When Addiction Hits Home: A Cross-Sectional Study of Family Burden in Alcohol Abuse Based on FBIS

Authors

  • Dr. C. T. Nisha Rani
  • Dr. Charanjeet Singh

DOI:

https://doi.org/10.69980/ajpr.v28i5.717

Keywords:

Alcohol addiction, family burden, mental health, public health, caregiver.

Abstract

Background: Caring for a person with alcohol dependence places a significant emotional, physical, and social burden on caregivers. These individuals often face stigma, disrupted family dynamics, and ongoing stress as they support their loved ones through cycles of addiction and relapse. Unlike other chronic conditions, alcohol use disorders present unique caregiving challenges due to their unpredictability and long-term impact. Despite this, limited research exists on caregiver burden in such contexts. This study aims to assess the level of burden experienced by caregivers and explore the sociodemographic and clinical factors influencing it.

Methods: A cross-sectional study was conducted involving 142 family members of individuals with alcohol use disorders. Participants were recruited from three de-addiction centres in Kanyakumari district—Puthuvasantham Centre, Jesuit Ministry, and New Life Centre —as well as from selected community settings. Data were collected using the Family Burden Interview Schedule (FBIS).

Results: Mean burden scores indicated high disruption in various areas of family life: routine activities (194±13.16), leisure (185.25±13.93), interactions (196±19.68), physical health (91.5±9.5), mental health (130.5±72.5), and subjective burden (1.54±0.53).

Conclusion: This study reveals the substantial and multidimensional burden carried by caregivers of individuals with alcohol dependence. The findings call for urgent implementation of structured support systems and evidence-based interventions tailored to caregivers’ needs. Recognizing caregiver distress as a public health priority is essential—not only to safeguard their mental and physical well-being, but also to strengthen the overall success of addiction treatment and recovery efforts. Sustainable policy frameworks must be developed to bring long-overdue visibility and resources to this often overlooked, yet critical, group.

Author Biographies

Dr. C. T. Nisha Rani

BHMS, MD (Hom.), Ph.D scholar- Sri Ganganagar Homoeopathic Medical College and Hospital, Tantia University, Sri Ganganagar, Rajasthan.

Dr. Charanjeet Singh

B.Sc., BHMS., MD(Hom)., Ph.D (Hom.), Guide, Principal, Sri Ganganagar Homoeopathic Medical College and Hospital, Tantia University Sri Ganganagar Rajasthan.

References

1. A prospective observational study of change in caregiver burden and psychological distress in caregivers of patients with alcohol dependence, Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380:2224–60.

2. Ambekar A, Agarwal A, Rao R, Mishra AK, Khandelwal SK, Chadda RK, et al. Magnitude of substance use in India. New Delhi, India: Ministry of Social Justice and Empowerment, Government of India; 2019.

3. https://www.who.int/europe/news-room/questions-andanswers/item/long-term-care?utm_source=chatgpt.com

4. https://www.who.int/news-room/factsheets/detail/alcohol#:~:text=News, among%20men%2025%20June%202024

5. Meyer d Glantz et al., Addictive behaviours, 2020 Mar, The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys., doi: 10.1016/j.addbeh.2019.106128.

6. Lim SS, Vos T, Flaxman AD, et al. (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2224–2260. https://doi.org/10.1016/S0140-6736(12)61766-8.

7. World Health Organization. (2018). Global Status Report on Alcohol and Health 2018. Geneva: WHO. https://www.who.int/publications/i/item/9789241565639

8. Mostafa Mardani et al., 2023, Challenges in addiction – affected families a systemic review of quantitative studies. BMC psychiatry, https://doi.org/10.1186/s12888-023004927-1.

9. National Institute on Drug Abuse. (2020). The Science of Drug Use and Addiction: The Basics.https://nida.nih.gov/publications/media-guide/science-drug-use-addiction-basics.

10. Lander L, Howsare J, Byrne M. The impact of substance use disorders on families and children: From theory to practice. Soc Work Public Health. 2013;28(3-4):194–205. doi:10.1080/19371918.2013.759005.

11. Kelley, M. L., & Fals-Stewart, W. (2004). Family-based treatment for adolescent substance abuse: Controlled trials and new horizons in services research. Journal of Marital and Family Therapy, 30(2), 175–192. https://doi.org/10.1111/j.1752-0606.2004.tb01233.x

12. https://psychcentral.com/addictions/children-of-alcoholics

13. Kuppens, S., et al. (2020). The role of the family in adolescent development: Risk and resilience in the context of parental substance use. Child Development Perspectives, 14(4), 265–271. https://doi.org/10.1111/cdep.12393

14. Byrne Chadda, R.K., & Deb, K.S. (2013). Indian family systems, collectivistic society and psychotherapy. Indian Journal of Psychiatry.

15. The Impact of Substance Use Disorders on Families and Children: From Theory to Practice Laura Lander, Janie Howsare, and Marilyn

16. The burden on the family of a psychiatric patient: Development of an interview schedule. British Journal of Psychiatry, 138(4), 332–335.

https://doi.org/10.1192/bjp.138.4.332

17. Kumar, S., et al. (2017), Caregiver burden in alcohol dependence: A study from India Journal of Mental Health and Human Behaviour.

Downloads

Published

2025-05-02