scholarly journals The road to good spirits: perceived stress, self esteem and coping skills in patients with alcohol dependence

Author(s):  
Geetanjali S. Ghorpade ◽  
Kranti S. Kadam ◽  
Amey Y. Angane ◽  
Vishnu B. Unnithan

Background: Alcohol is the commonest psychoactive substance used by Indians. Stress and self-esteem issues may cause alcohol use as a coping mechanism. The purpose of this study was to analyze the severity of alcohol dependence, gauge levels of perceived stress and self-esteem and study coping skills in patients. It further examined the relations between sociodemographic variables of patients, their perceived stress, self esteem and coping skills as well as duration and severity of alcohol dependence.Methods: Cross-sectional study of 200 patients with alcohol use disorder recruited by complete enumeration technique was undertaken. They were administered a semi-structured questionnaire along with Perceived Stress Scale (PSS-10), Rosenberg’s Self-Esteem Scale (RSES), Coping Inventory for Stressful situations (CISS-21) and Severity of Alcohol Dependence Questionnaire (SADQ). Associations and correlations were examined.Results: Almost half the patients had severe alcohol dependence. Less than one-fourth of the patients had low self esteem. There was a significant negative correlation between self esteem and severity of alcohol dependence as well as duration of alcohol use. Nearly half the patients had high perceived stress. There was a significant positive correlation between severity of alcohol dependence and perceived stress. Majority patients used task oriented coping skills. Patients of alcohol dependence having low self-esteem used predominantly avoidant-oriented coping skills.Conclusions: This study highlights the importance of thorough evaluation and screening in patients having alcohol dependence for self-esteem issues and perceived stress levels. Teaching effective coping skills, supportive psychotherapy and counselling can be effective. Multimodal treatment protocols will effectively lighten the stress caused by alcohol dependence.

Author(s):  
Eunyoung Lee ◽  
Jaclyn M. Williams

Although stress due to racial and ethnic differences can negatively impact life satisfaction, there is a lack of focus on the differences between minority and nonminority older adults in how stress and coping skills impact life satisfaction. The objectives of this study are to explore (a) the differences between minority and nonminority older adults in their levels of life satisfaction, stress, and coping skills; and (b) the mediating effects of coping skills on the relationship between perceived stress and life satisfaction among both groups. Cross-sectional data from the Well Elderly 2 study ( N = 460) were utilized in bivariate and mediation analyses. Minority older adults reported higher levels of stress and prioritized different coping skills. Mediation was not supported for either group. These findings enable practitioners to focus on the coping skills more frequently identified by clients’ racial/ethnic grouping, as well as to target the primary stressors identified.


2017 ◽  
Vol 4 (2) ◽  
pp. 508 ◽  
Author(s):  
Anup S. Bharati ◽  
Y. A. Matcheswalla ◽  
Maithili S. Umate ◽  
Suyog Jaiswal

Background: Alcohol use disorder is a common and challenging problem in India. In various studies the prevalence of co-morbid psychopathologies ranges from 15-70% including depression & anxiety disorders. Coping mechanisms of individual play vital role in case of developing alcohol dependence and various psychopathologies. A complex interaction of psychopathologies, coping skills, and alcohol use can influence the outcome of alcohol dependence. This study was undertaken with the aim of studying coping mechanism along with anxiety, depressive symptoms and their correlation in patients of alcohol dependence.Methods: This was a cross sectional study conducted in a tertiary government hospital. Institutional ethics committee approval obtained. 152 patients with the diagnosis of alcohol dependence (DSM IV TR) were screened for inclusion and exclusion criteria, out of which 60 patients were enrolled after taking written informed consent. Following scales were used for the study, mechanisms of coping scale (MOCS), Hamilton anxiety rating scale (HAM-A), Montgomery-Asberg depression rating scale (MADRS).Results: 32 patients had HAM-A score >17 suggestive of anxiety, similarly 40 patients had MADRS score >7 indicating depression. Problem focussed coping mechanism such as problem solving is associated with better outcome in terms of lesser anxiety and later age of first drink as well as developing dependence. Passivity, which is an emotion focussed coping mechanism, is associated with earlier first drink and higher depression score in patient suggesting poor outcome.Conclusions: Coping skills training should be incorporated in abstinence focused programs. Co-morbid psychopathologies like anxiety and depression are common in alcohol dependence individuals and thus, screening for these symptoms is essential for early interventions and better outcomes.


