Johnson Pradeep R, Britto Carl, Sudevan Kevin Jude, Bosco Ashish, Sreedaran Priya, Ashok Mysore V
Department of Psychiatry, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2018 Jan-Mar;60(1):84-89. doi: 10.4103/psychiatry.IndianJPsychiatry_271_14.
Mental health has currently shifted focus from "deficit" to strength-based approaches such as Resilience. Coping styles and personality factors have been well studied in Wives of persons with Alcoholism (WopA) but not Resilience. Alcohol dependence in spouse is seen as an adversity.
To evaluate Resilience in the WopA and explore its relationship with marital quality and clinical variables of Alcohol Dependence in their husbands.
A cross-sectional study in a tertiary care hospital in Bangalore, Karnataka.
WopA (n=34) between 25-55 years, were assessed for Resilience using Resilience Scale for Adults (RSA), while marital quality was assessed using Marital Quality Scale (MQS). The Severity of Alcohol Dependence, Age of onset of Initiation, Age of onset of Problem Drinking, and Age of onset of Dependence were evaluated in their husbands.
Independent sample -test, Chi-square test, and Pearson's correlation were used.
Majority of the WopA (82%) scored low on the RSA. Low Resilience (LR) WopA scored significantly lower on all factors of RSA except the perception of future; in comparison to High Resilience (HR) WopA. Additionally, the LR WopA reported significantly poorer marital quality.
Most WopA had low Resilience. LR WopA also had significantly poor marital quality. These findings need to be studied further in a larger population with culturally appropriate scales. The low scoring Resilience factors amongst WopA may be utilized in strength-based psychotherapeutic approaches. There is a need to improve the understanding of Resilience and its assessment in this population.
心理健康目前已从“缺陷”模式转向基于优势的方法，如心理韧性。应对方式和人格因素在酗酒者的妻子（WopA）中已有充分研究，但心理韧性方面尚未涉及。配偶的酒精依赖被视为一种逆境。
评估酗酒者的妻子的心理韧性，并探讨其与婚姻质量以及丈夫酒精依赖临床变量之间的关系。
在卡纳塔克邦班加罗尔的一家三级护理医院进行的横断面研究。
年龄在25 - 55岁之间的酗酒者的妻子（n = 34），使用成人心理韧性量表（RSA）评估心理韧性，同时使用婚姻质量量表（MQS）评估婚姻质量。对其丈夫的酒精依赖严重程度、开始饮酒年龄、问题饮酒开始年龄和依赖开始年龄进行评估。
采用独立样本t检验、卡方检验和皮尔逊相关性分析。
大多数酗酒者的妻子（82%）在RSA上得分较低。与高心理韧性（HR）的酗酒者的妻子相比，低心理韧性（LR）的酗酒者的妻子在RSA的所有因素上得分显著更低，但对未来的感知除外。此外，LR的酗酒者的妻子报告的婚姻质量明显较差。
大多数酗酒者的妻子心理韧性较低。LR的酗酒者的妻子婚姻质量也明显较差。这些发现需要在更大规模的人群中使用文化适配的量表进行进一步研究。酗酒者的妻子中低得分的心理韧性因素可用于基于优势的心理治疗方法。有必要提高对该人群心理韧性及其评估的理解。
