Journal List > J Korean Neuropsychiatr Assoc > v.51(5) > 1017591

Yoon, Chung, Lee, Lee, and Cho: Effects of Family Support on Quality of Life among Alcohol Dependent Patients : Moderating Effect of Abstinence Self-Efficacy

Abstract

Objectives

Quality of life (QoL) was a important factor of treatment outcome in alcoholics. This study was to examine the relationship between family support and quality of life among alcoholics, to explore the moderating effect of abstinence self-efficacy on those relationship and to suggest practical implications for intervention services.

Methods

Data for this study were collected through the use of a survey instrument completed by 771 alcohol dependent admitted to inpatient treatment from 20 psychiatric hospital. Subjects were screened using the Family support, Drug Taking Confidence Questionnaire-8, World Health Organization Quality of Life Assessment Instrument. Collected data were analysed by moderated multiple regression and simple slope analysis.

Results

Family support was directly associated with QoL. Also the abstinence self-efficacy had moderating effects on relationship between family support and QoL. Simple slope analysis showed that the effects of family support on QoL were significant at low and high levels of abstinence self-efficacy and especially the effects of family support on QoL were more higher at the high levels of abstinence self-efficacy.

Conclusion

This findings suggest that abstinence self-efficacy is an important factor to QoL among alcohol dependents. Increasing self-efficacy, family support will be improve the QoL and recovering process. Based on these findings suggest practical intervention.

Figures and Tables

Fig. 1
Moderating effect of DTCQ on QoL. DTCQ : Drug Taking Confidence Questionnaire, QoL : Quality of life, FS : Family support.
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Table 1
Socio-demographic data of the subjects (n=771)
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SD : Standard deviation

Table 2
Clinical characteristics of the subjects (n=771)
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SD : Standard deviation

Table 3
Group comparison of major variables by marital status
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* : p<0.001. FS : Family support, DTCQ : Drug Taking Confidence Questionnaire, QoL : Quality of life, M : Mean, SD : Standard deviation

Table 4
Correlations of variables
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Sex (women=0, men=1), marriage status (et cetera=0, married=1), religion (no=0, yes=1), emplolyment (employed=0, unemployed=1), family history of alcoholism (no=0, yes=1), dual diagnosis (no=0, yes=1). * : p<0.05, ** : p<0.01. DTCQ : Drug Taking Confidence Questionnaire, FS : Family support, QoL : Quality of life

Table 5
Hierarchical multiple regression analysis of moderating effects of DTCQ between FS and QoL
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* : p<0.05, ** : p<0.01, *** : p<0.001. QoL : Quality of life, DTCQ : Drug Taking Confidence Questionnaire, FS : Family support, VIF : Variance Inflation Factor, SE : Standard of estimate

Table 6
Simple slope analysis of moderating effect
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* : p<0.05, *** : p<0.001. DTCQ : Drug Taking Confidence Questionnaire, SD : Standard deviation

Notes

The authors have no financial conflicts of interest.

