Koneru Kavya Sri Senior Resident, Department of Psychiatry, Mamata Academy of Medical Sciences, Hyderabad 500090, Telangana, India
Sridhar Reddy N Resident, Department of Psychiatry, Mamata medical College, Khammam 507002, Andhra Pradesh, India
Pramod Kumar Reddy Mallepally HOD, Department of Psychiatry, Mamata medical College, Khammam 507002, Andhra Pradesh, India
Address for correspondence: Koneru Kavya Sri, Senior Resident, Department of Psychiatry, Mamata Academy of Medical Sciences, Hyderabad 500090, Telangana, India E-mail: drkoneukavyasri@gmail.com
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RFP Indian Journal of Medical Psychiatry
5(2):p 103-110, July-December 2022. | DOI: n.a
How Cite This Article:
Sridhar Reddy N, Koneru Kavya Sri, Pramod Kumar Reddy Mallepally/A Study on Effects of Drug Addiction on Families in Telangana/RFP Indian Journal of Medical Psychiatry. 2022;5(2):103–110.
Timeline
Received : July 08, 2022
Accepted : August 23, 2022
Published : December 25, 2022
Abstract
Background & objectives: A member of the family who is addicted to substances has an impact on practically every element of family life. This results in issues, challenges, or unfortunate incidents that affect the lives of family members and put a tremendous burden on family caregivers. The purpose of the current study was to evaluate the pattern of stress experienced by the family caregivers of alcohol and drug dependent individuals. A member of the family who is addicted to substances has an impact on practically every element of family life. This results in issues, challenges, or unfortunate incidents that affect the lives of family members and put a tremendous burden on family caregivers. The purpose of the current study was to evaluate the pattern of stress experienced by the family caregivers of alcohol and drug dependent
individuals. Methods: ICD 10 diagnosed substance dependency patients and their family caregivers attending a deaddiction centre at a multispecialty teaching hospital in south India were the focus of a cross-sectional study. The pattern of hardship experienced by the family caregivers of 120 men with alcohol and/or opioid dependency was evaluated using the Family Burden Interview Schedule. Results: In comparison to the opioid and alcohol+opioid dependence groups, the alcohol dependency group was more commonly older, married, working at the time, earning more money, and having the wife care for the child. Family strain was moderate or severe in 95 to 100% of instances for "disruption of family
routine," "financial stress," "disruption of family contacts," and "disruption of family leisure" in all three groups. Family burden was associated with low income and rural areas. The size of the family, the type of caregiver, as well as the caregiver's education and occupation, were not associated to it, nor were the patients' age, education, or period of dependency.
Interpretation & conclusions: The majority of caregivers (95-100%) expressed a moderate or severe burden, highlighting the severity of the situation and the necessity for additional research in this area.
References
1. Avasthi A. Preserve and strengthen family to promote mental health. Indian J Psychiatry. 2010;52:113–26.
2. Family caregiver. Medical Condition Dictionary. 2010-2011. [accessed on August 16, 2011]. Available from: http://medconditions.net/familycaregiver.html.
3. Caregiving in the U.S. (2009) [accessed on August 16, 2011]. Available from: http://www.caregiving. org/.../Caregiving _in_the_US_2009_full_report.pdf.
4. Platt S. Measuring the burden of psychiatric illness on the family: an evaluation of some rating scales. Psychol Med. 1985;15:383–94.
5. Steinglass P. The alcoholic family at home: Patterns of interaction in Dry, Wet, and Transitional Stages of Alcoholism. Arch Gen Psychiatry. 1981;38:578–84.
6. O’Farrell TJ, Fals-Stewart W. Treatment models and methods: Family models. In: McCrady BS, Epstein EE, editors. Addictions: A comprehensive guidebook. New York: Oxford University Press; 1999. pp. 287–305.
7. Rosemary A, Webester MH. Peer and parental influences on adolescent's substance use: a path analysis. Int J Addiction. 1994;29:647–57.
