Dostanic Natasa, Djikanovic Bosiljka, Jovanovic Mirjana, Stamenkovic Zeljka, Đeric Aleksandra
Special Hospital for Addictions, Department for Alcoholism, Teodora Drajzera 44, 11000 Belgrade, Serbia.
Faculty of Medicine, Institute of Social Medicine, Centre - School of Public, University of Belgrade, Belgrade, Serbia.
J Fam Violence. 2022;37(2):313-324. doi: 10.1007/s10896-020-00238-1. Epub 2021 Jan 2.
The negative effects of men's excessive alcohol consumption on family members are well known. However, less is known about how men's alcohol dependence is associated with the mental health of their female spouses residing with them. Therefore, the aim of this study was to investigate the prevalence and factors associated with depression, anxiety, and intimate partner violence against women (IPVAW) whose male spouses are undergoing treatment for alcohol dependence. We hypothesize that men with alcohol dependency, who are also violent, present a serious threat to women's mental health. We conducted a cross-sectional study among 104 women whose male partners had been admitted for inpatient treatment for alcohol dependence. Women's depression was measured by the Beck Depression Inventory (BDI-II); anxiety was measured by the Beck Anxiety Inventory (BAI), and exposure to physical and sexual IPVAW was measured by the Conflict Tactics Scale (CTS-2). Multinomial logistic regression analyses were conducted in order to analyze factors associated with depression and anxiety. The prevalence of moderate/severe depression and anxiety among the women was 34.6% and 25.2%, respectively, while almost half (48.1%) experienced IPV during the past 12 months. After adjustments for age, exposure to IPV increased the chances of experiencing moderate/severe depression by 37.5 times (95% CI 7.91-177.76), and 8.15 times for moderate/severe anxiety (95% CI 2.45-27.14). The mental health of women whose partners have alcohol dependence is significantly threatened and should be considered, especially when it is associated with exposure to spousal violence.
男性过度饮酒对家庭成员的负面影响是众所周知的。然而，对于男性酒精依赖与其同住的女性配偶心理健康之间的关联，人们了解得较少。因此，本研究的目的是调查男性配偶正在接受酒精依赖治疗的女性中，抑郁症、焦虑症以及亲密伴侣对女性的暴力行为（IPVAW）的患病率及其相关因素。我们假设，有暴力行为的酒精依赖男性对女性心理健康构成严重威胁。我们对104名男性伴侣因酒精依赖而住院治疗的女性进行了一项横断面研究。通过贝克抑郁量表（BDI-II）测量女性的抑郁程度；通过贝克焦虑量表（BAI）测量焦虑程度，通过冲突策略量表（CTS-2）测量遭受身体和性方面的IPVAW情况。进行多项逻辑回归分析以分析与抑郁和焦虑相关的因素。这些女性中中度/重度抑郁和焦虑的患病率分别为34.6%和25.2%，而近一半（48.1%）的女性在过去12个月中遭受过亲密伴侣暴力。在对年龄进行调整后，遭受亲密伴侣暴力会使经历中度/重度抑郁的几率增加37.5倍（95%置信区间7.91 - 177.76），使经历中度/重度焦虑的几率增加8.15倍（95%置信区间2.45 - 27.14）。伴侣有酒精依赖的女性的心理健康受到严重威胁，应予以关注，尤其是当这与遭受配偶暴力相关时。