References

1. Foster JH, Peters TJ, Marshall EJ. Quality of life measures and outcome in alcohol-dependent men and women. Alcohol. 2000. 22:45–52.
2. Saatcioglu O, Yapici A, Cakmak D. Quality of life, depression and anxiety in alcohol dependence. Drug Alcohol Rev. 2008. 27:83–90.
3. Dawson DA, Li TK, Chou SP, Grant BF. Transitions in and out of alcohol use disorders: their associations with conditional changes in quality of life over a 3-year follow-up interval. Alcohol Alcohol. 2009. 44:84–92.
4. Peters TJ, Millward LM, Foster J. Quality of life in alcohol misuse: comparison of men and women. Arch Womens Ment Health. 2003. 6:239–243.
5. Morgan MY, Landron F, Lehert P. New European Alcoholism Treatment Study Group. Improvement in quality of life after treatment for alcohol dependence with acamprosate and psychosocial support. Alcohol Clin Exp Res. 2004. 28:64–77.
6. Donovan D, Mattson ME, Cisler RA, Longabaugh R, Zweben A. Quality of life as an outcome measure in alcoholism treatment research. J Stud Alcohol Suppl. 2005. 119–139. discussion 92-93.
7. Malet L, Llorca PM, Beringuier B, Lehert P, Falissard B. AlQoL 9 for measuring quality of life in alcohol dependence. Alcohol Alcohol. 2006. 41:181–187.
8. Babor TF, Longabaugh R, Zweben A, Fuller RK, Stout RL, Anton RF, et al. Issues in the definition and measurement of drinking outcomes in alcoholism treatment research. J Stud Alcohol Suppl. 1994. 12:101–111.
9. Cisler RA, Zweben A. Development of a composite measure for assessing alcohol treatment outcome: operationalization and validation. Alcohol Clin Exp Res. 1999. 23:263–271.
10. Choi SW, Na RH, Kim HO, Choi SB, Choi YS. The relationship between quality of life and psycho-socio-spiritual characteristics in male patients with alcohol dependence. J Korean Neuropsychiatr Assoc. 2006. 45:459–467.
11. Park BS, Jin HM, Hoe MS. The relationship of depression and life satisfaction on male-alcoholics: exploring on the roles of family function and family support. Ment Health Soc Work. 2011. 38:172–204.
12. Lee BJ. The effect of social support on life satisfaction of alcoholics. Ment Health Soc Work. 2006. 22:33–57.
13. Hwang JY. The effect of self-control and emotional characteristics on quality of life of alcoholics. 2009. Daegu: Catholic Univ..
14. Yoon MS. The current situation and developmental direction of Korean addiction service delivery system. Ment Health Soc Work. 2010. 35:234–266.
15. Mortimer D, Segal L. Economic evaluation of interventions for problem drinking and alcohol dependence: do within-family external effects make a difference? Alcohol Alcohol. 2006. 41:92–98.
16. Humphreys K, Moos RH, Cohen C. Social and community resources and long-term recovery from treated and untreated alcoholism. J Stud Alcohol. 1997. 58:231–238.
17. Hodgson R. Family interventions for alcohol problems. Family interventions for alcohol problems. Alcohol Alcohol. 2004. 39:86–87.
18. McKee LG, Bonn-Miller MO, Moos RH. Depressive symptoms, friend and partner relationship quality, and posttreatment abstinence. J Stud Alcohol Drugs. 2011. 72:141–150.
19. Beattie MC. Meta-Analysis of social relationships and posttreatment drinking outcomes: comparison of relationship structure, function and quality. J Stud Alcohol. 2001. 62:518–527.
20. Walton MA, Blow FC, Bingham CR, Chermack ST. Individual and social/environmental predictors of alcohol and drug use 2 years following substance abuse treatment. Addict Behav. 2003. 28:627–642.
21. Sitharthan T, Kavanagh DJ. Role of self-efficacy in predicting outcomes from a programme for controlled drinking. Drug Alcohol Depend. 1991. 27:87–94.
22. Fiorentine R, Hillhouse MP. Self-efficacy, expectancies, and abstinence acceptance: further evidence for the addicted-self model of cessation of alcohol- and drug- dependent behavior. Am J Drug Alcohol Abuse. 2000. 26:497–521.
23. Ilgen M, Tiet Q, Finney J, Moos RH. Self-efficacy, therapeutic alliance, and alcohol-use disorder treatment outcomes. J Stud Alcohol. 2006. 67:465–472.
24. Min Sk, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO Quality of Life Scale abbreviated version (WHOQOL-BREF). J Korean Neuropsychiatr Assoc. 2000. 39:571–579.
25. Lee JS, Yoon MS, Lee BH, Ji H. Moderation effects of family support on the relapse of alcoholics. J Korean Alcohol Sci. 2001. 12:93–107.
26. Annis HM, Martin G. The drug-taking confidence questionnaire. 1985. Toronto: Addiction Research Foundation.
27. Sklar SM, Turner NE. A brief measure for the assessment of coping self-efficacy among alcohol and other drug users. Addiction. 1999. 94:723–729.
28. Walitzer KS, Dermen KH. Alcohol-focused spouse involvement and behavioral couples therapy: evaluation of enhancements to drinking reduction treatment for male problem drinkers. J Consult Clin Psychol. 2004. 72:944–955.
29. Nattala P, Leung KS, Nagarajaiah , Murthy P. Family member involvement in relapse prevention improves alcohol dependence outcomes: a prospective study at an addiction treatment facility in India. J Stud Alcohol Drugs. 2010. 71:581–587.
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