RP-School of Humanities & Social Sciences

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Browsing RP-School of Humanities & Social Sciences by Subject "abstinence"

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    Family Emotional Over-Involvement and Relapse among Inpatient Alcoholics in Nairobi, Kenya
    (International Organization Of Scientific Research (IOSR), 2016-07) Githae, Eunice Njango; Sirera, Merecia; Wasanga, Christine
    Family interactional patterns have been proposed as significant in relapse of most psychiatric disorders. Many studies have demonstrated that patterns of interactions of family members affect the quality of relationships within such families. Research, particularly in Systems Theories, has also indicated that the ways in which family members interact with each other is cyclic and affect recovery and sustainability of treatment among psychiatric patients. Although the relationship between family communication dynamics and psychiatric relapse has received much attention, few studies have focused on such dynamics within alcoholic families. This study has examined one of the interactional patterns referred to as emotional over-involvement (EOI) among close family members with alcoholic patients. The study is underpinned by the Family Systems Theory (Minuchin, 1974), and views alcoholism as a „family illness‟. The study derived samples from inpatient alcoholics in rehabilitation centers (N=186) and their family members in Nairobi County, Kenya. The Alcohol Use Disorders Identification Test (AUDIT) was used to assess for alcoholism, while a questionnaire was generated to assess family EOI. Interviews were also carried out and were corroborated with the questionnaires. Pearson correlations and regression analyses showed that EOI was statistically significant at p=0.000<0.05 and had a predictive value of .471. This meant that EOI expressed by family members was a very significant predictor for relapse among recovering alcoholics.
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    Family epressed emotion in relapse of alcoholism
    (International Organization Of Scientific Research (IOSR), 2016) Githae, Eunice Njango
    Alcoholism is a family illness that requires treatment of the whole family, because recovery after rehabilitation seems mostly achievable when both the individual and their family are involved in relapse prevention. While studies have demonstrated that the family plays an important role from the diagnosis to treatment of alcoholism, few studies have focused on the interpersonal dynamics of family members which would maintain alcoholism relatedbehaviors and lead to relapse. Such interpersonal dynamics include the family emotional expression (EE) and how it may relate to relapse of an individual dependent on alcohol. The relationship between family EE and the occurrence of relapse in alcoholism was examined. The study was underpinned by the Family Systems Theory to help understand how complex interactional patterns among family members were likely to maintainmaladaptive behaviors such as alcoholism. Samples were derived from populations of inpatient individuals that were addicted to alcohol (N=186) and their family members in Nairobi, Kenya. The study found out that EE had a predictive value R2 = .348 and was statistically significant at p=0.000<0.05. While hostility was found to have an inverse relationship with relapse (β=-.133), criticism was found to predict relapse at R2=.282 and over-involvement at R2=.471%. The study concluded that high levels of family EE were a significant in predicting relapse of an individual dependent on alcohol during the recovery process.
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    Perceived Harmful Criticism in Family Interactional Patterns and Relapse Risk among Recovering Inpatients with Alcohol Use Disorder in Kiambu County, Kenya
    (Daystar University, 2019) Githae, Eunice Njango
    The family environment in which recovery is nurtured can become a potent trigger of relapse for an individual undergoing treatment of alcohol use disorder (AUD). A growing body of evidence suggests that families characterized by high expressed emotion (EE), particularly those described to have high criticism, play a major role in determining whether or not a recovering alcoholic will maintain abstinence from substance use and hence not return to heavy drinking after treatment. This study examined the perceptions of harmful and non-harmful criticisms as predictors of relapse after treatment of the individual suffering AUD. The study also examined goals of treatment for 119 alcoholics admitted in inpatient rehabilitation centers in Kiambu County in Kenya. A Self-Rated Questionnaire, including, demographics and goals of treatment was administered to the participants. Relapse risk was measured using the Alcohol Relapse Situation Appraisal Questionnaire (A-RSAQ), while indicators of perceived criticism were measured using Attributions of Criticism Scale (ACS) and the Perceived Criticism MeasureType (PCM-T). All the 119 participants were screened for alcohol use disorder using the Alcohol Use Disorders Identification Test (AUDIT). The study hypothesized that there was a relationship between perceived harmful criticism of close family members and relapse of the recovering individuals from alcohol use disorder. Pearson correlations and regression analyses supported the study hypothesis by demonstrating that perceived harmful criticism was statistically significant (p=0.000<0.05) and had a high predictive value (r2=.285) to relapse risk. It is recommended that stakeholders involved in alcohol treatment should target family interactional patterns and relational dynamics into their programs in order to enable sustainable recovery for individuals suffering AUDs.