Title: A Study on Prevalence of Severity of Anxiety disorders in female spouses of Alcohol Dependence Patients

Authors: Dr Aravindh. M, Dr Asok Kumar. M, Dr Gandhibabu.R

 DOI: https://dx.doi.org/10.18535/jmscr/v9i1.39

Abstract

The Alcohol use disorders magnitude constitutes about 33% of the population in our country which is considerably given that India has the second largest population in the world. The prevalence of violence among the wives of alcoholics is high. There are studies reporting violence in distinct domains: physical, emotional, intellectual, and economic that in turn leads to anxiety disorders. To study the prevalence of severity of anxiety disorders, 200 female spouses of alcohol dependence patients reported to Rajah Muthiah Medical College and Hospital is assessed with self- innovative proforma and HAM – A Rating scale.

Results: Out of 200 participants, 31.5% had HAM A score between 16 and 20 followed by 24% between 11 and 15. The mean HAM A score was 15.23 ± 6.49. Resulting in 56 (28%) participants had moderate anxiety, 55(27.5%) had mild anxiety and 18 (9%) had severe anxiety. Total of 130 (65%) participants had been diagnosed with various severities of anxiety disorders.

Conclusion: Psychiatric disorders were prevalent amongst female spouses of alcoholic patients. HAM -A scores showed the burden stress towards female spouses due to alcoholic husbands. Therefore, routine screening of female spouses will aid early diagnosis of psychiatric disorders and enable timely psychological intervention.

Keywords: alcohol dependence, stress, early diagnosis.

References

  1. Kishor M, Pandit LV, Raguram R. Psychiatric morbidity and marital satisfaction among spouses of men with alcohol dependence. Indian J Psychiatry. 2013 Oct; 55(4): 360-5. doi: 10.4103/0019-5545.120557. PMID: 24459307; PMCID: PMC 3890921
  2. David Semple, Roger Smyth, Oxford handbook of psychiatry- 3rd edition page, 2013 - no.538
  3. Global Status Report on Alcohol. Geneva: 2004. [Last accessed on 2010 September 20]. World Health Organization (WHO) http://www.who.int/ substance_ abuse/publications/globalstatusreportalcohol2004_alcconsumpt.pdf
  4. Dandu A, Bharathi S, Dudala SR. Psychiatric morbidity in spouses of patients with alcohol related disorders. J Family Med Prim Care. 2017 Apr-Jun;6(2):305-310. doi: 10.4103/jfmpc.jfmpc_331_16. PMID: 29302538; PMCID: PMC5749077.
  5. Sedain, C. (2013). Study of Psychiatric Morbidity of Spouse of Male Alcoholic Patients in Nepal. Journal of Chitwan Medical College, 3(3), 10-13.
  6. Gupta, A., Priya, B., Williams, J., Sharma, M., Gupta, R., Jha, D. K., Ebrahim, S., & Dhillon, P. K. (2015). Intra-household evaluations of alcohol abuse in men with depression and suicide in women: A cross-sectional community-based study in Chennai, India. BMC public health, 15, 636.
  7. KR Bagul, SB Deshmukh, MK Bagul, PS Deshmukh - Psychiatric morbidity and marital quality among wives of patients with alcohol dependence syndrome - J Evid Based Med Healthc, 2015
  8. Rognmo, K., Torvik, F. A., Røysamb, E., & Tambs, K. (2013). Alcohol use and spousal mental distress in a population sample: the Nord-Trøndelag Health Study. BMC public health, 13, 319. https://doi.org/10.1186/1471-2458-13-319
  9. Tempier R, Boyer R, Lambert J, Mosier K, Duncan CR. Psychological distress among female spouses of male at risk drinkers. Alcohol. 2006; 40:41–49. doi: 10.1016/j.alcohol.2006.09.032. [PubMed] [CrossRef] [Google Scholar]
  10. Dawson DA, Grant BF, Chou SP. The impact of partner alcohol problems on women’s physical and mental health. J Stud Alcohol Drugs. 2007; 68:66–75.
  11. Regier DA, editors. Psychiatric disorders in America: The Epidemiologic Catchment Area Study. New York, NY: Free Press; 1991. pp. 81–115.
  12. Cranford J. A. (2014). DSM-IV alcohol dependence and marital dissolution: evidence from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of studies on alcohol and drugs, 75(3), 520–529.
  13. Ariyasinghe, D., Abeysinghe, R., Siriwardhana, P., & Dassanayake, T. (2015). Prevalence of major depressive disorder among spouses of men who use alcohol in a rural community in Central Sri Lanka. Alcohol and alcoholism (Oxford, Oxfordshire), 50(3), 328–332.
  14. Mohammad Khani P, Asgari A, Frouzan SA, Moumeni F, Delavar B. The expression of psychiatric symptoms among women with addicted husbands. Dev Psychol. 2010;6(23):237–45.
  15. Merikangas, K. R., Stevens, D., & Fenton, B. (1996). Comorbidity of Alcoholism and Anxiety Disorders: The Role of Family Studies. Alcohol health and research world, 20(2), 100–106.

Corresponding Author

Dr Aravindh. M

Postgraduate, Department of Psychiatry, Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram, Tamilnadu