What is it like to be the wife of an addicted man in Iran? A qualitative study

What is it like to be the wife of an addicted man in Iran? A qualitative study
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DOI:
10.3109/16066359.2014.943199
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发表时间:
2015-01-01
影响因子:
2.9
通讯作者:
Orford, Jim
Orford, Jim
中科院分区:
医学3区
文献类型:
--
作者:
Fereidouni, Zhila;Joolaee, Soodabeh;Orford, Jim

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在伊朗,药物滥用正在增加和多样化。这项研究是第一个详细探讨对伊朗成瘾男性配偶的影响和应对方式的研究。对24对配偶进行了半结构化访谈。数据中确定了四个主要主题:丈夫吸毒成瘾的令人心碎的消息;单独处理;进行性恶化和痛苦;以及家庭关系和财务状况的破坏。得知丈夫吸毒后的反应包括震惊和崩溃,和/或恐惧、怀疑和困惑。配偶们试图隐藏问题,独自解决问题,在很长一段时间里,他们都觉得自己“在黑暗中行走”,没有任何社会支持,暴露在耻辱之下。随着时间的推移,她们经历了痛苦和动荡,对丈夫的感情复杂,失去了信任和信心,丈夫的行为越来越不可靠。这导致了关系的损害,经济压力,以及正常家庭生活的普遍退化和破坏,导致配偶紧张,类似于倦怠状态。目前的调查结果证实了在其他国家进行的类似研究的结论,即家庭中滥用药物会对配偶、儿童和家庭生活的所有方面产生毁灭性的影响。伊朗妻子的处境可能由于家庭生活相对封闭的性质,以及对成瘾等“家庭缺陷”的文化态度(包括羞耻)的存在而更加复杂。需要向有成瘾者的伊朗家庭提供更多信息和支持。
Drug misuse is increasing and diversifying in Iran. This study is the first to explore in detail the impact on, and ways of coping used by, spouses of addicted men in Iran. Semi-structured interviews were conducted with 24 spouses. Four main themes were identified in the data: heart-breaking news of the husband's addiction; coping alone; progressive deterioration and suffering; and disruption of family relationships and finances. Reactions upon learning of the husband's addiction involved shock and collapse, and/or fear, disbelief and confusion. Spouses tried to hide the problem and to solve the problem alone, feeling for a long time as if they were "walking in the dark" without any social support and exposed to stigma. As time had gone on they had experienced distress and turmoil, and mixed feelings towards, and loss of trust and confidence in, their husbands, whose behaviour was increasingly unreliable. This had led to impairment in the relationship, and financial stress, and a general degradation and disruption of normal family life, leading to strain for spouses, akin to a state of burnout. Present findings confirm the conclusions of similar research conducted in other countries, that substance misuse in the family can have devastating effects for spouses, on children and all aspects of family life. The situation for Iranian wives may be compounded by the relatively closed nature of family life, and the existence of culturally based attitudes, including shame, towards "family defects" such as addiction. More information and support is needed for Iranian families of addicted individuals.