Effectiveness of Psycho-social Nursing Intervention on Emotional Intelligence and Psychological Well-being of Adolescent Childrens of Substance Abusive Parents

doi:10.21203/rs.3.rs-4930413/v1

BACKGROUND OF THE STUDY: According to WHO that children of parents with an SUD were found to be of lower socioeconomic status and had more difficulties in academic, social, and family functioning when compared with children of parents who do not have an SUD. These children are also more likely to have higher rates of mental and behavioral disorders.¹ Children who are exposed to a parent with SUDs are more likely to develop SUD symptoms themselves.

OBJECTIVES OF THE STUDY

1. To assess the emotional intelligence and psychological well-being of adolescent childrens of substance abusive parents in experimental and control group.

2. To assess the effect of psycho-social nursing intervention on emotional intelligence and psychological well-being of adolescents childrens of substance abusive parents in experimental group.

3. To compare the post test score of effectiveness of psycho-social nursing intervention on level of emotional intelligence in experimental and control group.

4. To find out the association between post test score on level of emotional intelligence and psychological well-being of adolescent childrens with their selected demographic variables in experimental group.

METHOD: A quasi experimental study was done on 60 adolescent childrens of substance abusive parents, 30 in both experimental and control group selected by non-probability purposive sampling technique. Data was collected by using Structured questionnaire of psychosocial nursing intervention on emotional intelligence and psychological well-being Structured questionnaire on emotional intelligence and psychological well-being pre-test and post-test was taken from both experimental and control group, video assisted teaching was given only in experimental group.

RESULT: Finding revealed that by administered psycho-social nursing intervention to experimental group improve the emotional intelligence and psychological well-being confirmed by unpaired “t” test (t=8.83 and P=<0.001%).

CONCLUSION: The study concluded that the video assisted teaching was effective to improve the knowledge regarding emotional intelligence and psychological well-being of adolescent childrens of substance abusive parents in selected community area at Meerut.

Psychology

Psycho-Social nursing intervention

emotional intelligence

psychological well-being

substance abusive parents.

“If there is anything that we wish to change in the child, we should first examine it and see whether it is not something that could better be changed in ourselves.”

-C. G. Jung

According to Psychology Today, 1 in 5 children grow up in a home where a parent abuses drugs or alcohol. Witnessing the trauma of a parent suffering addiction at a young age has long-term effects on the child. Children growing up seeing a parent addicted to drugs or alcohol are more likely to develop substance use disorders in their adulthood. They are also 3 times more likely being neglected, physically, and sexually abused. Seeing a parent on drugs often creates distressing emotions which not only create delays in learning and development, but pronged mental and emotional disorders.

Since children are still developing their personalities and are vulnerable to external influences, they run the risk of repeating such behaviors. Children may be exposed to aggression or violent behavior due to a parent or both parent’s drug use. Arguments between parents may be normal, causing the child emotional distress as they witness family members fighting.

STATEMENT OF THE PROBLEM

“A STUDY TO ASSESS THE EFFECT OF PSYCHO-SOCIAL NURSING INTERVENTION ON EMOTIONAL INTELLIGENCE AND PSYCHOLOGICAL WELL BEING OF ADOLESCENT CHILDRENS OF SUBSTANCE ABUSE PARENTS IN SELECTED COMMUNITY AT MEERUT”.‖

OBJECTIVES OF THE STUDY

To assess the emotional intelligence and psychological well-being of adolescent childrens of substance abusive parents in experimental and control group.
To assess the effect of psycho-social nursing intervention on emotional intelligence and psychological well-being of adolescents childrens of substance abusive parents in experimental group.
To compare the post test score of effectiveness of psycho-social nursing intervention on level of emotional intelligence in experimental and control group.
To find out the association between post test score on level of emotional intelligence and psychological well-being of adolescent childrens with their selected demographic variables in experimental group.

