Effect of Alcohol Dependence in Old Age on Family Conflict: Dual Mediating Effects of Child Support and Self-Esteem

March 31, 2024  |  Vol.10, No.3  |  PP. 371-381  | PDF

AUTHORS:

Yun-Jeong Kim, Department of Social Welfare, Hanseo University, Republict of Korea

Sang-Jin Lee, Service Support Department, Chungcheongnam-do Women & Family, Youth Public Agency for Social Service, Republict of Korea

KEYWORDS:

Alcohol Dependence, Family Conflict, Child Support, Self-esteem, Double Mediation Effect

Abstract

The purpose of this study was to determine the impact of alcohol dependence in old age on family conflict through child relationship satisfaction and self-esteem. The 17th round of data from the Korean Welfare Panel was used to achieve this purpose. Among men and women aged 65 years or older, only those who had a spouse and adult children and drank alcohol were selected, and a total of 772 people's data were ultimately used for analysis. The dual mediation effect was analyzed using the SPSS Win 24.0 version and SPSS PROCESS MACRO 4.3 version 6 model. The main research results are as follows. First, alcohol dependence in old age had a positive effect on family conflict. In other words, the higher the alcohol dependence, the higher the family conflict. Second, the double mediating effect of child support and self-esteem in the relationship between alcohol dependence in old age and family conflict was verified. In other words, the higher the alcohol dependence, the lower the child support; the higher the child support, the higher the self-esteem, and the higher the self-esteem, the lower the family conflict. In addition, the influence of alcohol dependence in old age on family conflict decreased when child support and self-esteem were added, and the indirect effect of double mediation was also significant. Based on these research results, a plan was proposed to reduce the impact of alcohol dependence in old age on family conflict.

References:

[1] I. S. Jang, Factors Influencing Alcohol Use Disorder in Homebound Seniors, Journal of Korean Public Health Nursing, (2008), Vol.22, No.2, pp.165-176.
UCI: G704-SER000009448.2008.22.2.003
[2] http://stat.kpha.or.kr/, Dec 09 (2023)
[3] H. S. Jeong, Y. H. Lee, A study on Recovery Experiences of Male Alcoholicsfrom the Therapeutic Community : Charmazs Research Method of Constructivism Basis Theory, Mental Health & Social Work, (2021), Vol.49, No.1, pp.30-59.
DOI: 10.24301/MHSW.2021.3.49.1.30
[4] H. S. Park, A Longitudinal Study on the Effects of Problem Drinking on Life Satisfaction in Korean Adults : Mediating Effects Depression & Family Conflict by MLGM , Chosun University, Doctoral Dissertation, (2020)
[5] Y. K. Lee, S. J. Kim, N. H. Hwang, J. M. Lim, B. H. Joo, E. H. NamGung, S. H. Lee, K. H. Jung, E. M. Kang, K. R. Kim, 2022 The National Survey of Elderly, Korea Institute for Health and Social Affairs·Ministry of Health and Welfare, (2020)
Available from: https://repository.kihasa.re.kr/handle/201002/38157
[6] National Health and Nutrition Survey, 2021 National Health Statistics, Korea Disease Control and Prevention Agency, (2023)
Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do
[7] National Health and Nutrition Survey, 2022 National Health Statistics, Korea Disease Control and Prevention Agency,
Available from: https://www.kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&act=view&list_no=724014
[8] S. Y. Park, S. N. Yang, S. Y. Park, An Exploratory Study on Factors Affecting Drinking Level and Smartphone Overdependence Level in Old Age, Health & Welfare, (2023), Vol.25, No.1, pp.39-66.
DOI: 10.23948/kshw.2023.03.25.1.39
[9] https://www.americashealthrankings.org/explore/senior/measure/ExcessDrink- Seniors/state/ALL, Dec 09 (2023)
[10] K. Charlet, A. Heinz, Harm Reduction-A Systematic Review on Effects of Alcohol Reduction on Physical and Mental Symptoms, Addiction Biology, (2016), Vol.22, No.5, pp.1119-1159.
DOI: 10.1111/adb.12414
[11] T. W. Strine, D. P. Chapman, L. S. Balluz, D. G. Moriarty, A. H. Mokdad, The Associations Between Sife Satisfaction and Health -related Quality of Sife, Chronic Illness, and Health Behaviors among U. S. Community-dwelling Adults, Journal of Community Health, (2008), Vol.33, No.1, pp. 40-50.
DOI: 10.1007/s10900-007-9066-4
[12] T. J. Peters, L. M. Millward, J. Foster, Quality of Life in Alcohol Misuse: Comparison of Men and Women, Archives of Womens’s Mental Health, (2003), Vol.6, No.4, pp.239-243.
DOI: 10.1007/s00737-003-0012-x
[13] M. Y. Morgan, F. Landron, P. Lehert, Improvement in Quality of Life after Treatment for Alcohol Dependence with Acamprosate and Psychosocial Support, Alcoholism: Clinical Experimental Research, (2004), Vol.28, No.1, pp.64-77. DOI: 10.1097/01.ALC.0000108652.73143.4B
[14] D. A. Dawson, T. K. Li, S. P. Chou, B. F. Grant, Transitions in and out of Alcohol Use Disorders: Their Associations with Conditional Changes in Quality of Life over a 3-Year Follow-Up Interval, Alcohol and Alcoholism, (2009), Vol.44, No.1, pp.84-92.
DOI: 10.1093/alcalc/agn094
[15] H. S. Kwon, Effects of Problem Drinking of Elderly on Life Satisfaction Mediated by Depression and Self-esteem: A Latent Means Analysis Application between Poor and Non-poor Elderly, Journal of the Korean Gerontological Society, Vol.29, No.4, pp.1521-1538.
UCI: I410-ECN-0102-2012-330-000957437
[16] S. McPherson, C. J. Rees, An Alcoholic Patient who Continues to Drink Case Outcome, British Medical Journal, (2006), 332, 276.
DOI: 10.1136/bmj.332.7536.276
[17] D. Clair, M. Genest, Variables Associated with the Adjustment of Offspring of Alcoholic Fathers, Journal of Studies on Alcohol, (1987), Vol.48, No.4, pp.345-355.
DOI: 10.15288/jsa.1987.48.345
[18] L. J. Werner, J. P. Broida, Adult Self-Esteem and Locus of Control as a Function of Familial Alcoholism and Dysfunction, Journal of Studies on Alcohol, (1991), Vol.52, No.3, pp.249-252.
DOI: 10.15288/jsa.1991.52.249
[19] B. R. Kim, The Effects of Parental and Spousal Alcoholism on Married Women's Marital Satisfaction, Perceived Family Conflict, and Negative Emotion, Kyung Hee University, Master Thesis, (2019)
[20] G. G. Homish, K. E. Leonard, L. T. Kozlowski, J. R. Cornelius, The Longitudinal Association between Multiple Substance Use Discrepancies and Marital Satisfaction, Society for the study of Addiction, (2009), Vol.104, No.7, pp.1201-1209.
DOI: 10.1111/j.1360-0443.2009.02614.x
[21] K. Rognmo, F. S. Torvik, E. Røysamb, K. Tambs, Alcohol Use and Spousal Mental Distress in a Population Sample: the Nord-trondelag Health Study, BMC Public Health, (2013), Vol.13, pp.319-332.
[22] P. Hussaarts, H. G. Roozen, R. J. Meyers, B. J. M. van de Wetering, B. S. McCrady, Problem Areas Reported by Substance Abusing Idividuals and Their Concerned Significant Others, The American Journal of Addictions, (2011), Vol.21, No.1, pp.38-46.
DOI: 10.1111/j.1521-0391.2011.00187.x
[23] H. J. Salize, C. Jacke, S. Kief, M. Franz, K. MannTreating Alcoholism Reduces Financial Burden on Care-givers and Incresases Quality-adjusted Life Years, Research Report & Addiction, (2013), Vol.108, No.1, pp.62-70.
DOI: 10.1111/j.1360-0443.2012.04002.x
[24] A. M . Hussong, R. A. Zucker, M. M. Wong, H. E. Fitzgerald, L. I. Puttler,Social Competence in Children of Alcoholic Parents Over Time, Developmental Psychology, (2005), Vol.41, No.5, pp.747-759.
DOI: 10.1037/0012-1649.41.5.747
[25] F. Osterman, V. N. Grubic, Family Functioning of Recovered Alcohol-addicted Patients: A Comparative Study, Journal of Substance Abuse Treatment, (2000), Vol.19, No.4, pp.475-479.
DOI: 10.1016/S0740-5472(00)00126-4
[26] P. M. Pauley, C. Hesse, The Effects of Social Support, Depression, and Stress on Drinking Behaviors in a College Student Sample, Communication Studies, (2009), Vol.60, No.5, pp.493-508.
DOI: 10.1080/10510970903260335
[27] N. Krause, Negative Interaction and Satisfaction with Social Support among Older Adults, The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, (1995), Vol.50, No.2, pp.59-73.
DOI: 10.1093/geronb/50B.2.P59
[28] H. S. Seo, The Relationship between the Personality Structure Function and Life Attitude of Alcoholics: Focusing on Transactional Analysis Theory, Transaction Analysis and Psychosocial Therapy Research, (2007), Vol.4, No1, pp.93-115.
[29] H. R. Park, M. S. Jang, H. J. Park, D. S. Bae, B. H. Koo, The Relationship between Three Factors: Alcoholic’s Emotional Recognition, Self-conception, and Interpersonal Problems, Korean Journal of Health Psychology, (2014), Vol.19, No.1, pp.219-234.
DOI: 10.17315/kjhp.2014.19.1.012
[30] H. J. Kim, The Impact of Health Status, Health Behavior, Self-Esteem and Depression on Quality of Life of Korean Older Adults, Korean Journal of Convergence Scienc, (2023), Vol.12, No.7, pp.189-201.
DOI: 10.24826/KSCS.12.7.12
[31] S. D. Chung, Predictors of Self-Esteem Among Older Adults in Nursing Home, Journal of the Korean Gerontological Society, (2004), Vol.24, No.4, pp.107-122.
[32] I. K. Seo, Y. S. Lee, An Exploratory Study on the Influence of Social Support and Community Environment on Elderly Self-esteem : A Comparative Study on People who live Alone and Those who Live with Family -, Korean Journal of Local Government & Administration Studies, (2014), Vol.28, No.2, pp.371-399.
UCI: I410-ECN-0102-2017-370-000576012
[33] H. S. Woo, The Effect of Social Support for Regular Physical Activities of the Senior Generation on Self-esteem and Quality of Life, The Korean Journal of Sport, (2023), Vol.21, No,2, pp.83-92.
DOI: 10.46669/KSS.2023.21.2.08
[34] K. J. Jeon, C. W. Kim, D. H. Lee, S. H. Kang, The Effect of Social Support on Self-esteem and Quality of Life according to the Lifestyle of the Elderly, The Korean Journal of Sport, (2023), Vol.21, No.1, pp.295-306.
DOI: 10.46669/KSS.2023.21.1.025
[35] https://www.koweps.re.kr:442/main.do;jsessionid=84A145A1B5BFACF4CE34EB52E43B1432, Jun 25 (2023)
[36] M. H. Kim, M. S. Hyun, Psychosocial Interventions for Patients with Alcohol Use Disorder: A Systematic Review, Journal of Korean Academic Society Nursing Education, (2023), Vol.29, No.1, pp.72-85.
DOI: 10.5977/jkasne 2023.29.1.72

