Social support and quality of life of persons of different social groups and with various levels of psychosocial stress, which are suffering from disorders due to use of alcohol

Keywords: alcohol dependence, psychosocial stress, social support, quality of life

Abstract

Background. In recent years, researchers’ interest in the social context of the problem of alcohol dependence (AD) has tended to increase. However, to date, there are no enough studies about relationship between the characteristics of social support in patients with AD and the level of psychosocial stress to which they are exposed. Taking into account the specifics of this interaction, we have opportunity significantly increase the effectiveness of AD therapy in conditions of social stress. Also it can become the basis for modifying existing therapeutic and rehabilitation strategies for treating and rehabilitating patients with alcohol dependence.

Objective – to determine the peculiarities of social support and quality of life of alcohol-dependent patients with varying levels of psychosocial stress.

Materials and methods. 312 men with alcohol dependence were examined: 107 combatants, 89 forcibly displaced persons and 116 people – civilians living in Kharkiv and Kharkiv region. We used such research methods as clinical, psychopathological, psychodiagnostic and statistical.

Results. As a result of the work, it has been established that patients with alcohol dependence of all social groups, regardless of the level of psychosocial stress, are characterized by a lack of social support and poor quality of life. Combatants feel the least social support from the family, however, the highest support among all patients is from friends and significant others. The displaced people have stable low support for all its sources. The civilians use bigger support from families than from other sources. As the stress increases, social support is reduced, which is a paradoxical phenomenon, since it is in a situation of severe stress that patients need some support the most.

Ability to search and acceptance of social support decreases with increasing levels of psychosocial stress, although among forcibly displaced persons it is the lowest regardless of the level of stress experienced by them. Combatants and locals with mild and moderate stress find the need and ability to seek and accept social support, but do not get it to the proper extent, which is an adverse factor in the dynamics of the progression of alcohol dependence and increased stress.

Among all components of quality of life, in all patients with alcohol addiction, the lowest level of implementation is observed in the field of subjective well-being and a sense of satisfaction from life. The dynamics of quality of life indicators is inversely associated with the level of psychosocial stress: the tendency towards deterioration of the quality of life in all spheres of functioning of patients with alcohol dependence with the increase in the severity of psychosocial stress is established; significantly lower quality of life (both in terms of the integral index and its components) is characteristic for patients with alcohol dependence with a severe level of psychosocial stress, as compared to individuals with mild to moderate stress.

Conclusions. The revealed regularities should be taken into account when developing treatment, rehabilitation and preventive measures for persons suffering from alcohol dependence.

