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      Psychiatric morbidity in children of alcoholic parents

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          Abstract

          Context:

          Children of alcoholics (COAs) are children who have grown up in families in which either one or both parents are alcoholic. The interplay of several factors such as environmental, cognitive, and genetic vulnerability has been linked to the psychopathology among COAs.

          Aims:

          To assess psychiatric morbidity in COAs and to compare these children with the children of nonalcoholic parents.

          Setting and Design:

          This cross-sectional study was conducted on children of outpatients and inpatients of a tertiary health-care center in Central India, for 18 months.

          Subjects and Methods:

          A total of 100 children, fifty children of alcoholic parents and fifty children of nonalcoholic parents between the age groups of 4 and 14 years, were assessed using childhood psychopathology measurement schedule.

          Statistical Analysis Used:

          Statistical analysis was done by using descriptive and inferential statistics using Chi-square test and Student's unpaired t-test. SPSS version 22.0, were used for statistical analysis, and P < 0.05 was considered as level of significance.

          Results:

          Most of the children were in the age group of 8–11 years. Depression and anxiety were found to be statistically significant ( P < 0.05) in COAs than in children of nonalcoholics. Whereas, there was no difference ( P > 0.05) for low intelligence and behavioral problems, conduct disorder, psychotic symptoms, special symptoms, physical illness, emotional problems, and somatization.

          Conclusions:

          Thus, there is a high need to address the stress to children of persons with substance abuse. Early detection of psychiatric morbidities in such children and appropriate intervention can produce beneficial changes in such children.

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          Most cited references28

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          Characteristics of children of alcoholics: putative risk factors, substance use and abuse, and psychopathology.

          A sample of 253 children of alcoholics (COAs) and 237 children of nonalcoholics (non-COAs) were compared on alcohol and drug use, psychopathology, cognitive ability, and personality. COAs reported more alcohol and drug problems, stronger alcohol expectancies, higher levels of behavioral undercontrol and neuroticism, and more psychiatric distress in relation to non-COAs. They also evidenced lower academic achievement and less verbal ability than non-COAs. COAs were given Diagnostic Interview Schedule alcohol diagnoses more frequently than non-COAs. The relation between paternal alcoholism and offspring alcohol involvement was mediated by behavioral undercontrol and alcohol expectancies. Although gender differences were found, there were few Gender X Family History interactions; the effects of family history of alcoholism were similar for men and women. When gender effects were found, they showed greater family history effects for women.
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            Alcohol problems in adoptees raised apart from alcoholic biological parents.

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              A longitudinal study of children of alcoholics: predicting young adult substance use disorders, anxiety, and depression.

              This study tested the specificity of parent alcoholism effects on young adult alcohol and drug abuse/dependence, anxiety, and depression, and tested whether adolescent symptomatology and substance use mediated parent alcoholism effects. Participants were from a longitudinal study in which a target child was assessed in adolescence and young adulthood with structured interview measures (N = 454 families at Time 1). Results showed unique effects of parent alcoholism on young adult substance abuse/dependence diagnoses over and above the effects of other parental psychopathology. There was some evidence of parent alcoholism effects on young adult depression and of maternal alcoholism effects on young adult anxiety, although these were not found consistently across subsamples. Mediational models suggested that parent alcoholism effects could be partially (but not totally) explained by adolescent externalizing symptoms.
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                Author and article information

                Journal
                Ind Psychiatry J
                Ind Psychiatry J
                IPJ
                Industrial Psychiatry Journal
                Wolters Kluwer - Medknow (India )
                0972-6748
                0976-2795
                Jul-Dec 2018
                : 27
                : 2
                : 226-230
                Affiliations
                [1]Department of Psychiatry, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India
                [1 ]Department of Psychiatry, D.Y. Patil University, Kolhapur, Maharashtra, India
                [2 ]Consultant Psychiatrist, Gokuldas Hospital, Indore, Madhya Pradesh, India
                Author notes
                Address for correspondence: Dr. Himanshu Mansharamani, 6a/3, New Palasia, Indore - 452 001, Madhya Pradesh, India. E-mail: himanshu.mansha@ 123456gmail.com
                Article
                IPJ-27-226
                10.4103/ipj.ipj_57_17
                6592211
                31359976
                138b1dc2-f789-454d-948f-db16b7b2384c
                Copyright: © 2019 Industrial Psychiatry Journal

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                Categories
                Original Article

                Clinical Psychology & Psychiatry
                alcohol dependence,children,mental disorders
                Clinical Psychology & Psychiatry
                alcohol dependence, children, mental disorders

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