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Development of Cognitive Based Acceptance Program (CAP) for Wives of Alcoholics : A Pilot Study


Affiliations
1 The Graduate School, University of Santo Tomas Manila, Philippines
2 The Graduate School, University of Santo Tomas, Manila, Philippines
     

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Alcohol addiction is a family ailment that strains the family to that extreme point of family break up and affects negatively the growth of family life. It also affects negatively psychological and physical health. It destabilizes family income, oneness among the family members and the family dynamics. Women are worried and affected by their partner's drinking. The negative effect of alcohol destroys the wives of alcoholics, as it to the alcohol addicts. Various stressful experiences due to partner's alcoholism are reflected in the form of psychological problems especially the depressive symptoms among wives of alcoholics. The negative emotional state and thought patterns force them to perceive the life experience as more stressful. This makes a marked effect on their physical, psychological, marital and social life. Recognizing the need to help the wives of alcoholics who have the perceived stress and depressive symptoms, the researcher developed Cognitive based Acceptance Program (CAP) integrating Transactional Cognitive appraisal theory, Stress buffering model and Acceptance and Commitment Therapy (ACT) model. The program was evaluated by six inter-disciplinary experts. After words, a feasibility test was conducted with ten wives of alcoholics who have high perceived stress and moderate depressive symptoms. The intervention was positively accepted by the wives of alcoholics and the results of the pilot study revealed a significant decrease in perceived stress and depressive symptoms among the participants.

