Comparative study of marital adjustment and life satisfaction among spouses of patients with alcohol dependence and normal healthy control: a case control study

Nazish Fatima, Rishi Panday, Abid Rizvi


Background: Alcohol dependence is associated with domestic violence, which in turn aggravates the physical and emotional distress of the family. Alcohol dependence also leads to decrease in social support not just for the affected individual but for the family. Various studies revealed low level of life satisfaction and among the family members of patients with alcohol dependence. The aim of the study was to compare marital adjustment and life satisfaction among the spouses of patients with alcohol dependence with normal healthy control.

Methods: It was cross sectional study conducted at Ranchi Institute of Neuro-Psychiatry and Allied Sciences, Ranchi. Thirty patients with alcohol dependence syndrome with their spouses and 30 age and socio-economic status matched healthy control with their spouses were inducted in the study based on inclusion and exclusion criteria. Spouses of the two groups were compared for their life satisfaction and marital adjustment using life Satisfaction Scale and Marital Adjustment Questioner respectively.

Results: There was significant difference in respect to life satisfaction among the spouses of individual with alcohol dependence syndrome and normal healthy control. Life satisfaction as well as marital adjustment was better in spouses of normal healthy control as compared to spouses of patients of alcohol dependence.

Conclusions: There is significant difference in respect to life satisfaction among the spouses of individual with alcohol dependence syndrome and normal healthy control. Wives of normal healthy control had better marital adjustment as compared to spouses of alcohol dependence syndrome. There was positive co-relation between life satisfaction and marital adjustment.



Alcohol dependence, Life satisfaction, Marital adjustment

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Gururaj G, Girish N, Benegal V. New Delhi: Regional Office for South-East Asia; 2006. Burden and Socio-Economic Impact of Alcohol-Bangalore Study.

Ray R. The Extent, Pattern and Trends of Drug Abuse in India: National Survey. Ministry of Social Justice and Empowerment and United Nations Office on Drugs and Crime. 2004

WHO Expert Committee Report on Problems Related to Alcohol Consumption. WHO Technical Report Series 944. 2007. pp. 9–23.

Steinglass P. The impact of alcoholism on the family. Relationship between degree of alcoholism and psychiatric symptomatology. J Stud alcohol. 1981;42:288–303.

Tomori M. Personality characteristics of adolescents with alcoholic parents. Adolescence. 1994;29:949–59.

Heyman RE, O’Leary KD, Jouriles EN. Alcohol and aggressive personality styles: Potentiators of serious physical aggression against wives. Journal of Family Psychology. 1995;9(1):44-57.

Holtzworth-Munroe A, Bates L, Smutzler N, Sandin E. A brief review of the research on husband violence, Part I: Maritally violent versus nonviolent men. Aggression and Violent Behaviour. 1997;2:65-99.

Epstein EE, McCrady BS, Hirsch LS. Marital functioning in early versus late-onset alcoholic couples. Alcohol Clin Exp Res. 1997;21:547–56.

Orford J, Guthrie S, Nicholls P, Oppenheimer E, Egert S, Hensman C. Self-reported coping behaviour of wives of alcoholics and its association with drinking outcome. J Stud Alcohol. 1975;36:1254–67.

Finney JW, Moos RH, Cronkite RC, Gamble W. A conceptual model of the functioning of married persons with impaired partners: Spouses of alcoholic patients. J Marriage Fam. 1983;45:23–34.

Homish GG, Leonard KE, Kearns-Bodkin JN. Alcohol use, alcohol problems, and depressive symptomatology among newly married couples. Drug Alcohol Depend. 2006;83:185–92.

Dawson DA, Grant BF, Chou SP, Stinson FS. The impact of partner alcohol problems on women's physical and mental health. J Stud Alcohol Drugs. 2007;68:66–75.

Diener E, Inglehart R, Tay L. Theory and validity of life satisfaction scales. Social Indicators Research. 2013;112(3):497–527.

Rastogi R, Kashyap K. A study of occupational stress and mental health among married working women. J Com Guid Res. 2001;18(2):189-96.

Alam QG, Srivastava R. Manual of Life Satisfaction Scale, National Psychological Corporation, Agra, 1971.

Stanley S. Neuroticism and marital adjustment in wives of alcoholics. Indian Journal of Social Psychiatry. 2001;17(1-4):32-41.

Stanley S. Marital adjustment & quality of life in couples with and without an alcoholic husband. Indian Journal of Psychological Medicine. 2006;28(2):18-32.

Plant Moira. Women and alcohol: Contemporary and historical perspectives. London, England: Free Association Books; 1997.

Suman LN, Nagalakshmi SV. Family Dysfunction in Alcoholic Families. Indian Journal of Clinical Psychology. 1996;23(1):117-21.