Intimate partner violence and its association with common mental disorders among spouses of men with alcohol dependence syndrome attending tertiary care hospital

Deepthi Vijay  Hudge; Aneesh S  Bhat; Anish V Cherian; Satheesh  Rao; Francis N P  Monteiro

doi:10.30834/KJP.35.1.2022.299

Authors

Deepthi Vijay Hudge Assistant Professor, Department of Psychiatry, A J Institute of Medical Science & Research Centre (Affiliated to Rajiv Gandhi University of Health Sciences), Mangalore, Karnataka, India.
Aneesh S Bhat Professor and Head, Department of Psychiatry, MIMER Medical College, Talegaon Dhabade, Pune, India.
Anish V Cherian Associate Professor, Department of Psychiatric Social Work, NIMHANS, Bangalore, Karnataka, India.
Satheesh Rao Professor, Department of Psychiatry, K S Hegde Medical Academy, Mangalore, Karnataka, India.
Francis N P Monteiro Professor & Head, Department of Forensic Medicine & Toxicology, A. J. Institute of Medical Sciences & Research Centre ( Affiliated to Rajiv Gandhi University of Health Sciences), Mangalore, Karnataka, India.

DOI:

https://doi.org/10.30834/KJP.35.1.2022.299

Keywords:

Intimate Partner Violence, Common Mental Disorders, Alcohol Dependence Syndrome, Spouses

Abstract

Background: Intimate Partner Violence (IPV) among spouses have been associated with increased common mental disorders (CMDs) and poor quality of life in women. But this relationship has not received adequate research attention. Aim: To study the prevalence of IPV and CMDs and their interrelationship among spouses of people with ADS. Methods: A cross-sectional study was done on 65 spouses (participants) of people with ADS admitted to the inpatient de-addiction services. The participants were administered with Demographic and Health Survey Tool, Domestic Violence Module (DVM) to assess the IPV. Alcohol Use Disorder Identification Test (AUDIT) was applied to note the pattern of alcoholism. Participants were administered with Self Reporting Questionnaire-20 (SRQ-20). Those who had a score of 6 and above on the SRQ-20 were administered with specific modules of MINI. International Neuropsychiatric Interview PLUS to obtain a specific diagnosis of CMD. Results: IPV was present either in the form of emotional, physical or sexual violence (84.6%). Physical (72.3%) and emotional violence (66.2%) was noted to be the most commonly experienced violence, followed by sexual violence (30.8%). On backwards linear regression analysis, emotional violence was found to be a significant predictor variable for CMDs (p <0.05), and the Chi-square test showed a significant association of CMDs with emotional violence ( p = 0.009 ). Conclusion: The results emphasize the need to develop and integrate psycho-social interventions in the routine de-addiction programmes, focusing on the mental well-being of spouses of people with ADS. Conventionally, de-addiction programmes focus more on the patient, and less emphasis is given to the mental health needs of the spouses. This study highlights that CMDs and IPVs are prevalent in spouses of patients with ADS. Hence, such interventions can aid in the early diagnosis and management of CMDs.

References

Goldberg D, Huxley P. Common Mental Disorders: A Biosocial Model. London: Tavistock/Routledge; 1992.

Shidhaye R, Patel V. Association of socio-economic, gender and health factors with common mental disorders in women: a population-based study of 5703 married rural women in India. Int J Epidemiol. 2010;39(6):1510-21.

Patel V, Araya R, de Lima M, Ludermir A, Todd C. Women, poverty and common mental disorders in four restructuring societies. Soc Sci Med. 1999;49(11):1461-71.

Dillon G, Hussain R, Loxton D, Rahman S. Mental and Physical Health and Intimate Partner Violence against Women: A Review of the Literature. Int J Family Med. 2013;2013:313909.

Cerulli C, Cerulli J, Santos EJ, Lu N, He H, Kaukeinen K, et al. Does the health status of intimate partner violence victims warrant pharmacies as portals for public health promotion? J Am Pharm Assoc (2003). 2010;50(2):200-6.

health Ws, development. Violence Against Women: A Priority Health Issue: WHO; 1997.

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(3):192-9.

Kumar S, Jeyaseelan L, Suresh S, Ahuja RC. Domestic violence and its mental health correlates in Indian women. Br J Psychiatry. 2005;187:62-7.

Peterman, Amber & Bleck, Jennifer & Palermo, Tia. (2015). Age and Intimate Partner Violence: An Analysis of Global Trends Among Women Experiencing Victimization in 30 Developing Countries. Journal of Adolescent Health. 57. 624-630. 10.1016/j.jadohealth.2015.08.008.

Weich S LG, Jenkins SP. . Income inequality and the prevalence of common mental disorders in Britain. Br J Psychiatry J Ment Sci. 2001 Mar(178):222–7.

Kishor M PL, Raguram R. Psychiatric morbidity and marital satisfaction among spouses of men with alcohol dependence. Indian Journal of Psychiatry. 2013;55((4)):360-5.

Pothen M, Kuruvilla A, Philip K, Joseph A, Jacob KS. Common mental disorders among primary care attenders in Vellore, South India: nature, prevalence and risk factors. Int J Soc Psychiatry. 2003;49(2):119-25.

Malhotra S, Shah R. Women and mental health in India: An overview. Indian J Psychiatry. 2015;57(Suppl 2):S205-11.

Patel V KB, Pednekar S. Gender disadvantage and reproductive health risk factors for common mental disorder in women: a community survey in India. Archives of General Psychiatry. 2006;63:404-13.

Radhakrishnan R, Andrade C. Suicide: An Indian perspective. Indian J Psychiatry. 2012;54(4):304-19.

Meekers D, Pallin SC, Hutchinson P. Intimate partner violence and mental health in Bolivia. BMC Womens Health. 2013;13:28.

Jayasuriya V, Wijewardena K, Axemo P. Intimate partner violence against women in the capital province of Sri Lanka: prevalence, risk factors, and help seeking. Violence Against Women. 2011;17(8):1086-102.

Gilchrist G, Hegarty K, Chondros P, Herrman H, Gunn J. The association between intimate partner violence, alcohol and depression in family practice. BMC Fam Pract. 2010;11:72.

Ludermir AB, Valongueiro S, Araujo TV. Common mental disorders and intimate partner violence in pregnancy. Rev Saude Publica. 2014;48(1):29-35.