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- W1556556931 abstract "Introduction Alcohol dependence, a common psychiatric disorder in the general population, has a significant impact on public health. In recent years, alcohol dependence has become a major social and personal menace in most societies. According to the World Health Organization (WHO), (1) alcohol use disorders accounted for 1.4% of the global disease burden. Globally, alcohol consumption causes 3.2% of deaths (1.8 million) and 4.0% of the disability-adjusted life years lost (58.3 million) 2 The WHO also stated that there are causal relationships between alcohol consumption and more than 60 types of disease and injury. (2) Along with the costs incurred by alcohol-related illnesses, alcohol dependence contributes substantially to social, financial, and legal problems. Both pathological and chronic alcohol dependence are directly linked to markedly impaired family interactions, and other serious problems like domestic violence and spousal abuse. (3-5) Chronic alcohol dependence is associated with interpersonal violence and worsening patterns of interaction. Certain behaviours, such as aggression and impulsivity, are common in people with chronic alcoholic dependence. (4-6) Thus, understanding the characteristics of the drinker and the relationship between alcohol dependence and its negative consequences may help to clarify the development and prevention of alcohol-related problems. Some people are more likely than others to experience the consequences of alcohol use. These tend to be associated with being male (7-9); having high perceived stress and anxiety; dissatisfaction with, and poor quality of, life; lack of social support; economic strains; and chronic stress. (10,11) In a study done by Frankenstein et al, (12) spouses of alcohol-dependent individuals were found to have better problem-solving abilities when the husbands were drinking than when they were not drinking alcohol. Alcohol increased the positive interactions between spouses and alcoholic individuals. In another study, which compared 8 alcoholic and 8 non-alcoholic couples, the alcoholic couples had more negative interaction (hostility, blame, criticism) during the drinking period than the non-drinking period. (13) Alcohol has been consumed in India since antiquity. Many mythological texts portray alcoholic beverage drinking by the people of ancient India. The Indian alcohol-drinking pattern has changed dramatically over time. Previously, alcohol use was occasional and had ritualistic connotations; people usually used it during major social events only. But today, the common purpose of consuming alcohol is to get drunk. (14) In India, over 20% of all disability-adjusted life years are lost chiefly because of factors like 'poor health status of the people' and 'marked nutritional deficiencies', as well as 'high prevalence of alcohol addiction among the people'. (15) In northern India, the 1-year prevalence of alcohol use has been estimated as 25 to 40% in the general population, whereas in southern India this rate has been estimated as 30 to 50%. In southern India, the prevalence of alcohol use is higher among people of lower socio-economic status and those who have lower levels of education. (15,16) A large-scale survey over 32,000 people performed in 2001 found alcohol use rates of 20 to 38% in males and 10% among females. (14) There is a paucity of literature investigating the relationship between family interactions and alcohol dependence. The present study was carried out to examine the family interaction patterns in Indian families with alcohol-dependent persons. Methods Design This was a cross-sectional study examining differences between the interactions of the wives of clinically diagnosed alcohol-dependent men and wives of men with no known psychiatric morbidity and substance dependence, including alcohol dependence. The study was carried out among spouses of patients who came to the 'De addiction Centre' of the Central Institute of Psychiatry, a government-owned psychiatric hospital situated in the Ranchi district of Jharkhand State in India. …" @default.
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- W1556556931 date "2009-09-01" @default.
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- W1556556931 title "Interaction Patterns in Indian Families with Alcohol-Dependent Persons" @default.
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