Alcohol dependence is a major public health problem that adversely affects not only the individual but also family members, particularly spouses. This study investigated psychological distress, social burden, and coping strategies among wives of alcoholics and examined the relationships among these variables. A quantitative descriptive correlational research design was adopted, and data were collected from 60 wives of individuals whose husbands screened positive for hazardous or dependent alcohol use on the Alcohol Use Disorders Identification Test (AUDIT), selected through purposive sampling from selected community settings. Standardized instruments, including the Kessler Psychological Distress Scale (K10), Family Burden Interview Schedule (FBIS), and Brief COPE Inventory, were used for data collection. The findings revealed that 43.3% of the participants experienced severe psychological distress, while 40.0% reported moderate distress. Regarding social burden, 50.0% experienced a moderate burden and 36.7% reported a severe burden. Nearly half of the participants (46.7%) demonstrated moderate coping strategies, whereas 28.3% exhibited good coping. The mean scores for psychological distress, social burden, and coping strategies were 28.46 ± 6.25, 32.81 ± 7.18, and 48.63 ± 8.42, respectively. A strong positive correlation was observed between psychological distress and social burden (r = 0.68, p < 0.001), while psychological distress and coping strategies showed a significant negative correlation (r = –0.52, p < 0.01). Similarly, social burden was negatively correlated with coping strategies (r = –0.45, p < 0.05). Significant associations were found between psychological distress and education, family income, and duration of alcohol use. The study concluded that wives of individuals with hazardous or dependent alcohol use experience substantial psychosocial challenges, highlighting the need for targeted counseling, family support, and coping enhancement interventions to improve their psychological well-being and quality of life.