HYPOTHESIS

H: There is a significant association between the post test scores of resilience and quality of life among samples with their selected demographic variables at <0.5level of significance

Ethical consideration- : Ethical clearance obtained from the university ethical committee. The permission received from the concerned authority in the rural area to conduct the study. Written consent obtained from the partents after explaining the purpose of the study

CONCEPTUAL FRAME WORK

In this study Betty Neuman's systems model was in the study .

An evaluative research approach , quasi-experimental non-equivalent control group post-test design and Non – probability purposive sampling technique was used in the study. Settings – Rural community Inter college , Meerut. Samples: Rural community Inter college , Meerut. Sample Size: 60. The reliability was assessed by testing the instruments is co-relation of knowledge test was calculated by using (Kuder Richardson 20 Formula), it was found r=0.8. It indicates tool is reliable.

The tools used for this study was RYFF’S PSYCHOLOGICAL WELL-BEING SCALE a for assessing the level of substance abuse patients and its demographic variables.

Section 1: Demographic variables of the samples

It included variables like age, gender, religion. Occupation, type of family, , duration of substance use, etc…..

. SECTION B

RYFF’S PSYCHOLOGICAL WELL-BEING SCALE (42 ITEMS)

Data represents in table show – The pre-test and post-test score of Mean was 48.93 and 109.93 respectively and the Standard Deviation score of pre and post-test was 16.90 and 21.72 respectively. The mean difference was 61 and paired t” test score was 11.2352 that is more than the table value that is 2.045, df (29) *At 0/05 level of significance also the calculated P< 0.001 which was much lower than the acceptable level of significant i.e P<0.05. Hence (H1) significantly interpreted that psycho-social nursing intervention helps to enhance the psychological well-being of adolescent childsrens of substance abusive parents in selected community area at Meerut.

SECTION C

THE SCHUTTE SELF REPORT EMOTIONAL INTELLIGENCE SCALE (33 ITEMS)

Data represents in table shows- The table value depicts that the difference of mean post test score was 109.93 in experimental group and 48.60 in control group and the standard deviation score was 27.72 in experimental and 16.20 in control group. The mean difference score was 61.33. The calculated unpaired “t”test score was 12.397 for df 58 at 0.05 level of significance which is higher than the table value that is 2.00 also the calculated P<0.001 which was much lower than the acceptable level of significance i.e P<0.005. Hence so it is statistically interpreted that psycho-social nursing intervention helps to effect the level of psychological well-being among adolescent childrens of substance abusive parents in selected community area at Meerut.

DATA ANALYSIS AND INTERPRETATION

TABLE 4.1: Frequency and percentage distribution to analysis the demographic data of adolescent childrens of substance abusive parents in experimental and control group.

n=60

S.NO.	Socio-demographic variables	Experimental group (n=30)		Control group (n=30)
		frequency	%	frequency	%
1	AGE ( IN YEARS)
	12-13 YEARS	9	30%	7	23%
	14-15 YEARS	8	27%	10	34%
	16-17 YEARS	6	20%	6	20%
	18-19 YEARS	7	23%	7	23%
2	GENDER
	MALE	11	37%	14	47%
	FEMALE	19	63%	16	53%
3	TYPE OF FAMILY
	NUCLEAR FAMILY	13	43%	12	40%
	JOINT FAMILY	6	20%	9	30%
	EXTENDED FAMILY	11	37%	9	30%
4	OCCUPATION
	UNEMPLOYED	13	43%	7	23%
	SELF-EMPLOYED	6	20%	11	37%
	PRIVATE JOB	6	20%	7	23%
	GOVERNMENT JOB	3	10%	3	10%
	FAMILY BUSINESS	2	7%	2	7%

5	NO. OF SIBLINGS
	1	10	33%	11	36%
	2	16	53%	15	50%
	3	2	7%	2	7%
	MORE THAN 3	2	7%	2	7%
6	LAST ACADEMIC SCORE OF STUDENT
	>80%	10	33%	9	30%
	71-80%	11	37%	11	37%
	61-70%	2	7%	3	10%
	<60%	7	23%	7	23%
7.	QUALIFICATION
	9^th	1	3%	1	3%
	10^th	11	37%	9	30%
	11^th	1	3%	6	20%
	12^th	17	57%	14	47%