8. Bush M, Caronna FB, Spratt SE. Substance abuse and family dynamics. In: Friedman L, Fleming NF, Roberts DH, Hyman, editors. Source book of substance abuse and addiction. Baltimore: Williams and Wilkins; 1996. pp. 57–71.
9. Lennox RD, Scott-Lennox JA, Holder HD. Substance abuse and family illness: Evidence from health care utilization and cost-offset research. J Behav Health Serv Res. 1992;19:83–95.
10. Holder HD. The cost offsets of alcoholism treatment. In: Galanter M, editor. Recent developments in alcoholism. New York: Plenum Press; 1998. pp. 361–74.
11. Connors GJ, Donovan DM, DiClemente CC. New York: Guilford Press; 2001. Substance abuse treatment and the stages of change: selecting and planning interventions.
12. Bhowmick P, Tripathi BM, Jhingan HP, Pandey RM. Social support, coping resources and codependence in spouses of individuals with alcohol and drug dependence. Indian J Psychiatry. 2001;43:219–24.
13. Ray GT, Mertens JR, Weisner C. The excess medical cost and health problems of family members diagnosed with alcohol or drug problems. Medical Care. 2007;45:116–22.
14. Chandra K. Chandigarh, India: Postgraduate Institute of Medical Education & Research; 2004. Burden and coping in caregivers of men with alcohol and opioid dependence, MD dissertation.
15. Pai S, Kapur KL. The burden on the family of a psychiatric patient: development of an assessment scale. Br J Psychiatry. 1981;138:332–5.
16. Shyangwa PM, Tripathi BM, Lal R. Family burden in opioid dependence syndrome in tertiary care centre. J Nepal Med Assoc. 2008;47:113–9.
17. Lamichhane N, Shyangwa PM, Shakya R. Family burden in substance dependence syndrome. [accessed on October 21, 2011]. Available from:http://www.thikthak.com/websites/gmc/journal.
18. Ray R. New Delhi: Ministery of Social Justice and Empowerment, Government of India and United Nations Office on Drugs and Crime, Regional office for South Asia; 2004. The extent, pattern and trends of drug abuse in India: National survey.
19. Chakraborti S, Kulhara P, Verma SK. Extent and determinants of burden among families of patients with affective disorders. Acta Psychiatr Scand. 1992;86:247–52.
20. Chakraborti S, Kulhara P, Verma SK. Family burden of neurosis: extent & determinants. Hong Kong J Psychiatry. 1996;6:23–8.
21. Gautam S, Nijhawan M. Burden on families of schizophrenia and chronic lung disease patients. Indian J Psychiatry. 1984;26:156–9.
22. Gupta M, Giridhar C, Kulhara P. Burden of care of neurotic patients: correlates and coping strategies in relatives. Indian J Soc Psychiatry. 1991;7:8–21.
23. Geneva: WHO; 1992. WHO. The ICD-10 classifcation of mental and behavioral disorders: Guidelines.
24. Bhushan V, Sachdev DR. The family. In: Bhushan V, Sachdev DR, editors. Introduction to sociology. 26th ed. Allahbad: Kitabmahal Publishers; 2006. pp. 291–322.
25. New Delhi, India: Ministry of Health and Family Welfare; 1982. National Mental Health Programme for India.
26. Scazufca M, Kuipers E. Stability of expressed emotion in relatives of those with schizophrenia and its relationship with burden of care and perception of patients’ social functioning. Psychol Med. 1998;28:453–61.
27. Mattoo SK, Chakraborti S, Anjaiah M. Psychosocial factors associated with relapse in men with alcohol or opioid dependence. Indian J Med Res. 2009;130:702–8.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Sridhar Reddy N, Koneru Kavya Sri, Pramod Kumar Reddy Mallepally/A Study on Effects of Drug Addiction on Families in Telangana/RFP Indian Journal of Medical Psychiatry. 2022;5(2):103–110.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.