The lived experiences of the spouses of alcohol dependent partners: a phenomenological study

Abstract

Background Alcoholism is rising in India, affecting both individuals and their families. This study explored the lived experience of women cohabiting men with alcohol use disorder (AUD) to understand the experience and coping resources they adopted from their perspective. Methods Interpretive phenomenology design was used. Purposive sampling was employed to select women cohabiting men with AUD attending the de-addiction clinic. After explaining the study and written informed consent, in-depth interviews were conducted. By the interview of the 11th participant, data saturation was reached. Results Thematic analysis was undertaken. Significant statements and meaning units were identified, and codes were assigned. Three categories, namely impact on self, effect on life and coping strategies, were developed, and two main themes (faced numerous challenges and used adaptive and maladaptive coping) were generated. Conclusions Women faced innumerable problems of poor health, physical misery, marital discord, emotional disturbances, strained social relations, and financial burden. Most women relied heavily on avoidance or tolerance coping like covering up, taking on extra work, withdrawing, distancing, and hiding from friends and family. Putting on a brave front and not doing anything is not productive for women and men with AUD.

Exploring effective coping strategies for wives living with spouses who have alcohol dependence: Insights from focus group discussions

“…Engaging in hobbies and activities provided a temporary respite from stressors and helped improve participants’ mood and self-esteem. [ 16 17 ] These strategies helped them navigate the emotional turmoil caused by their spouse’s alcohol dependence. These findings are consistent with previous research highlighting the role of religion and emotional expression as coping mechanisms among individuals facing various stressors.…”

“…These findings are supported by previous studies emphasizing problem-solving approaches as effective coping strategies for individuals dealing with substance use disorders. [ 17 ] However, the effectiveness of these strategies may vary depending on the severity of the alcohol dependence and the willingness of the husband to seek help. Financial constraints and social stigma can also pose challenges in implementing problem-focused coping strategies.…”