Data presented in table depicts in experimental group that:-

As per age majority of the samples belongs to 9(30%) were in the age group of 12-13 years, 8(27%) were age group of 14-15 years, 6(20%) were in 16-17 years and 7(23%) were in 18-19 years.
Majority of sample 11(37%) were male, and 19(63%) were females.
Majority of sample 13(43%) belongs to nuclear family, 6(20%) belongs to joint family, 4(37%) belongs to extended family.
Majority of sample 6(20%) belongs to private job, 3(10%) belongs to government job, 6(20%) were self-employed, 13(43%) were unemployed and family business 2(7%)
Majority of sample 10(33%) were 1 no. of sibling, 16(53%) were below 2 no. of sibling, 2(7%) were 3 no. of sibling, 2(7%) more than 3 siblings.
Last academic score of the student majority of sample were 10(33%) >80%, 4(37%) were 71-80%, 2(7%) were 61-70% and 7(23%) were <60%.
Qualification shows that the maximum samples were 9^th class 1(3%), 10^th class were 11(37%), 11^th class were 1(3%) and 12^th class were 17(57%).

Data presented in table depicts in control group that-

The data represented in the table shows that majority of sample 7(23%) were in age group of 12-13 years, 10(34%) were in the age group of 14-15 years, 6(20%) were in 16-17 years and 7(23%) were in 18-19 years.
Majority of sample 14(47%) were male, and 16(53%) were females.
Majority of sample 12(40%) belongs to nuclear family, 9(30%) were belongs to joint family, 9(30%) were belongs to extended family.
Majority of sample 7(23%) belongs to private job, 3(10%) belongs to government job,11(37%) were self-employed, 7(23%) were unemployed and 2(7%) were in family business.
Majority of sample 11(36%) were no. of 1 sibling, 15(50%) were no. of 2 sibling, 2(7%) were no. of 3 sibling and 2(7%) were more than 3 sibling.
In regards to last academic score of the student majority of sample 9(30%) were >80%, 11(37%) were 71-80%, 3(10%) were 61-70% and 7(23%) were <60%.
Majority of sample 1(3%) belongs to 9^th class, 9(30%) belongs to 10^th class, 6(20%) belongs to 11^th class and 14(47%) belongs 12^th class.

TABLE- Mean, mean difference, standard deviation, standard deviation difference, and “t” value of pre-test and post-test score in experimental group

n= 30

Level of Emotional Intelligence

Mean

Mean Diff.

D

F

SD

Diff.

Paired t-test (cal.)

T-test Table Value

P Value

Pre test

2.89

1.72

29

1.05

0.75

9.46

2.045

P<0.00001

Post test

4.61

0.30

*Significant P<0.05 level of significance

Data represents in table show- The pre-test and post-test score of Mean was 2.89 and 4.1 respectively and the Standard Deviation score of pre and post-test was 1.05 and 0.30 respectively. The mean difference was 1.72 and paired t” test score was 9.4645 that is more than the table value that is 2.045, df=(29) At 0.05 level of significance also the calculated P<0.001 which was much lower than the acceptable level of significant i.e P<0.05. Hence (H1) it is significantly interpreted that psycho-social nursing intervention helps to enhance level of emotional intelligence among adolescent childrens in selected community area at Meerut.

Hence the research hypothesis H1 was accepted and null hypothesis H01 was rejected at 0.05 level of significance.

SUBSTABCE ABUSIVE PARENTS IN EXPERIMENTAL GROUP

TABLE- Mean, mean difference, standard deviation, standard deviation difference, and “t” value of pre-test and post-test in experimental group

n=30

Level of Psychological Well Being	Mean	Mean diff.	DF	SD	SD diff.	Paired t-test	T-test Table Value	P value
Pre-test	48.93	61	29	16.90	4.82	11.23	2.045	P<0.00001 S*
Post-test	109.93	61	29	21.72	4.82	11.23	2.045	P<0.00001 S*

*Significant P<0.05 level of significance

Data represents in table show – The pre-test and post-test score of Mean was 48.93 and 109.93 respectively and the Standard Deviation score of pre and post-test was 16.90 and 21.72 respectively. The mean difference was 61 and paired t” test score was 11.2352 that is more than the table value that is 2.045, df (29) *At 0/05 level of significance also the calculated P< 0.001 which was much lower than the acceptable level of significant i.e P<0.05. Hence (H1) significantly interpreted that psycho-social nursing intervention helps to enhance the psychological well-being of adolescent childsrens of substance abusive parents in selected community area at Meerut.