2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Samira S. Bamuhair ◽  
Ali I. Al Farhan ◽  
Alaa Althubaiti ◽  
Sajida Agha ◽  
Saeed ur Rahman ◽  
...  

Background. Medical education is rated as one of the most difficult trainings to endure. Throughout their undergraduate years, medical students face numerous stressors. Coping with these stressors requires access to a variety of resources, varying from personal strengths to social support. We aimed to explore the perceived stress, stressors, and coping strategies employed by medical students studying in a problem-based learning curriculum. Methodology. This is a cross-sectional study of randomly selected medical students that explored demographics, perceived stress scale, sources of stress, and coping strategies. Results. Of the 378 medical students that participated in the study, males were 59.3% and females 40.7%. Nearly 53% of the students often felt stressed, and a third felt that they could not cope with stress. Over 82% found studying stressful and 64.3% were not sleeping well. Half of the students reported low self-esteem. Perceived stress scores were statistically significantly high for specific stressors of studying in general, worrying about future, interpersonal conflict, and having low self-esteem. Coping strategies that were statistically significantly applied more often were blaming oneself and being self-critical, seeking advice and help from others, and finding comfort in religion. Female students were more stressed than males but they employ more coping strategies as well. Conclusions. Stress is very common among medical students. Most of the stressors are from coursework and interpersonal relationships. Low self-esteem coupled with self-blame and self-criticism is quite common.


Author(s):  
Doni Whitsett ◽  
Helen Land

The relationship among role strain, coping, and marital satisfaction is examined in a cross-sectional sample of 73 stepparents. New information is discussed pertaining to differential types of role strain identified in stepparent groups. The association between types of role strain and differential types of coping strategies and coping resources is analyzed. Results document the association between coping resources of self-esteem and self-efficacy and certain dimensions of role strain. An inverse relationship between role strain and marital satisfaction is noted. Based on study results, the authors identify vulnerable subgroups and suggest implications for practice with stepfamilies.


2015 ◽  
Vol 11 (2) ◽  
pp. 152-157
Author(s):  
A Risal ◽  
H Tharoor

Background Alcohol Dependence exists in different spectrums at different settings and associated with various medical morbidities, disability and health care utilization costs. Objectives To study the drinking patterns, alcohol use disorders and alcohol related medical morbidities in patients diagnosed with Alcohol Dependence Syndrome (ADS) and attending out / in-patient psychiatry services at secondary and tertiary care centre. Methods A cross-sectional comparative study was done among the patients diagnosed with ADS attending psychiatry services at District hospital, Udupi and Kasturba Hospital, Manipal. Serial sampling was done. Patients having any other psychiatric illnesses were excluded. The two groups were compared in relation to socio-demographic variables, drinking related variables, patterns of drinking and alcohol related medical morbidities identified. Results Significant differences in some socio-demographic parameters among the patients from the two different treatment centers were found with secondary level hospital (N=50) having more illiterate, laborers and below the poverty line population in comparison to the tertiary level hospital (N=75). Maximum frequency of gastro-intestinal morbidities was seen in both the hospital population, irrespective of the patterns of drinking. Conclusion Alcohol use disorders and alcohol related medical morbidities show some variations in their presentations in the different treatment centers. DOI: http://dx.doi.org/10.3126/kumj.v11i2.12492 Kathmandu University Medical Journal Vol.11(2) 2013: 152-157


Author(s):  
Meghan E. McDevitt-Murphy ◽  
Rebecca J. Zakarian ◽  
Matthew T. Luciano ◽  
Cecilia C. Olin ◽  
N. Noel Mazzulo ◽  
...  

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