A comparative analysis of burden of care and coping styles between wives of monosubstance- and polysubstance-dependent men

Poornima Khadanga, Gomati Nadadgalli, Gaurav Pawar
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Abstract

Polysubstance dependence has emerged as a clinically distinct entity from monosubstance dependence, yet its impact on patients’ wives is understudied. Wives of substance-dependent men face a tremendous burden in their social lives, leading to faulty coping and burden of care. Comparative studies between monosubstances and polysubstances are lacking. This study compared the burden of care and coping styles between wives of monosubstance- and polysubstance-dependent men. A comparative analysis was performed between wives of 70 monosubstance-dependent and 70 polysubstance-dependent patients. The burden of care was assessed by the Burden Assessment Schedule (BAS), whereas coping styles were assessed using the Brief Coping Orientation to Problems Experienced (Brief COPE) Inventory. Both groups faced a moderate burden of care, which was significantly higher in wives of polysubstance abusers as compared to monosubstance abusers (U = 366.50, P < 0.01). The difference was mainly seen in their impact on well-being and relationships with others. Avoidant coping was significantly higher in wives of polysubstance abusers (U = 341.00, P < 0.01), whereas emotion-focused and problem-solving coping styles were equally represented. Avoidant and problem-solving coping styles positively correlated with the burden of care (P < 0.01). The burden of care and avoidant coping strategies are higher in wives of polysubstance-dependent men. An increased burden of care is associated with increased use of both avoidant coping and problem-solving coping.
单一药物依赖男性和多重药物依赖男性妻子的护理负担和应对方式比较分析
多重物质依赖在临床上已与单一物质依赖截然不同,但其对患者妻子的影响却未得到充分研究。药物依赖男性的妻子在社交生活中面临着巨大的负担,从而导致应对失误和护理负担。目前还缺乏对单一物质和多种物质的比较研究。 本研究比较了单一药物依赖男性和多重药物依赖男性妻子的护理负担和应对方式。 对 70 名单一药物依赖患者和 70 名多重药物依赖患者的妻子进行了比较分析。护理负担通过负担评估表(BAS)进行评估,而应对方式则通过简明问题应对取向(简明 COPE)量表进行评估。 两组患者都面临中等程度的护理负担,与单一药物滥用者相比,多重药物滥用者妻子的护理负担明显更高(U = 366.50,P < 0.01)。这种差异主要体现在对幸福感和与他人关系的影响上。在多重药物滥用者的妻子中,回避型应对方式的比例明显较高(U = 341.00,P < 0.01),而情感型应对方式和问题解决型应对方式的比例相当。回避型和问题解决型应对方式与护理负担呈正相关(P < 0.01)。 多重药物依赖男性的妻子护理负担和回避型应对策略较重。护理负担的增加与回避型应对方式和问题解决型应对方式的使用增加有关。
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46
审稿时长
39 weeks
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