TABLE- Compare the post test score on level of emotional intelligence between experimental and control group

n=60

Level of Emotional Intelligence

Mean

Mean diff.

DF

SD

SD diff.

Unpaired t-test (cal.)

T-test Table value

P value

Experimental group

4.61

1.87

58

0.30

0.82

8.8304

2.00

P<0.00

001

S*

Control group

2074

1.12

*Significant P<0.05 level of significance

Data represents in table shows- The table value depicts that the difference of mean post test score was 4.61 in experimental group and 2.74 in control group and the standard deviation score was 0.30 in experimental and 1.12 in control group. The mean difference score was 1.87. The calculated unpaired “t”test score was 8.8304 for df 58 At 0.05 level of significance which is higher than the table value that is 2.00 also the calculated P<0.001 which was much lower than the acceptable level of significance i.e P<0.005. Hence so it is statistically interpreted that psycho-social nursing intervention helps to effect the level of emotional intelligence among adolescent childrens of substance abusive parents in selected community area at Meerut.

Hence the research hypothesis H2 was accepted and null hypothesis H02 was rejected at 0.05 level of significance.

Table- Compare the post test score on level of psychological well-being of adolescent childrens between experimental and control group.

n=60

Level of Psychological well-being

Mean

Mean diff

DF

SD

SD diff

Unpaired t-test (cal.)

T-test Table value

P-value

Experimental group

109.93

61.33

58

21.72

5.52

12.397

2.00

P<0.00

001

S*

Control group

48.60

16.20

*Significant P<0.05 level of significance

Data represents in table shows- The table value depicts that the difference of mean post test score was 109.93 in experimental group and 48.60 in control group and the standard deviation score was 27.72 in experimental and 16.20 in control group. The mean difference score was 61.33. The calculated unpaired “t”test score was 12.397 for df 58 at 0.05 level of significance which is higher than the table value that is 2.00 also the calculated P<0.001 which was much lower than the acceptable level of significance i.e P<0.005. Hence so it is statistically interpreted that psycho-social nursing intervention helps to effect the level of psychological well-being among adolescent childrens of substance abusive parents in selected community area at Meerut.

Hence the research hypothesis H2 was accepted and null hypothesis H02 was rejected at 0.05 level of significance.

SECTION III

Table-13 Chi square values showing association between pre-test psychological well-being score of experimental group with selected demographic variables of adolescent childrens of substance abusive parents.

n=30

S.NO	Socio demographic variables	Pre-test score of psychological well-being in experimental group			Chi square				Level of significance
		Low	Moderate	High	Cal. Value	Table value	DF	P value
1.	Age in years				6.05	12.59	6	0.41739	NS
	12-13	5	2	0
	14-15	7	2	1
	16-17	2	3	1
	18-19	2	3	2
2.	Gender				7.23	5.99	2	0.026917	S*
	Male	3	7	1
	Female	13	3	3
3.	Type of family				5.16	9.49	4	0.049953	NS
	Nuclear	9	3	1
	Joint	4	1	1
	Extended	3	6	2
4.	Occupation				16.4	15.51	8	0.036874	S*
	Unemployed	9	4	0
	Self employed	4	2	0
	Private Job	2	2	2
	Govt. Job	1	1	1
	Family Business	0	1	1
5.	No. of siblings				3.75	12.59	6	0.41739	NS
	1	4	5	1
	2	10	3	3
	3	1	1	0
	More than 3	1	1	0
6.	Last academic score				14.71	12.59	6	0.022636	S*
	>80%	5	3	2
	71-80%	7	3	1
	61-70%	1	0	1
	<60%	3	4	0
7.	Qualification				14.00	12.59	6	0.710465	S*
	9	0	0	1
	10	6	4	1
	11	0	0	1
	12	10	6	1