Keywords

Wives of Alcoholics, Perceived Stress, Depressive Symptoms, CAP.
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  • Bincy, R., Maheshkumar, K., Anil, K., & Indira, K. (2016). Assessment of psychological stress among female police personnel in Kerala. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 15(10), 64-66.
  • Birchler, G. (2006). Problem behavior and psychosocial development: A longitudinal study of spouses. New York, Academic Press.
  • Brinkborg, H., Michanek, J., Hesser, H., & Berglund, G. (2011). Acceptance and commitment therapy for the treatment of stress among social workers: A randomized controlled trial. Behaviour Research and Therapy, 49(6-7), 389-398.
  • Bhowmick, P., Tripathi, B.M., Jhingan, H.P., & Pandey, R.M. (2001). Social support, coping resources and co-dependence in spouses of individuals with alcohol and drug dependence. Indian Journal of Psychiatry, 43, 219-224.
  • Chang, P.J., Wu, L.Y., Chen, Y.C., Chuang, C.H., Hsieh, W.S., Lin, S.J., & Chen, P.C. (2010). Women's perceptions of their husband's drinking behavior as a risk factor of their health-related quality of life in the postpartum period. Springer Science +Business Media, Quality of Life Research, 19, 47-53.
  • Cohen, S., & Wills, T. B. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.
  • Cohen, S., Janicki-Deverts, D., & Miller, G. E. (2007). Psychological stress and disease. JAMA: Journal of the American Medical Association, 298(14), 1685-1687.
  • Dawson, D.A., Grant, B.F., Chou, S.P., & Stinson, F.S. (2007). The impact of partner alcohol problems on women's physical and mental health. Journal of Studies on Alcohol and Drugs, 68, 66-75.
  • Divyabala, S., & Srinivasan, P. ( 2016). The effectiveness of guided imagery on stress among spouse of alcoholics. International Journal of Applied Research, 2(8), 565-567.
  • Floyd, F. J., Cranford, J. A., Daugherty, M. K., Fitzgerald, H. E., & Zucker, R. A. (2006). Marital interaction in alcoholic and nonalcoholic couples: Alcoholic subtype variations and wives' alcoholism status. Journal of Abnormal Psychology, 115(1), 121-130.
  • Hayes, S., & Spencer, S. (2005) Get out of your mind and into your life: The new acceptance and commitment therapy. Oakland: New Harbinger Publications, Inc.
  • Homish, G.G., Leonard, K.E., & Kearns-Bodkin, J.N. (2006). Alcohol use, alcohol problems, and depressive symptomatology among newly married couples. Drug and Alcohol Dependence, 83, 185-192.
  • Homish, G.G., & Leonard, K.E. (2007). The drinking partnership and marital satisfaction: The longitudinal influence of discrepant drinking. Journal of Consulting and and Clinical Psychology, 75, 43-51.
  • Homish, G. G., Leonard, K. E., & Kearns-Bodkin, J. N. (2006). Alcohol use, alcohol problems, and depressive symptomatology among newly married couples. Drug and Alcohol Dependence, 83(3), 185-192.
  • Johnson, P. R., Britto, C., Sudevan, K. J., Bosco, A., Sreedaran, P., & Ashok, M. V. (2018). Resilience in wives of persons with alcoholism: An Indian exploration. Indian Journal of Psychiatry, 60(1), 84-89. doi:10.4103/psychiatry.
  • Kaur , D., & Ajinkya, S. (2014). Psychological impact of adult alcoholism on spouses and children. Medical Journal of Dr. DY Patil University, 7, 124.
  • Krug, E., Dahlberg, L.L., & Mercy, J.A. (2002). Violence by intimate partners. World Report on Violence and Health, World Health Organization.
  • Kishor , M., Pandit, L.V., & Raguram, R. ( 2013). Psychiatric morbidity and marital satisfaction among spouses of men with alcohol dependence. Indian Journal of Psychiatry , 55(4), 360-365.
  • Lazarus, R. S., & Folkman, S. (1984). Stress, coping and adaptation. New York: Springer.
  • Leonard, K. E., & Jacob, T. (1997). Sequential interactions among episodic and steady alcoholics and their wives. Psychology of Addictive Behaviors, 11(1), 18-25.
  • Lewis, J. (2016). Women coping with alcoholic husbands. International Journal of Informative and Futuristic Research, 3(7/105), 2708-2722.
  • Lovibond, P., & Lovibond, S. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343
  • Mateo, I. (2014). Stress depression and college females. PhiKappa Phi Research Symposium., https://digitalcommons.georgiasouthern.edu/cgi/viewcontent.
  • Meredith, W. (2019). Alcoholism and family/marital problems. Retrieved from https://americanaddictioncenters.org/alcoholism-treatment/family-marital problems
  • Mudar, P., Kearns, J. N., & Leonard, K. E. (2002). The transition to marriage and changes in alcohol involvement among black couples and white couples. Journal of Studies on Alcohol, 63, 568-576.
  • Neetu, C. (2018). Alcohol consumption in India doubled in 11 years: WHO report. Retrieved from, https://www.livemint.com Naik, N.S. (2014). stress level among wives of alcoholics. Sinhgad e-Journal of Nursing, 4, Issue 1.
  • Nagesh, V. A. (2015). Stress and coping among the wives of alcoholics admitted in selected de-addiction centers. Asian Journal of Nursing Education and Research, 5(3), 373-380.
  • O'Farrel, T.J., Murphy, C.M., & Hutton, W. (2000). Verbal aggression among alcoholic patients and their wives in the year before and two year after alcoholism treatment. Journal of Abnormal Psychology, 115(1), Journal of Family Violence, 15, 295-300.
  • Padmavathi, P., Jemila, I., Devi, J., Maragatham, M., Suganya, S., & Prakash, V. (2014). Co-dependency and depressive symptoms among wives of alcoholics selected in hospital, erode. International Journal of Advances in Nursing Management, 2(3), 143-146.
  • Pereira-Morales, A.J., Adan, A., & Forero, D.A.. (2017). Perceived stress as a mediator of the relationship between neuroticism and depression and anxiety symptoms. Current Psychology, 1, 1–9. https://doi.org/10.1007/s12144-017-9587-7.
  • Ragesh, G., Sabitha, C., Anithakumari, A., & Ameer, H. (2015). Perceived stress and coping among rural adolescent girls in India. The International Journal of Indian Psychology, 2(3), ISSN 2348-5396,
  • Ravindran, O.S., & Joseph, S.A. (2017). Loss of coping resources and psychological distress in spouses of alcohol dependents following partner violence. Indian Journal of Society Psychiatry, 33, 202-207.
  • Rodriguez, L. M., & Neighbors, C. (2015). An interdependent look at perceptions of spousal drinking problems and marital outcomes. Alcohol (Fayetteville, N.Y.), 49(6), 597-605.
  • Sharma, N., Sharma, S., Ghai, S., Basu, D., Kumari, D., Singh, D., & Kaur, G. (2016). Living with an alcoholic partner: Problems faced and coping strategies used by wives of alcoholic clients. Industrial Psychiatry Journal, 25(1), 65-71.
  • Sekii, T., Shimizu, S., & So, T. (2005). Drinking and domestic violence: Findings from clinical survey of alcoholics. Japanese Journal of Alcohol Studies and Drug Dependence, 40, 95-104.
  • Sreekumar, S., Subhalakshmi, T.P., & Varghese, P.J. (2016). Factors associated with resilience in wives of individuals with alcohol dependence syndrome. Indian Journal of Psychiatry, 58, 307-310.
  • Singh, N.K., Bhattacharjee, D., Goyal, N., Munda, S.K., & Nizamie, S.H. (2012). Perceive family environment among parents, spouses, and siblings of alcohol dependence patients: A comparative study. Journal of Addiction Research and Therapy, 3, 126.
  • Tempier, R., Boyer, R., Lambert, J., Mosier, K., & Duncan, C.R. (2006). Psychological distress among female spouses of male at-risk drinkers. Alcohol, 40, 41-49.
  • Templeton, L., Velleman, R., & Russell, C. (2010). Psychological interventions with families of alcohol misusers: A systematic review. Addiction Research and Theory, 18(6), 616-648.
  • Vidhukumar, K., Nazeer, E., & Anil, P. (2016). Prevalence and pattern of alcohol use in Kerala A district-based survey. International Journal of Resent trends in Science and Technology, 18, 36-37.
  • Wissing, M.P., & Oosthuizen, C.M. (2005). Prevalence of violence against women: Distress, coping and psychological well-being. Surviving the fire? South African Journal of Psychology, 4, 637-656.
  • William, M.H. (2009). Clinical case studies in the behavioral treatment of alcoholism. International Journal of Psychiatry, 15(5), 765-766.
  • World Health Organization (2012). Alcoholism and spouse mental health. Project on Addiction.

