An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder Males

Background: Alcohol is a commonly consumed substance that induces intoxication and can lead to dependence. Alcoholism is often referred to as a family disease due to its harmful impact on the lives of family members and its maximum impact is felt on spouses. Understanding the pivotal role spouses pl...

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Main Authors: Roshani K Patel, Pradip N Dalsaniya, Punit Patel, Mukesh K Patel
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2025-02-01
Series:Indian Journal of Private Psychiatry
Subjects:
Online Access:https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0186
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author Roshani K Patel
Pradip N Dalsaniya
Punit Patel
Mukesh K Patel
author_facet Roshani K Patel
Pradip N Dalsaniya
Punit Patel
Mukesh K Patel
author_sort Roshani K Patel
collection DOAJ
description Background: Alcohol is a commonly consumed substance that induces intoxication and can lead to dependence. Alcoholism is often referred to as a family disease due to its harmful impact on the lives of family members and its maximum impact is felt on spouses. Understanding the pivotal role spouses plays in alcohol treatment, there is thus a need to study domestic violence, marital satisfaction, and psychiatric morbidity in spouses of alcohol-dependent patients to understand and address such issues. Aims: This study aimed to assess domestic violence, marital satisfaction, and psychiatric morbidity in spouses of men with alcohol dependence syndrome and explore the association. Materials and methods: A total of 105 spouses of men with alcohol dependence syndrome were evaluated. Severity of alcohol dependence was assessed using severity of alcohol dependence questionnaire (SADQ), marital satisfaction in spouses was assessed using the MAT, domestic violence was assessed using domestic violence questionnaire, mini-international neuropsychiatric interview (MINI) was used to screen for the possible presence of psychiatric morbidity among spouses. Depression and anxiety severity was assessed using Hamilton Rating Scale for Depression (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A). Results: Out of 105 cases, we found that the mean age of spouse was 22.29. Majority of patients had severe alcohol dependence (46.7%) based on SADQ score. Severe level of domestic violence was present in (28.6%) of spouses. Most of the spouses (50.5%) had a lower level of marital satisfaction and (82.86%) spouses had a psychiatric disorder. Primarily depression and anxiety disorder were present. Domestic violence, marital dissatisfaction, and severity of depression and anxiety in spouses were significantly associated with alcohol dependence. Conclusion: Spouses of alcoholic husbands suffer from high levels of domestic violence, with marital satisfaction being low and psychiatric morbidity in spouses of alcohol-dependent men are high. Addressing these issues will be beneficial as spouses are known to play an important role in the treatment of alcohol dependence syndrome.
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spelling doaj-art-2c5f311d762a43da997ac21417d02ff22025-08-20T02:08:31ZengJaypee Brothers Medical PublisherIndian Journal of Private Psychiatry2319-53632583-40102025-02-0119161010.5005/jp-journals-10067-01863An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder MalesRoshani K Patel0Pradip N Dalsaniya1Punit Patel2Mukesh K Patel3Roshani K Patel, Department of Psychiatry, Pacific Institute of Medical Science, Udaipur, Rajasthan, India, Phone: +91 9664779418Department of Psychiatry, PDU Medical College, Rajkot, Gujarat, IndiaDepartment of Psychiatry, Banas Medical College & Research Institute, Palanpur, Gujarat, IndiaDepartment of Psychiatry, PDU Medical College, Rajkot, Gujarat, IndiaBackground: Alcohol is a commonly consumed substance that induces intoxication and can lead to dependence. Alcoholism is often referred to as a family disease due to its harmful impact on the lives of family members and its maximum impact is felt on spouses. Understanding the pivotal role spouses plays in alcohol treatment, there is thus a need to study domestic violence, marital satisfaction, and psychiatric morbidity in spouses of alcohol-dependent patients to understand and address such issues. Aims: This study aimed to assess domestic violence, marital satisfaction, and psychiatric morbidity in spouses of men with alcohol dependence syndrome and explore the association. Materials and methods: A total of 105 spouses of men with alcohol dependence syndrome were evaluated. Severity of alcohol dependence was assessed using severity of alcohol dependence questionnaire (SADQ), marital satisfaction in spouses was assessed using the MAT, domestic violence was assessed using domestic violence questionnaire, mini-international neuropsychiatric interview (MINI) was used to screen for the possible presence of psychiatric morbidity among spouses. Depression and anxiety severity was assessed using Hamilton Rating Scale for Depression (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A). Results: Out of 105 cases, we found that the mean age of spouse was 22.29. Majority of patients had severe alcohol dependence (46.7%) based on SADQ score. Severe level of domestic violence was present in (28.6%) of spouses. Most of the spouses (50.5%) had a lower level of marital satisfaction and (82.86%) spouses had a psychiatric disorder. Primarily depression and anxiety disorder were present. Domestic violence, marital dissatisfaction, and severity of depression and anxiety in spouses were significantly associated with alcohol dependence. Conclusion: Spouses of alcoholic husbands suffer from high levels of domestic violence, with marital satisfaction being low and psychiatric morbidity in spouses of alcohol-dependent men are high. Addressing these issues will be beneficial as spouses are known to play an important role in the treatment of alcohol dependence syndrome.https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0186domestic violencemarital satisfactionpsychiatric morbidityspousessubstance dependence
spellingShingle Roshani K Patel
Pradip N Dalsaniya
Punit Patel
Mukesh K Patel
An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder Males
Indian Journal of Private Psychiatry
domestic violence
marital satisfaction
psychiatric morbidity
spouses
substance dependence
title An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder Males
title_full An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder Males
title_fullStr An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder Males
title_full_unstemmed An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder Males
title_short An Observational Study on Domestic Violence, Marital Satisfaction, and Psychiatric Morbidities in Wives of Alcohol Use Disorder Males
title_sort observational study on domestic violence marital satisfaction and psychiatric morbidities in wives of alcohol use disorder males
topic domestic violence
marital satisfaction
psychiatric morbidity
spouses
substance dependence
url https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0186
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