*Significant P<0.05 level of significance

The data presented in the table shows that it is evident that there was partly significant association between pre-test level of psychological well-being in experimental group among adolescent childrens with their socio demographic variables such as gender, age, type of family, occupation, no. of siblings, last academic score, were not significant. Hence, statistically interpreted that the research hypothesis H₃was accepted and null hypothesis H₀₃ was rejected at 0.05 level of significance.

Table – Chi square values showing association between pre- test psychological well-being score of control group with selected demographic variables of adolescent childrens of substance abusive parents.

n=30

S.NO	Socio demographic variables	Pre-test score of psychological well-being in experimental group			Chi square				Level of significance
		Low	Moderate	High	Cal. Value	Table Value	DF	P value
1.	Age in years				11.47	12.59	6	0.074892	NS
	12-13	6	1	0
	14-15	7	2	1
	16-17	2	3	1
	18-19	2	3	2
2.	Gender				0.50	5.99	2	0.778801	NS
	Male	7	5	2
	Female	10	4	2
3.	Type of family				1.06	9.49	4	0.0900566	NS
	Nuclear	7	4	1
	Joint	5	3	1
	Extended	5	2	2
4.	Occupation				6.61	15.51	8	0.579234	NS
	Unemployed	5	2	0
	Self-employed	7	3	1
	Private Job	3	3	1
	Govt. Job	2	0	1
	Family Business	0	1	1
5.	No. of siblings				7.14	12.59	6	0.38094	NS
	1	6	4	1
	2	10	4	1
	3	0	1	1
	More than 3	1	0	1
6.	Last academic score				2.76	12.59	6	0.8331	NS
	>80%	5	3	1
	71-80%	7	3	1
	61-70%	1	1	1
	<60%	4	2	1
7.	Qualification				7.24	12.59	6	0.299221	NS
	9	0	0	1
	10	5	3	1
	11	3	2	1
	12	9	4	1

*Significant P<0.05 level if significance

The data presented in the table shows that it is evident that there was no significant association between pre-test level of psychological well-being in experimental group among adolescent childrens with their socio demographic variables such as gender, qualification, type of family, occupation, no. of siblings, last academic score, qualification were not significant. Hence, the research hypothesis H₄was rejected and null hypothesis H₀₄was accepted.

Table – Chi square values showing association between pre- test emotional intelligence score of experimental group with selected demographic variables of adolescent childrens of substance abusive parents.

n=30

S.NO	Socio demographic variables	Pre-test score of psychological wee-being in control group					Chi square				Level of sig
		STRONGLY DIS.	SOMEWHAT DIS.	NEITHER DIS. NOR AGREE	SOMEWHAT AGREE	STRONGLT AGREE	Cal. V.	T V.	P V.	D F
1.	Age in years						10.59	12.59	0.101905	6	NS
	12-13	2	6	1	0	0
	14-15	0	7	1	0	0
	16-17	1	1	4	0	0
	18-19	1	5	1	0	0
2.	Gender						0.30	5.99	0.860708	2	NS
	Male	2	7	2	0	0
	Female	2	12	5	0	0
3.	Type of family						0.49	9.49	0.974467	4	NS
	Nuclear	1	9	3	0	0
	Joint	1	3	2	0	0
	Extended	2	7	2	0	0
4.	Occupation						33.31	15.51	0.000054	8	S*
	Unemployed	1	9	3	0	0
	Self-employed	1	4	1	0	0
	Private Job	1	3	2	0	0
	Govt. Job	1	2	0	0	0
	Family Business	0	1	1	0	0
5.	No. of siblings						5.42	12.59	0.491178	6	NS
	1	3	6	1	0	0
	2	1	11	4	0	0
	3	0	1	1	0	0
	More than 3	0	1	1	0	0
6.	Last academic score						20.25	12.59	0.002499	6	NS
	>80%	0	9	1	0	0
	71-80%	0	7	4	0	0
	61-70%	2	0	0	0	0
	<60%	2	3	2	0	0
7.	Qualification						14.40	12.59	0.025474	6	S*
	9	1	0	0	0	0
	10	1	8	2	0	0
	11	1	0	0	0	0
	12	1	11	5	0	0

