Psychological distress among female spouses of male at-risk drinkers

Tempier, Raymond; Boyer, Richard; Lambert, Jean; Mosier, Karen E.; Duncan, C. Randy

doi:10.1016/j.alcohol.2006.09.032

Cited by 66 publications

(40 citation statements)

References 47 publications

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“…Tempier et al noted that there were higher levels of psychological distress such as depression, anxiety, aggressiveness and cognitive impairment, among wives of male at-risk drinkers [15]. Kahler et al also found similar results with greater psychological distress in spouses of men with alcohol dependence.…”

Section: Discussionsupporting

confidence: 63%

Anxiety and depression in spouses of males diagnosed with alcohol dependence: a comparative study

Gandhi¹,

Suthar²,

Pal³

et al. 2017

Arch Psych Psych

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SummaryAims: In this study, we aim to compare the proportion of anxiety and depression among spouses of males with alcohol use disorder and spouses of males without alcohol use disorder. Materials and methods:We conducted a comparative study on patients attending the general practice OPD of an urban tertiary care hospital. Two groups were compared -wives of men with alcohol use disorder (diagnosed by DSM-5) and wives of men without alcohol use disorder. Semi-structured questionnaires, PHQ-9 and GAD-7, were administered. Results:In total, 58 women (38%) married to men with alcohol use disorder reported depression and 89 women (59%) reported anxiety, as opposed to 26 (17%) and 58 (38%) women married to men without alcohol use disorder. The difference was significant, with odds ratio at 3.01 and 2.31 respectively. Discussion:The rates found were comparable to previous studies. However, the current study better elucidates the causality of psychiatric morbidity among spouses of men with alcohol dependence as it is a comparative study. Conclusion:Wives of men with alcohol use disorder show significantly higher rates of both depression and anxiety when compared with wives of men without alcohol use disorder. This increased psychiatric morbidity affects not only the individual but the entire family unit, reduces effective participation in treatment and affects the overall quality of life of the family. Thus, it is important to be vigilant about it and intervene in a timely manner. psychiatric morbidity, caregivers, alcohol abuse, alcohol dependence, spouse burden

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Section: Discussionsupporting

confidence: 63%

Anxiety and depression in spouses of males diagnosed with alcohol dependence: a comparative study

Gandhi¹,

Suthar²,

Pal³

et al. 2017

Arch Psych Psych

View full text Add to dashboard Cite

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“…It is well known that chronic substance use can weaken family relationships and that the wives of alcoholics are vulnerable to psychological disorders. 28,29 Apart from the risk to mental health, a history of alcoholism favors the construction of relationships characterized by instability and distance. There is evidence that a poor relationship with the patient is associated with a higher incidence of stress and burden among caregivers.…”

Section: Discussionmentioning

confidence: 99%

Patients on the waiting list for liver transplantation: Caregiver burden and stress

et al. 2010

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Over the last few decades, informal caregivers of patients with chronic diseases have received more attention, and there is a growing volume of studies demonstrating high rates of burden, stress, and mental disorders in this group of individuals. The objective of this study was to evaluate the burden, stress, and psychosocial characteristics of informal caregivers of liver transplantation candidates. Participants were assessed by individual evaluations with the following instruments: a semistructured interview, the Caregiver Burden Scale, the Inventá rio de Sintomas de Stress para Adultos de Lipp, and the Beck Depression Inventory. The Mann-Whitney test was used for statistical analysis with a significance level of 0.05. The characteristics of the study group (n ¼ 61) were similar to those of groups in other studies with respect to gender (82% were women), kinship (64% were spouses), and age (the mean age was 47.6 years). The main stressors identified by the participants were as follows: doubts about ways to react in a crisis or in emergency situations (42.6%), mood swings of the patient (29.5%), and care involving food and medications (27.9%). Approximately 25% of the caregivers reported that they felt unprepared to adequately perform their roles. Data analysis indicated a greater burden overall on caregivers when the patient's Model for End-Stage Liver Disease score was greater than or equal to 15 points (P ¼ 0.041). Furthermore, caregivers of patients with alcoholic liver disease showed higher depression (P ¼ 0.034) and overall burden scores (P ¼ 0.031) versus caregivers of patients with liver disease due to other etiologies. In conclusion, the participants showed significantly high levels of burden, stress, and depression. Support measures and caregiver preparation should be implemented by health care providers. A loss of health can be seen as a crisis situation, with effects extending to the relatives of patients and affecting their quality of life. Studies have warned of the high incidence of mental disorders among caregivers of the chronically sick. Anxiety, mood swings, stress, a lack of preparation for coping with the demands of patients, and feelings of anger, fear, guilt, and loneliness are all common complaints among informal caregivers.

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“…Among younger adults, spouses of individuals with alcohol-use disorders tend to experience heightened distress, poorer health, and defi cits in social functioning (Dawson et al, 2007;Hurcom et al, 2000;Tempier et al, 2006). Moreover, in these younger samples, compared with spouses of nonproblem drinkers, spouses of individuals with alcoholuse disorders consume more alcohol and report having more depressive symptoms, a less cohesive family environment, and poorer social functioning (Moos et al, 1990).…”

Section: Functioning Among Spouses Of Late-life Problem Drinkersmentioning

confidence: 99%

Spouses of Older Adults With Late-Life Drinking Problems: Health, Family, and Social Functioning

Moos¹,

Brennan²,

Schutte³

et al. 2010

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study focuses on the health, family, and social functioning of spouses of late-life remitted and continuing problem drinkers, and on predictors of spouses' alcohol-related functioning and depressive symptoms. Method: Three groups of spouses were compared at baseline and a 10-year follow-up: (a) spouses (n = 73) of older adults who had no drinking problems at baseline or followup, (b) spouses (n = 25) of older adults who had drinking problems at baseline but not follow-up, and (c) spouses (n = 69) of older adults who had drinking problems at both baseline and follow-up. At each contact point, spouses completed an inventory that assessed their alcohol-related, health, family, and social functioning. Results: At baseline, compared with spouses of problem-free individuals, spouses of older adults whose drinking problems later remitted reported more alcohol consumption, poorer health, more depressive symptoms, and less involvement in domestic tasks and social and religious activities. At the 10-year followup, spouses of remitted problem drinkers were comparable to spouses of problem-free individuals, but spouses of continuing problem drinkers consumed more alcohol, incurred more alcohol-related consequences, and had friends who approved more of drinking. Overall, spouses whose friends approved more of drinking and whose partners consumed more alcohol and had drinking problems were likely to consume more alcohol and to have drinking problems themselves. Conclusions: Spouses of older adults whose late-life drinking problems remit can attain normal functioning; however, spouses of older adults with continuing late-life drinking problems experience some ongoing defi cits. (J. Stud. Alcohol Drugs, 71, 506-514, 2010)

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Psychological distress among female spouses of male at-risk drinkers

Cited by 66 publications

References 47 publications

Anxiety and depression in spouses of males diagnosed with alcohol dependence: a comparative study

Anxiety and depression in spouses of males diagnosed with alcohol dependence: a comparative study

Patients on the waiting list for liver transplantation: Caregiver burden and stress

Spouses of Older Adults With Late-Life Drinking Problems: Health, Family, and Social Functioning

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