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  • Development of Cognitive Based Acceptance Program (CAP) for Wives of Alcoholics : A Pilot Study

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Authors

Rekha Johny Neelankavil
The Graduate School, University of Santo Tomas Manila, Philippines
Rosalito De Guzman
The Graduate School, University of Santo Tomas, Manila, Philippines

Abstract


Alcohol addiction is a family ailment that strains the family to that extreme point of family break up and affects negatively the growth of family life. It also affects negatively psychological and physical health. It destabilizes family income, oneness among the family members and the family dynamics. Women are worried and affected by their partner's drinking. The negative effect of alcohol destroys the wives of alcoholics, as it to the alcohol addicts. Various stressful experiences due to partner's alcoholism are reflected in the form of psychological problems especially the depressive symptoms among wives of alcoholics. The negative emotional state and thought patterns force them to perceive the life experience as more stressful. This makes a marked effect on their physical, psychological, marital and social life. Recognizing the need to help the wives of alcoholics who have the perceived stress and depressive symptoms, the researcher developed Cognitive based Acceptance Program (CAP) integrating Transactional Cognitive appraisal theory, Stress buffering model and Acceptance and Commitment Therapy (ACT) model. The program was evaluated by six inter-disciplinary experts. After words, a feasibility test was conducted with ten wives of alcoholics who have high perceived stress and moderate depressive symptoms. The intervention was positively accepted by the wives of alcoholics and the results of the pilot study revealed a significant decrease in perceived stress and depressive symptoms among the participants.

Keywords


Wives of Alcoholics, Perceived Stress, Depressive Symptoms, CAP.

References





DOI: https://doi.org/10.15614/ijpp%2F2019%2Fv10i4%2F215057