*Significant P<0.05 level of significant

The data presented in the table shows that it is evident that there was partly significant association between pre-test score of emotional intelligence score in experimental group among adolescent childrens with their socio demographic variables such as qualification, occupation, were significant and age, gender, type of family, no. of siblings, last academic score were not significant. Hence, the research hypothesis H₃was accepted and null hypothesis H₀₃ was rejected at 0.05 level of significance.

Table – Chi square values showing association between pre- test emotional intelligence score of control group with selected demographic variables of adolescent childrens of substance abusive parents.

n=30

S.NO	Socio demographic variables	Pre-test score of emotional intelligence in control group					Chi square				Level of sig
		STRONGLY DIS.	SOMEWHAT DIS.	NEITHER DIS. NOR AGREE	SOMEWHAT AGREE	STRONGLY AGREE	Cal. V.	T V.	P V.	DF.
1.	Age in years						0.71	12.59	0.994273	6	NS
	12-13	1	4	2	0	0
	14-15	1	7	2	0	0
	16-17	1	3	2	0	0
	18-19	1	4	2	0	0
2.	Gender						2.09	5.59		2	NS
	Male	2	10	2	0	0
	Female	2	9	6	0	0
3.	Type of family						0.49	9.49		4	NS
	Nuclear	2	7	3	0	0
	Joint	1	5	2	0	0
	Extended	1	6	2	0	0
4.	Occupation						18.61	15.51	0.974467	8	S*
	Unemployed	1	5	1	0	0
	Self-employed
	Private Job
	Govt. Job
	Family Business
5.	No. of siblings						3.54	12.59	0.73864	6	NS
	1	2	8	1	0	0
	2	2	8	5	0	0
	3	0	1	1	0	0
	More than 3	0	1	1	0	0
6.	Last academic score						3.25	12.59	0.776878	6	NS
	>80%	1	6	2	0	0
	71-80%	1	8	2	0	0
	61-70%	1	1	1	0	0
	<60%	1	3	3	0	0
7.	Qualification						6.02	12.59	0.42953	6	NS
	9	0	0	1	0	0
	10	1	6	2	0	0
	11	1	2	3	0	0
	12	2	10	2	0	0

*Significant P<0.05 level of significance

The data presented in the table shows that it is evident that there was partly significant association between pre-test score of emotional intelligence in control group among adolescent childrens with their socio demographic variables such as occupation were significant and age, gender, qualification, type of family, last academic score, no. of siblings were not significant. Hence, the research hypothesis H₄was accepted and null hypothesis H₀₄ was rejected at 0.05 level of significance

1. Based on the above findings the following conclusion The psycho-social nursing interventions was effective to boost-up the emotional intelligence and psychological well-being of adolescent childrens of substance abusive parents

RECOMMENDATIONS

Based on the present study, the following recommendations have been made for further studies: Similar study can be conducted for a larger group for a longer period. Same kind of study can be conducted to adolescents. A comparative study can be conducted between rural and urban people. A study can be done to assess the knowledge about behavioral modification therapy and its effect on psychological condition of the substance abuse patients. A study can be conducted to identify the educational needs of the patient regarding health issue and positive effect on mental health. Similar kind of study can be done by using other research strategies.

Funding

This research paper received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

Conflicts of interest –The author declare no competing interest

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Effectiveness of Psycho-social Nursing Intervention on Emotional Intelligence and Psychological Well-being of Adolescent Childrens of Substance Abusive Parents

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Abstract

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INTRODUCTION

METHOLOGY

CONCULSION

Declarations

References

Additional Declarations

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