Sreekumar Sreeja, Subhalakshmi T P, Varghese P Joseph
Department of Psychiatry, MOSC Medical College, Kolenchery, Ernakulam, Kerala, India.
Indian J Psychiatry. 2016 Jul-Sep;58(3):307-310. doi: 10.4103/0019-5545.192025.
Mental health and resilience of family members of individuals with alcohol dependence affect their ability to cope with stress, maintain emotional well-being, and to positively adapt to their difficult life circumstances. This study attempted to study resilience among wives of men with alcohol dependence syndrome.
Consecutive patients with a diagnosis of alcohol dependence and their wives attending the Department of Psychiatry, MOSC Medical College, Kolenchery, Kerala, over a 1-year period were recruited. The wives were assessed using the Resilience Scale for Adults and the Hamilton Depressive Rating Scale, whereas their spouses were evaluated using severity of alcohol dependence questionnaire and a proforma to collect sociodemographic and clinical characteristics. Women with good resilience were compared to those with low scores using a case-control framework to evaluate factors associated with resilience. Multivariable analysis to adjust for common confounders was done using multiple linear regression.
Eighty patients and their spouses were recruited and evaluated. Resilience was inversely related to the severity of alcohol dependence, years of drinking in dependence pattern, history of domestic violence, and severity of depression in wives. Involvement in support groups was protective.
Assessment of resilience in wives of individuals with alcohol dependence and identification and management of those with poor resilience should go hand in hand with their husband's treatment program.
酒精依赖者家庭成员的心理健康和心理韧性会影响他们应对压力、维持情绪健康以及积极适应艰难生活状况的能力。本研究试图探讨酒精依赖综合征男性患者妻子的心理韧性。
招募了连续一年内在喀拉拉邦科伦切里市莫斯克医学院精神病科就诊的酒精依赖诊断患者及其妻子。使用成人心理韧性量表和汉密尔顿抑郁评定量表对妻子进行评估，而使用酒精依赖严重程度问卷和一份收集社会人口学及临床特征的表格对其配偶进行评估。采用病例对照框架，将心理韧性良好的女性与低分女性进行比较，以评估与心理韧性相关的因素。使用多元线性回归进行多变量分析以调整常见混杂因素。
招募并评估了80名患者及其配偶。心理韧性与酒精依赖的严重程度、依赖模式下的饮酒年限、家庭暴力史以及妻子的抑郁严重程度呈负相关。参与支持小组具有保护作用。
对酒精依赖者妻子的心理韧性进行评估，以及对心理韧性差的妻子进行识别和管理，应与她们丈夫的治疗方案同步进行。
