Determinants Contributing to Relapse in Alcohol Dependence – A Single Centric Comparative Study
Authors/Creators
- 1. Associate Professor, Department of Psychiatry, MNR Medical College and Hospital, Sangareddy, Telangana, India
Description
Introduction: Alcoholism is a psychiatric disorder combined with mental, physical and social difficulties and tends to have relapsing course. Relapse is a challenging clinical concern in alcohol dependence due to its high magnitude of conditions and limited availability of treatment. The present study was designed to assess the risk factors for relapse among cases with alcohol dependence. Materials and Methods: Seventy six participants of alcohol dependence above 18 years of age who attaining the criteria for alcohol dependence were recruited. Participants were randomly divided into two groups. Group 1 has 38 participants relapsed with alcohol dependence after proper treatment, group 2 has 38 participants with alcohol dependence who consumed before 12 months diagnosed as per ICD 10. The stressful events of participants were assessed by presumptive stressful life event scale. Personality disorders were assessed by ICD-10 International personality disorder examination. Results: The difference of marital status, educational status, occupation, onset of alcohol consumption and family history was significant between study groups (P<0.05). In group 1, 82.20% of participants were reported stressful events that influence alcohol relapse, whereas in group 2, 7.09% of subjects reported stressful events. Stressful events related to financial conflicts (26.32%), unemployment (23.68%), marital conflicts (18.42%), familial negligence (13.16%), craving of alcohol (13.16%) and workplace conflicts (5.26%) were most common cause of dependence relapse. Discussion and Conclusion: The results were concluded that participants with unemployment, poor educational status, family history of alcohol abuse and early onset of alcohol were significant predictors among participants of relapsed group. It is necessary to counsel the victims and family to improve self-efficacy and social support.
Abstract (English)
Introduction: Alcoholism is a psychiatric disorder combined with mental, physical and social difficulties and tends to have relapsing course. Relapse is a challenging clinical concern in alcohol dependence due to its high magnitude of conditions and limited availability of treatment. The present study was designed to assess the risk factors for relapse among cases with alcohol dependence. Materials and Methods: Seventy six participants of alcohol dependence above 18 years of age who attaining the criteria for alcohol dependence were recruited. Participants were randomly divided into two groups. Group 1 has 38 participants relapsed with alcohol dependence after proper treatment, group 2 has 38 participants with alcohol dependence who consumed before 12 months diagnosed as per ICD 10. The stressful events of participants were assessed by presumptive stressful life event scale. Personality disorders were assessed by ICD-10 International personality disorder examination. Results: The difference of marital status, educational status, occupation, onset of alcohol consumption and family history was significant between study groups (P<0.05). In group 1, 82.20% of participants were reported stressful events that influence alcohol relapse, whereas in group 2, 7.09% of subjects reported stressful events. Stressful events related to financial conflicts (26.32%), unemployment (23.68%), marital conflicts (18.42%), familial negligence (13.16%), craving of alcohol (13.16%) and workplace conflicts (5.26%) were most common cause of dependence relapse. Discussion and Conclusion: The results were concluded that participants with unemployment, poor educational status, family history of alcohol abuse and early onset of alcohol were significant predictors among participants of relapsed group. It is necessary to counsel the victims and family to improve self-efficacy and social support.
Files
IJPCR,Vol14,Issue10,Article1.pdf
Files
(628.5 kB)
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Additional details
Dates
- Accepted
-
2022-09-29
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue10,Article1.pdf
- Development Status
- Active
References
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