A comparative analysis of on behavioral patterns and family functioning among children of alcoholics and non-alcoholics in a tertiary care center, Mysuru

R. N. S. Abhigna Mahathi; Bindu Annigeri; D. M. Shilpa

doi:10.18203/2394-6040.ijcmph20252474

Authors

R. N. S. Abhigna Mahathi School of Public Health, JSS AHER, Mysuru, Karnataka, India
Bindu Annigeri Department of Psychiatry, JSS Medical College and Hospital, Mysuru, Karnataka, India
D. M. Shilpa School of Public Health, JSS AHER, Mysuru, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20252474

Keywords:

Alcoholism, Family functioning, Behavioral patterns, Children of alcoholics

Abstract

Background: Alcohol dependence in individuals harm the health of that individual and also that of their family members. Children of alcoholics are at high risk for many behavioral problems as they grow up in less functional families. This study aimed to assess and compare the behavioral patterns and family functioning among children of alcoholics (COA) and children of non-alcoholics (CONA) in a tertiary care center, Mysuru.

Methods: Using analytical cross-sectional design, 200 children (100 COA and 100 CONA) from a tertiary care center, were evaluated for their behavioral patterns and family functioning. Child behavior checklist (CBCL), family APGAR (adaptation, partnership, growth, affect, and resolve) scale and general health questionnaire 12 (GHQ12) were used. Independent t-test was used to compare the two groups and correlation was seen between GHQ12 and CBCL, APGAR scores respectively.

Results: The total CBCL mean score was higher for stating statistically significant relation between parental alcoholism and behavioral patterns. Among COA, 45% had CBCL scores more than clinical cutoff score and 4% of COA were associated with dysfunctional family whereas 17% of CONA had CBCL scores more than clinical cutoff score and none were associated with dysfunctional families showing statistically significant difference.

Conclusions: Children from families with alcohol dependent parents are at higher risk of having problematic behaviors, interestingly, there were very few families of COAs with dysfunctionality.

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References

WHO. Alcohol fact sheet. Available from: https://www.who.int/news-room/fact-sheets/detail/alcohol. Accessed on 30 November 2023.

Paton A. Alcohol in the body. BMJ. 2005;330(7482):85-7. DOI: https://doi.org/10.1136/bmj.330.7482.85

Becker HC. Alcohol dependence, withdrawal, and relapse. Alcohol Res Health. 2008;31(4):348-61.

Omkarappa DB, Rentala S. Anxiety, depression, self-esteem among children of alcoholic and nonalcoholic parents. J Fam Med Prim Care. 2019;8(2):604-9. DOI: https://doi.org/10.4103/jfmpc.jfmpc_282_18

Singh R, Goyal E, Chaudhury S, Puria A, Kumar S, Kumar A. Psychiatric morbidity in family members of alcohol dependence patients. Ind Psychiatr J. 2022;31(2):306-12. DOI: https://doi.org/10.4103/ipj.ipj_179_20

Godleski SA, Crane CA, Leonard KE. Parents’ concordant and discordant alcohol use and subsequent child behavioral outcomes. Addict Behav. 2018;79:81-5. DOI: https://doi.org/10.1016/j.addbeh.2017.11.026

Díaz R, Gual A, García M, Arnau J, Pascual F, Cañuelo B, et al. Children of alcoholics in Spain: from risk to pathology. Soc Psychiatr Psychiatr Epidemiol. 2008;43(1):1-10. DOI: https://doi.org/10.1007/s00127-007-0264-2

Christensen HB, Bilenberg N. Behavioural and emotional problems in children of alcoholic mothers and fathers. Eur Child Adolesc Psychiatr. 2000;9(3):219-26. DOI: https://doi.org/10.1007/s007870070046

Sher KJ. Psychological Characteristics of Children of Alcoholics. Alcohol Health Res World. 1997;21(3):247-54.

Michel N, Suman LN. Psychological distress, self-esteem and relationship with parents among adult sons of alcoholics. Journal of Psychosoc Res. 2019;4:231-44.

American Addiction Centers. The effects of alcoholism on families: How alcoholism affects families. Available from: https://americanaddictioncenters.org/alcohol/support-recovery/family. Accessed on 28 May 2024.

Sugaparaneetharan A, Kattimani S, Rajkumar RP, Sarkar S, Mahadevan S. Externalizing behavior and impulsivity in the children of alcoholics: a case-control study. J Ment Health Hum Behav. 2016;21(2):112. DOI: https://doi.org/10.4103/0971-8990.193430

Wall TL, Garcia-Andrade C, Wong V, Lau P, Ehlers CL. Parental history of alcoholism and problem behaviors in native-American children and adolescents. Alcohol Clin Exp Res. 2000;24(1):30-4. DOI: https://doi.org/10.1111/j.1530-0277.2000.tb04549.x

Jansen RE, Fitzgerald HE, Ham HP, Zucker RA. Pathways into risk: temperament and behavior problems in three‐ to five‐year‐old sons of alcoholics. Alcohol Clin Exp Res. 1995;19(2):501-9. DOI: https://doi.org/10.1111/j.1530-0277.1995.tb01538.x

Ravindran OS, Hima K, Natarajan S, Sathianathan R. Behavioral problems and temperamental characteristics among children in alcoholic families. J Ment Health Hum Behav. 2018;23(1):52. DOI: https://doi.org/10.4103/jmhhb.jmhhb_2_18

Andrade JJ da C, Silva ACO, Frazão I da S, Perrelli JGA, Silva TT de M, Cavalcanti AMTS. Family functionality and burden of family caregivers of users with mental disorders. Rev Bras Enferm. 2021;74(5):e20201061. DOI: https://doi.org/10.1590/0034-7167-2020-1061

Raman V, Prasad S, Appaya MP. Children of men with alcohol dependence: psychopathology, neurodevelopment and family environment. Indian J Psychiatr. 2010;52(4):360. DOI: https://doi.org/10.4103/0019-5545.74313

Murphy JM, Kelleher K, Pagano ME, Stulp C, Nutting PA, Jellinek MS, et al. The family APGAR and psychosocial problems in children: a report from ASPN and PROS. J Fam Pract. 1998;46(1):54-64.