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探索与患有酒精依赖症的配偶共同生活的妻子的有效应对策略:焦点小组讨论的见解

Exploring effective coping strategies for wives living with spouses who have alcohol dependence: Insights from focus group discussions.

作者信息

Quadras Jyothi, Anitharani M, Pradeep R Johnson

机构信息

Department of Psychiatric Nursing, St. John's College of Nursing, St. John's National Academy of Health Sciences, Bengaluru, Karnataka, India.

Department of Community Medicine, Sri Ramachandra Institute of Higher Education and Research (DU), Chennai, Tamil Nadu, India.

出版信息

J Educ Health Promot. 2024 Feb 26;13:59. doi: 10.4103/jehp.jehp_662_23. eCollection 2024.

DOI:10.4103/jehp.jehp_662_23
PMID:38549645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10977641/
Abstract

BACKGROUND

Alcohol dependence is a prevalent issue worldwide. The wives of persons with alcohol dependence (WPAD) often experience several psychological, physical, and social problems, and it is essential to identify their coping strategies. This study aims to explore the coping strategies employed by WPAD by conducting a focus group discussion (FGD).

MATERIALS AND METHODS

This study was conducted among wives of persons with alcohol dependence during their husband's admission in the departments of Psychiatry and gastroenterology of St. John's Medical College Hospital, Bangalore, India, using qualitative research with phenomenological design. The inclusion criteria were being married and living with a person with alcohol dependence for more than three years and free from major psychiatric disorders and recruited through purposive sampling for six FGDs, which were conducted using a FGD guide and lasted approximately 60 to 90 minutes. The discussions were audio-recorded and transcribed verbatim. Thematic analysis was used to analyze the data.

RESULTS

The study revealed that the WPAD adhered to various coping strategies to face the challenges of living with their husbands with alcohol dependence. It is observed that WPAD used emotion-focused coping, problem-focused coping and avoidance coping.

CONCLUSIONS

This study highlighted the effective coping strategies adapted by WPAD to tackle the hardships related to their husband's alcoholic behavior and most of the WPAD used emotion-focused coping. This study provided valuable insights into the coping strategies used by wives of alcoholics and the challenges they faced in managing their spouse's addiction.

摘要

背景

酒精依赖是一个全球性的普遍问题。酒精依赖者的妻子(WPAD)常常经历多种心理、身体和社会问题,因此识别她们的应对策略至关重要。本研究旨在通过开展焦点小组讨论(FGD)来探索WPAD所采用的应对策略。

材料与方法

本研究在印度班加罗尔圣约翰医学院医院精神科和胃肠病科收治的酒精依赖者的妻子中进行,采用现象学设计的定性研究方法。纳入标准为已婚且与酒精依赖者共同生活三年以上,无重大精神障碍,并通过目的抽样法招募了6组进行焦点小组讨论,讨论使用焦点小组讨论指南,持续约60至90分钟。讨论进行了录音并逐字转录。采用主题分析法对数据进行分析。

结果

研究表明,WPAD采取了各种应对策略来面对与酗酒丈夫共同生活的挑战。观察发现,WPAD采用了情绪聚焦应对、问题聚焦应对和回避应对。

结论

本研究强调了WPAD为应对与丈夫酗酒行为相关的困难所采用的有效应对策略,且大多数WPAD采用了情绪聚焦应对。本研究为酗酒者妻子所采用的应对策略以及她们在管理配偶成瘾问题时所面临的挑战提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9b/10977641/6286863a9bb1/JEHP-13-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9b/10977641/6286863a9bb1/JEHP-13-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d9b/10977641/6286863a9bb1/JEHP-13-59-g001.jpg

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Ind Psychiatry J. 2016 Jan-Jun;25(1):65-71. doi: 10.4103/0972-6748.196053.
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Indian J Psychiatry. 2001 Jul;43(3):219-24.