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

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 th...

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Main Authors: Vijunath Thilakan, Krishnan Sivasubramoney, Mili Babu
Format: Article
Language:English
Published: Indian Psychiatric Society (Kerala State Branch 2021-04-01
Series:Kerala Journal of Psychiatry
Subjects:
Online Access:https://kjponline.com/index.php/kjp/article/view/238
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author Vijunath Thilakan
Krishnan Sivasubramoney
Mili Babu
author_facet Vijunath Thilakan
Krishnan Sivasubramoney
Mili Babu
author_sort Vijunath Thilakan
collection DOAJ
description 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.
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spelling doaj.art-6af7f3ec836c4c04a3a7ec8bda6198652022-12-21T22:48:32ZengIndian Psychiatric Society (Kerala State BranchKerala Journal of Psychiatry0377-06992395-14862021-04-0110.30834/KJP.34.1.2021.238193Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospitalVijunath Thilakan0Krishnan Sivasubramoney1Mili Babu2Assistant Professor of Psychiatry, Sree Narayana Institute of Medical Sciences, Ernakulam, Kerala, IndiaProfessor of Psychiatry, Government Medical College, Alappuzha, Kerala, IndiaAssistant Professor of Psychiatry ,Government Medical College, Thiruvananthapuram, Kerala, IndiaBackground: 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.https://kjponline.com/index.php/kjp/article/view/238major depressive disorder, alcohol use disorder, wives
spellingShingle Vijunath Thilakan
Krishnan Sivasubramoney
Mili Babu
Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital
Kerala Journal of Psychiatry
major depressive disorder, alcohol use disorder, wives
title Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital
title_full Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital
title_fullStr Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital
title_full_unstemmed Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital
title_short Prevalence of major depressive disorder among wives of men with alcohol use disorder-a cross-sectional study from a tertiary care hospital
title_sort prevalence of major depressive disorder among wives of men with alcohol use disorder a cross sectional study from a tertiary care hospital
topic major depressive disorder, alcohol use disorder, wives
url https://kjponline.com/index.php/kjp/article/view/238
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