References

1. Gaponov, K. D. (2018). Alkoholna zalezhnist i sotsialnyi stres: biokhimichni, neirofiziolohichni i psykhosotsialni mekhanizmy vzaiemovplyvu [Alcohol dependence and social stress: biochemical, neurophysiological and psychosocial mechanisms of interinfl uence]. Ukrains’kyi visnyk psykhonevrolohii, 26(1), 104–109. (In Ukrainian).
2. Palmisano, M., & Pandey, S. C. (2017). Epigenetic mechanisms of alcoholism and stressrelated disorders. Alcohol, 60, 7–18. https://dx.doi.org/10.1016/j.alcohol.2017.01.001
3. Gaponov, К. D. (2016). Alkoholna zalezhnist v umovakh sotsialnoho stresu: epidemiolohichni, klinichni i likuvalni aspekty [Alcohol dependence in the presence of social distress: epidemiological, clinical and therapeutical aspects]. Ukrains’kyi visnyk psykhonevrolohii, 24(4), 54–60. (In Ukrainian).
4. Cadet, J. L. (2016). Epigenetics of stress, addiction, and resilience: therapeutic implications. Molecular Neurobiology, 53(1), 545–560. https://dx.doi.org/10.1007/s12035-014-9040-y
5. Roberts, B., & Ezard, N. (2015). Why are we not doing more for alcohol use disorder among conflict-affected populations? Addiction, 110(6), 889–890. https://dx.doi.org/10.1111/add.12869
6. Becker, H. C. (2012). Effects of alcohol dependence and withdrawal on stress responsiveness and alcohol consumption. Alcohol Research, 34(4), 448–458.
7. Gaponov, К. D. (2012). Dynamika psykholohichnykh vlastyvostei patsiientiv v zalezhnosti vid stazhu zlovzhyvannia alkoholem v aspekti zdatnosti spryiniattia nymy sotsialnoi pidtrymky [Dynamics of psychological properties of patients depending on the experience of alcohol abuse in terms of their ability to perceive social support]. Mental health, 1(34), 41–50. (In Ukrainian).
8. Rehm, J., Anderson, P., Barry, J., Dimitrov, P., Elekes, Z., Feijao, F., … Gmel, G. (2015). Prevalence of and potential influencing factors for alcohol dependence in Europe. Eur Addict Res., 21(1), 6–18. https://dx.doi.org/10.1159/000365284
9. Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38(5), 300-314. http://dx.doi.org/10.1097/00006842-197609000-00003
10. Cohen, S., & Syme, S. L. (Eds.). (1985). Social Support and Health. London: Academic Press.
11. Cohen, S., Underwood, L. G., & Gottlieb, B. H. (2000). Social support measurement and intervention. A guide for health and social scientists. New York: Oxford University Press.
12. Taylor, S. E. (2007). Social support. In H. S. Friedman & R. C. Silver (Eds.), Foundations of health psychology (рр. 45–171). New York: Oxford University Press.
13. Lakey, B. (2010). Social support: Basic research and new strategies for intervention. In J. E. Maddux & J. P. Tangney (Eds.), Social Psychological Foundations of Clinical Psychology (pp. 77–194). New York: Guildford.
14. Cohen, S., & Hoberman, H. M. (1983). Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology, 13(2), 99–125. http://dx.doi.org/10.1111/j.1559-1816.1983.tb02325.x
15. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357. http://dx.doi.org/10.1037/0033-2909.98.2.310
16. McKay, D. A., Blake, R. L., Colwill, J. M., Brent, E. E., McCauley, J., Umlauf, R., … Kivlahan, D. (1985). Social support and Stress as Predictors of illness. Journal of Family Practice, 20(6), 575–581.
17. Kulik, J. A., & Mahler, H. I. (1989). Social support and recovery from surgery. Health Psychology, 8(2), 221–238. http://dx.doi.org/10.1037/0278-6133.8.2.221
18. Tijhuis, M. A. R., Flap, H. D., Foets, M., & Groenewegen, P. P. (1995). Social support and stressful events in two dimensions: Life events and illness as an event. Social Science & Medicine, 40(11), 1513–1526. http://dx.doi.org/10.1016/0277-9536(94)00276-Y
19. Gallant, M. P. (2003). The influence of social support on chronic illness selfmanagement: A review and directions for research. Health Education & Behavior, 30(2), 170–195. http://dx.doi.org/10.1177/1090198102251030
20. Lakey, B., & Orehek, E. (2011). Relational regulation theory: A new approach to explain the link between perceived social support and mental health. Psychological Review, 118(3), 482–495. http://dx.doi.org/10.1037/a0023477
21. Wills, T. A. (1990). Multiple networks and substance use. Journal of Social and Clinical Psychology, 9(1), 78–90. http://dx.doi.org/10.1521/jscp.1990.9.1.78
22. Yaltonskij, V. M., Sirota, N. A., & Viderman, N. S. (1999). Poisk social’noj podderzhki i ejo vosprijatie pri alkogolizme [The search for social support and its perception in alcoholism]. Journal of addiction problems, 2, 62–65. (In Russian).
23. Wills, T. A., & Stoolmiller, M. (2002). The role of self-control in early escalation of substance use: A time-varying analysis. Journal of Consulting and Clinical Psychology, 70(4), 986– 997. http://dx.doi.org/10.1037/0022-006X.70.4.986
24. Mulia, N., Schmidt, L., Bond, J., Jacobs, L., & Korcha, R. (2008). Stress, social support and problem drinking among women in poverty. Addiction, 103(8), 1283–1293. http://dx.doi.org/10.1111/j.1360-0443.2008.02234.x
25. Gaponov, К. D., & Markova, M. V. (2017, October 28). Tekhnolohiia vyznachennia zdatnosti spryiniattia sotsialnoi pidtrymky khvorymy na alkoholnu zalezhnist [Technology for determining the ability to perceive social support for patients with alcohol addiction]. Proceedings of the Scientific and Practical Conference “Kharkiv Autumn Marathon of Psychotechnology”, pp. 72–73. Kharkiv: «Disa plius». (In Ukrainian).
26. Pshuk, Ye. Ya. (2010). Deiaki psykholohichni resursy protsesu sotsialnoi pidtrymky khvorykh zalezhnykh vid alkoholiu [Some psychological resources of social support of the patients with alcohol addiction]. Medical psychology, 5(2), 74–76. (In Ukrainian).
27. Sosin, I. K., Gaponov, K. D., Goncharova, O. Yu., & Markova, M. V. Sposib diahnostyky klinichnoi spetsyfiky i prohnozu perebihu alkoholnoi zalezhnosti u osib z riznym psykhotravmatychnym dosvidom i rivnem psykhosotsialnoho stresu (White paper № 249-2018) [Method for diagnosis of clinical specificity and prognosis of alcohol dependence in persons with different psychotraumatic experience and level of psychosocial stress (White paper № 249-2018)]. Retrieved from Kharkiv Medical Academy of Postgraduate Education Ministry of Health of Ukraine, Ukrmedpatentinform Ministry of Health of Ukraine. Kyiv, 7 p. (In Ukrainian).
28. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30–41. http://dx.doi.org/10.1207/s15327752jpa5201_2
29. Karvasarskij, B. D. (Ed.). (2019). Klinicheskaia psikhologiia [Clinical psychology]. Moscow: Piter, 896 p. (In Russian).
30. Krjukova, T. L., & Kuftjak, E. V. (2007). Oprosnik sposobov sovladanija (adaptacija metodiki WCQ) [Questionnaire for coping methods (adaptation of the Ways of Coping Questionnaire)]. Zhurnal prakticheskogo psihologa, 3, 93–112. (In Russian).
31. Maruta, N. O., Panko, T. V., Yavdak, I. O., Semykina, O. Ye., Koliadko, S. P., & Kalenska, G. Yu. (2004). Kriterij kachestva zhizni v psihiatricheskoj praktike [Quality of life criterion in psychiatric practice]. N. O. Maruta (Ed.). Harkiv: RIF Arsis LTD, 240 p. (In Russian).
Published
2019-03-20
How to Cite
Gaponov, K. D., & Tabachnikov, S. I. (2019). Social support and quality of life of persons of different social groups and with various levels of psychosocial stress, which are suffering from disorders due to use of alcohol. Archives of Psychiatry, 25(1), 22-29. https://doi.org/10.37822/2410-7484.2019.25.1.22-29

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