Citations:

APA:
Kim, Y. J., Lee, S. J. (2024). Effect of Alcohol Dependence in Old Age on Family Conflict: Dual Mediating Effects of Child Support and Self-Esteem. Asia-pacific Journal of Convergent Research Interchange (APJCRI), ISSN: 2508-9080 (Print); 2671-5325 (Online), KCTRS, 10(3), 371-381. doi: 10.47116/apjcri.2024.03.26.

MLA:
Kim, Yun-Jeong, et al. “Effect of Alcohol Dependence in Old Age on Family Conflict: Dual Mediating Effects of Child Support and Self-Esteem.” Asia-pacific Journal of Convergent Research Interchange, ISSN: 2508-9080 (Print); 2671-5325 (Online), KCTRS, vol. 10, no. 3, 2024, pp. 371-381. APJCRI, http://apjcriweb.org/content/vol10no3/26.html.

IEEE:
[1] Y. J. Kim, S. J. Lee, “Effect of Alcohol Dependence in Old Age on Family Conflict: Dual Mediating Effects of Child Support and Self-Esteem.” Asia-pacific Journal of Convergent Research Interchange (APJCRI), ISSN: 2508-9080 (Print); 2671-5325 (Online), KCTRS, vol. 10, no. 3, pp. 371-381, March 2024.