Garg Rohit, Gupta Abhishek, Kundal Deepam
Department of Psychiatry, Government Medical College, and Rajindra Hospital, Patiala, Punjab, India.
Ind Psychiatry J. 2019 Jul-Dec;28(2):278-285. doi: 10.4103/ipj.ipj_83_19. Epub 2020 Aug 14.
Caregivers of patients with alcohol and opioid use disorder (OUD) have low quality of life (QoL) and suffer from family stigma. However, impact of family stigma on QoL has not been studied in this population.
One hundred primary caregivers of male inpatients with severe alcohol use disorder (AUD) ( = 47) and OUD ( = 53) as per the Diagnostic and Statistical Manual of Mental Disorders, 5 Edition were enrolled into the cross-sectional, descriptive study.Participants were assessed using sociodemographic and clinical proforma, World Health Organization QoL-BREF Hindi, and Hindi family stigma scale. Kolmogorov-Smirnov tests and Pearson's correlation were used for statistical analysis.
Majority of caregivers were females (64%), homemakers (48%), and married (80%). More than 50% of caregivers resided in rural areas and nuclear families. 46%, 30%, and 24% of caregivers were parents, wives, and siblings and children. Males, caregivers between 31 and 45 years of age, and married caregivers had significantly higher QoL. Parents had significantly lower QoL. Caregivers of patients with AUD had significantly lower overall QoL than that of OUD. Wives faced higher discrimination and overall stigma. Overall QoL, satisfaction with physical health, and environment were significantly negatively correlated with discrimination. Total stigma was negatively correlated with satisfaction with environment.
Stigma and discrimination have negative impact on QoL of caregivers. Stigma reduction and QoL enhancement should be integral part of psychosocial interventions for caregivers of patients with AUD and OUD.
酒精和阿片类物质使用障碍（OUD）患者的照料者生活质量较低，且遭受家庭污名化。然而，尚未对该人群中家庭污名化对生活质量的影响进行研究。
根据《精神疾病诊断与统计手册》第5版，招募了100名重度酒精使用障碍（AUD）男性住院患者（n = 47）和OUD男性住院患者（n = 53）的主要照料者，纳入这项横断面描述性研究。使用社会人口学和临床表格、世界卫生组织生活质量简表（印地语版）以及印地语家庭污名量表对参与者进行评估。采用柯尔莫哥洛夫-斯米尔诺夫检验和皮尔逊相关性分析进行统计分析。
大多数照料者为女性（64%）、家庭主妇（48%）且已婚（80%）。超过50%的照料者居住在农村地区且为核心家庭。46%、30%和24%的照料者分别是父母、妻子以及兄弟姐妹和子女。男性、年龄在31至45岁之间的照料者以及已婚照料者的生活质量显著更高。父母的生活质量显著更低。AUD患者的照料者总体生活质量显著低于OUD患者的照料者。妻子面临更高的歧视和总体污名。总体生活质量、对身体健康的满意度以及对环境的满意度与歧视显著负相关。总污名与对环境的满意度负相关。
污名化和歧视对照料者的生活质量有负面影响。减少污名和提高生活质量应成为AUD和OUD患者照料者心理社会干预的组成部分。
