Yariy V. Codependence in wives of husbands with alcohol dependence (clinical and psychopathological features, addictive risks, complex rehabilitation)

The work based on a complex study of 160 men with alcohol dependence (AD), and their wives, and 50 spouses, with husbands who did not have alcohol problems. In wives of men with AD, established the presence of maladaptive states of varying severity and clinical content, unlike the wives of "narcological healthy" men. Three clinical variants of maladjustment were identified: psycho-emotional (25,6%), behavioral (30,6%) and combined (43,8%) (p?0,01). The psycho-emotional maladjustment characterized by the presence of depressive and/or anxious symptoms with high stress overload and low capacity for stress resistance, and with amplitude of expression from mosaic signs to distinct psychopathological states. For behavioral maladjustment was inherent desire for addictive implementation at the level of dangerous use or dependent state with wide range of addictive non-chemical objects, especially food, tea/coffee, shopping and work, and smoking. Combined maladjustment represented a combination of both phenomena, with varying degrees of severity. Three types of codependency in wives of patients with AD determined: congruently asymmetric type (17,5% of the wives of men with socio-environmental type AD and 11,3% women of men with individual-genetic type AD), interconnected type (22,5% and 5,0% of women, respectively) and compensation type (60,0% and 83,38% of women, respectively). Each type of codependency has the largest representation of combined maladjustment (43,8%). Proved differentiated approaches, developed and evaluated effectiveness of complex of rehabilitation measures for the wives of husbands with AD. Participation in developed rehabilitation activities allowed women to eliminate such psychopathological phenomena as anxious-depressive reaction (p?0,01), to achieve normalization or substantial improvement of emotional state (p?0,01), reduce addictive status pressure (p?0,01 ). In addition, there was a positive reconstruction of personal and family space of women that allowed to decided their intrapersonal conflicts and greatly improved quality of life.