Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital

Vijunath Thilakan; Krishnan  Sivasubramoney; Mili Babu

doi:10.30834/KJP.34.1.2021.238

Authors

Vijunath Thilakan Assistant Professor of Psychiatry, Sree Narayana Institute of Medical Sciences, Ernakulam, Kerala, India
Krishnan Sivasubramoney Professor of Psychiatry, Government Medical College, Alappuzha, Kerala, India
Mili Babu Assistant Professor of Psychiatry ,Government Medical College, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.30834/KJP.34.1.2021.238

Keywords:

Major Depressive Disorder, Alcohol Use Disorder, wives

Abstract

Background: Alcohol Use Disorder is highly prevalent in India. Alcohol acts as a continuous stressor, with several stressfull consequences on the wife. Literature suggests an association between alcohol use in the husband and depression in the wife. Objectives: The primary objective was to assess the prevalence of Major Depressive Disorder(MDD) among wives of men with Alcohol Use Disorder attending the Psychiatry Department in a tertiary care centre. The secondary objective was to assess the association of various sociodemographic and clinical variables with depressive disorder in the wives. Methods: A cross-sectional study was done on wives of men diagnosed with Alcohol Use Disorder while attending the outpatient clinic or inpatient treatment at the Psychiatry Department. Consecutive sampling was done till the calculated sample size of 133 was reached. PHQ 9 was administered to the wives to assess Depressive Disorder with a cutoff score of 10. Statistical analysis was done using the Chi-square test. Odds Ratio and confidence intervals were calculated to determine the strength of associations. Results: Prevalence of Major Depressive Disorder in the study population was found to be 27.8%. A significant association was found between the severity of Alcohol Use Disorder and depression in wives (OR=4.01,95%CI=1.4411.22, p<0.01). Morning drinking among husbands was significantly associated with depression in wives(OR=4.32,95%CI=1.32-19.56, p=0.04). Conclusion: Prevalence of Major Depressive Disorder among wives of men with Alcohol Use Disorder was high. Depressive disorder in wives significantly correlated with the severity of Alcohol Use Disorder and the husbands' morning drinking. Hence wives of men with Alcohol Use Disorder should be routinely screened for depression, and necessary interventions should be given promptly.

References

Das SK, Balakrishnan V, Vasudevan DM. Alcohol: its health and social impact in India. Natl Med J India. 2006 Mar-Apr;19(2):94-9. PMID: 16756199

Ambekar A, Agrawal A, Rao R, Mishra AK, Khandelwal SK. Magnitude of Substance Use in India. New Delhi: Ministry of Social Justice and Empowerment, Government of India; 2019. on Behalf of the Group of Investigators for the National Survey on Extent and Pattern of Substance Use in India.

Bhullar, D. S., Singh, S. P., Thind, A. S., Aggarwal, K. K., & Goyal, A. (2013). Alcohol Drinking Patterns: A 4. Sample Study. J Indian Acad Forensic Med [serial online] Mar, 35(1), 0971-097.

K Vidhukumar, E Nazeer, P Anil . Prevalence and pattern of alcohol use in Kerala – A district based survey International Journal of Recent Trends in Science and Technology. March 2016; 18(2): 363-367

World Health Organisation. Global status report on alcohol and health 2014. 2014; 1–392.

International Institute for Population Sciences (IIPS) and Macro International. 2008. National Family Health Survey (NFHS-3), India 2005-06: Kerala. Mumbai: IIPS.

Dawson DA, Grant BF, Chou SP, Stinson FS. The impact of partner alcohol problems on women's physical and mental health. J Stud Alcohol Drugs. 2007 Jan;68(1):66-75

Kogan KL, Jackson JK. Stress, personality and emotional disturbance in wives of alcoholics. Q J Stud Alcohol. 1965 Sep;26(3):486-95. PMID: 5858253.

Bagul KR, Deshmukh SB, Bagul MK, Deshmukh PS. Psychiatric morbidity and marital quality among wives of patients with alcohol dependence syndrome. J Evid Based Med Healthc. 2015;2:3284–95

Padmavathi, P, Jemila, I., Devi, J., Maragatham, M., Suganya, S., & Prakash, V. Co-Dependency and Depressive Symptoms among Wives of Alcoholics Selected in Hospital, Erode. Int. J. Adv. Nur. Management 2(3): July-Sept.,2014; 143-6.

Nayak MB, Patel V, Bond JC, Greenfield TK. Partner alcohol use, violence and women's mental health: Population-based survey in India. Br J Psychiatry. 2010; 196: 192-199.

Ariyasinghe D, Abeysinghe R, Siriwardhana P, Dassanayake T. Prevalence of major depressive disorder among spouses of men who use alcohol in a rural community in Central Sri Lanka. Alcohol Alcohol. 2015;50(3):328-332.

Kishor M, Pandit LV, Raguram R. (2013) Psychiatric morbidity and marital satisfaction among spouses of men with alcohol dependence. Indian J Psychiatry 55:360–5.

Ghosh P, Victor R, Das H, Sharma S. Psychiatric morbidity and marital satisfaction: an empirical study on spouse of alcohol dependent cases in Barak valley, North-East India. Int J Res Med Sci 2017;5:1600-6.10

Archana, P.S.; Das, S.; Philip, S.; Philip, R.R.; Joseph, J.; Punnoose,et al. Prevalence of depression among middle aged women in the rural area of Kerala. Asian J. Psychiatry 2017, 29, 154–159.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013

Gilbody S, Richards D, Brealey S, Hewitt C: Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med. 2007, 22: 1596-1602.

Poongothai S, Pradeepa R, Ganesan A, Mohan V. Reliability and validity of a modified PHQ-9 item inventory (PHQ-12) as a screening instrument for assessing depression in Asian Indians (CURES-65). J Assoc Physicians India. 2009 Feb;57:147-52. PMID: 19582982.

Campbell JC, KuB J, Belknap RA, Templin TN. Predictors of Depression in Battered Women. Violence Against Women. 1997; 3(3):271-293.