Background : Alcoholism developed by the interaction of biologic, psychologic, sociologic factors and family structure etc. Alcohlics influence of lives of their families and emotional status of their family members harmfully. Therefore family functions of alcoholics are dysfunctional states more easily. For the understanding of alcoholics' family and the proper family therapy of alcoholic family we evaluate factors that correlated with functions of alcoholics and family functions of thier families.
Methods : There were 32 subject groups, each group contains 1 patient and 1 person among family members. The control group are consisted of 32 nonalcoholic persons. Questionnaire was consisted of sociodemographic data, Family APGAR, FACES III, SCR-90R(for evaluation of psychiatric symptom) and MAST(Michigan Alcoholism Screening Test). The results were analyzed by descriptive, comparative and correlative analysis.
Results : Mean age of the patients, their family members and control were 40.9, 38.9 and 32.7 years of age respectively. Other demographic factors showed no statistically significant differences between alcoholic group and control group. The APGAR scores of alcoholics, their family members and controls were 4.5±2.1, 4.3±2.3 and 6.6±2.0 respectively(P<0.01). In alcoholics, praranoid scale was highest among psychiatric symptoms and psychotism, depression, interpersonal sensitivity, anxiety, obscessive-compulsive scale were higher than control(P<0.01). In alcoholics' families, family obscessive-compulsive(P<0.01), depression, hostility, psychotism scale were higher than that of controls(P<0.05). There were significant correlations of psychiatric symptoms between alcoholics and their family members in depression, anxiety, somatization scale(P<0.05). In cases of another alcohol abuser were in family, Family APGAR score, Adaptability and Growth scale of Family APGAR, FACES III Adaptability score were significantly low. In cases of higher MAST scores(above 30), growth and affection of Family APGAR and FACES III Cohesion were significantly were significantly lower than that of lower MAST scores(less than 30), obscessive-compulsive influence of Resolve score of Family APGAR of alcoholics. Some psychiatric symptoms influence on Family APGAR and FACES III of alcoholics families. Obscessive-compulsive influence on Family APGAR. Phobic anxiety influence on Resolve of Family APGAR. Obscessive-compulive, phobic anxiety influence of Growth of APGAR. Somatization, interpersonal sensitivity, depression influence on FACES III Adaptability.
Conclusion : We conclude that family function scores of alcoholics and their family members were lower than that of controls. Alcoholics and thier family members showed tendency of increasing the incidences of phychiatric symptoms. Severity of alcoholic, alcohol abuser in family, psychiatric symptoms influence on family function. Therefore in family therapy, we should evaluate family function score of all family members and should consider the severity of alcoholic, alcohol abuser in family, importance and severity of psychiatric symptoms of alcoholics and their family members.