Stress, Personality and Emotional Disturbance in Wives of Alcoholics

Kogan, Kate L.; Jackson, Joan K.

doi:10.15288/qjsa.1965.26.486

Cited by 22 publications

(10 citation statements)

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“…The primary concern centered on the role of the wife in initiating and perpetuating her husband's drinking. A debate arose between a faction represented primarily by psychiatrists and psychiatric social workers who viewed the wife of the alcoholic as a person with severe, longstanding psychopathology antedating marriage, which led her to choose an alcoholic husband as a way of satisfying and stabilizing intrapsychic needs (4, 19), and a faction represented primarily by sociologists who explained the behavior of these wives as directly resulting from having to deal with the repetitive pressures and stresses placed upon the marriage by the husband's drinking (24, 25, 26, 29). In retrospect, this debate was probably artificial.…”

Section: The Alcoholic Marriagementioning

confidence: 99%

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Experimenting with Family Treatment Approaches to Alcoholism, 1950–1975: A Review

Steinglass

1976

Family Process

105

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The attention given family therapy approaches to alcoholism has been disproportionately low in relation to the magnitude of alcohol abuse as a clinical problem and its acknowledged impact on family life. Although the literature to date is limited and most studies should be characterized as pilot in nature, preliminary results have enthusiastically endorsed family therapy approaches to alcoholism. This critical review assesses the existing experimental and clinical literature of the pase 25 years. It also offers potential explanations for the reluctance of family therapists to engage this problem more actively.

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Section: The Alcoholic Marriagementioning

confidence: 99%

“…Only rarely was this clinical data verified via a clinical interview with the wife as well (30, 45). Sociologists, on the other hand, obtained much of their data directly from wives, and had little opportunity to substantiate these reports via direct observation or collateral interviewing (24, 29).…”

Section: The Alcoholic Marriagementioning

confidence: 99%

Experimenting with Family Treatment Approaches to Alcoholism, 1950–1975: A Review

Steinglass

1976

Family Process

105

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“…The disturbed personality model has, however, received considerable criticism [26,[28][29][30]. Several research studies support the alternative view that it is the stress created by living with a problem drinker which results in the spouse exhibiting decreased personal functioning and that this improves once the drinking ceases [26,28,[31][32][33][34][35]. These studies also investigate the various behaviours utilized by the spouse while attempting to cope with increasing stress.…”

Section: Core Characteristicsmentioning

confidence: 99%

“…The fact that similar behaviours have been observed in other families dealing with difficulties [30] again points to the non-uniqueness of the alcohol-troubled family, normalizing these interactions. Rather than being due necessarily to any previous pathology, these behaviours on the part of the spouse can be viewed as normal ways of attempting to deal with the increasing stress accumulating over time in such families [26,28,32,34,35].…”

Section: Core Characteristicsmentioning

confidence: 99%

Co‐dependency: a critical review

Hands

Dear²

1994

Drug and Alcohol Review

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The term "co-dependency" has become somewhat established within the vernacular of the addiction field and is being used increasingly within the popular psychology and self-help literature. A review of this literature reveals that there is general agreement as to the core characteristics of co-dependency but virtually no agreement as to a workable definition. Remarkably little research has been published to examine any of the assumptions within the model, so that most of the ideas presented in the literature rest on clinical observation and/or personal experience. The concept has been widely criticized from a number of theoretical perspectives. Of particular note are the feminist objections to the model. In addition, a number of the central concepts within the co-dependency model are at odds with some of the research into family coping. Further research is urgently needed in this area. Despite many conceptual problems the development of this model has had an undoubted positive influence on family treatment and support benefiting many people within the self-help arena.

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“…In the family context, the wife of the man with alcohol use disorder experiences high stress levels and low quality of life. 7,8 She is subjected to multiple stressors such as emotional and physical abuse, financial issues and increased risk of separation or divorce. 7,8 Studies indicate that spouses of men with alcohol use disorder experience higher rates of depressive, anxiety and stress-related disorders.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital

Thilakan

Sivasubramoney

Babu

2021

Kerala Journal of Psychiatry

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Background: Alcohol Use Disorder is highly prevalent in India. Alcohol acts as a continuous stressor, with several stressful consequences on the wife. Literature suggests an association between alcohol use in the husband and depression in the wife. Objectives: The primary objective was to assess the prevalence of Major Depressive Disorder(MDD) among wives of men with Alcohol Use Disorder attending the Psychiatry Department in a tertiary care centre. The secondary objective was to assess various sociodemographic and clinical variables associated with depressive disorder in the wives. Methods: A cross-sectional study was done on wives of men diagnosed with Alcohol Use Disorder while attending the outpatient clinic or inpatient treatment at the Psychiatry Department. Consecutive sampling was done till the calculated sample size of 133 was reached. PHQ 9 was administered to the wives to assess Depressive Disorder with a cutoff score of 10. Statistical analysis was done using the Chi-square test. Odds Ratio and confidence intervals were calculated to determine the strength of associations. Results: Prevalence of Major Depressive Disorder in the study population was found to be 27.8%. A significant association was found between the severity of Alcohol Use Disorder and depression in wives (OR=4.01,95%CI=1.4411.22, p<0.01). Morning drinking among husbands was significantly associated with depression in wives(OR=4.32,95%CI=1.32-19.56, p=0.04). Conclusion: Prevalence of Major Depressive Disorder among wives of men with Alcohol Use Disorder was high. Depressive disorder in wives significantly correlated with the severity of Alcohol Use Disorder and the husbands' morning drinking. Hence wives of men with Alcohol Use Disorder should be routinely screened for depression, and necessary interventions should be given promptly.

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Stress, Personality and Emotional Disturbance in Wives of Alcoholics

Cited by 22 publications

References 0 publications

Experimenting with Family Treatment Approaches to Alcoholism, 1950–1975: A Review

Experimenting with Family Treatment Approaches to Alcoholism, 1950–1975: A Review

Co‐dependency: a critical review

Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital

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