty and unwillingness to disclose their dysfunctional family situation. However, in the Indian context, these invisible children receive limited and insufficient support. Aim: This study aims to narrate the profound experiences of children growing up with fathers with Alcohol Use Disorder (AUD), highlighting the challenges of invisibility and the support they receive within the Indian cultural context. Methods: The study used a qualitative narrative research design, with a panel of child psychology experts selecting 12 participants aged 11-13 years. Data were collected through in-depth interviews and a semi-structured interview guide. The data collected were transcribed from the local language into English and analyzed using narrative thematic analysis. Results: The study revealed how PAUD negatively influences children's experiences and societal norms surrounding family honour and reputation. It also sheds light on the children's reluctance to seek help due to stigmatization, the circumstances that compel them to disclose their problems, and the support they receive to cope with these challenges. Implications: This study highlights the critical need for culturally specific interventions and support mechanisms in India to address the psychosocial challenges faced by children, emphasizing the importance of societal acknowledgment and strategic interventions to alleviate the detrimental impact of parental AUD on child well-being.