A Descriptive Study to Assess the Prevalence of Alcoholism and Relapse Precipitants among Alcoholic Persons in Selected Community, Jalandhar, Punjab. (original) (raw)
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Extrinsic Factors Influencing Relapse in Alcohol Dependence
International Journal of Contemporary Medical Research [IJCMR]
Introduction: Relapse is a common problem faced when alcohol dependence is treated. The present study was done to find the influence of extrinsic factors such as stressful life events, peer pressure and perceived social support on relapse in alcohol dependence, which will be useful to develop effective interventions to prevent it. Material and methods: This cross sectional study conducted in tertiary care teaching hospital in Kottayam, included 60 subjects who were grouped into 30 Late Relapsers (who relapsed drinking after 3 months of abstinence) and 30 Early Relapsers-(who relapsed drinking within 3 months of abstinence). Mini-Mental Status Examination, Diagnostic Criteria for Research for ICD-10 (DCR-10) and the Stressful Life Inventory were used for each patient to collect their details. Results: The mean age of onset of alcohol use of Early Relapsers was lower than that of the Late Relapsers. Also the number of stressful life events related to work, marriage, family and finance were more in the Early Relapsers compared to the other and the difference was statistically significant for the above mentioned factors. Conclusions: Early age of onset of alcohol use and occurrence of stressful life events in 6 months preceding the relapse are associated with relapse in alcohol dependence. Community based studies with larger sample size are needed to substantiate the results of this study.
A Study on Relapse Prevention in Cases of Alcohol Dependence Syndrome
American Journal of Life Sciences, 2013
Background-There have been few studies on relapse preventive strategies on people with alcohol dependence syndromes. There have been various factors for causes of relapse even after undergoing detoxification and other therapeutic measures. The use of anticraving medications and psychotherapy have been the common modalities used in the management of people dependent on alcohol.. Methods-100 cases diagnosed with alcohol dependence syndrome were placed into two separate groups of fifty each. One group was placed on anticraving medication, Tab Acamprosate, and the other group was maintained on psychotherapy sessions. They were followed up at 0, 6 and 12 month period. Scales were used to screen alcohol dependence (ADS, Brief MAST) and a scale specifically designed for the Indian people were used to assess stressful life events (AFMC Life Events Scale). Results-Relapse rates were ascertained at the given time of follow up. Analysis revealed that a total of 09 cases relapsed in this one year period. The relapse rates were higher in the first six months after therapy than in the later follow up period. 06 cases that relapsed were from psychotherapy group and the remaining 03cases were from the group receiving anticraving medications. But the difference between the two groups was not statistically significant. Various stressful events were highlighted using Marlatt's taxonomy for causes of relapse. Conclusions-Relapse rate was commoner in the initial months after undergoing detoxification therapy. Anticraving medication was in no way superior to a structured psychotherapy sessions in relapse prevention.
National Journal of Community Medicine, 2018
Introduction: Alcohol addiction is influenced by factors like started drinking at early age, positive family history, impulsivity, hyperactivity. Objective of the study was to assess drinking parameters and associated factors among alcohol addicts attending De-addiction center. Methods: This observational study was conducted during 1st June 2015 to 31st May 2016. Total 400 cases with an AUDIT score of >8 were included. Information like duration of drinking, amount of drink, type of alcohol consumed, motivating factors for seeking de addiction centre, previous treatment history were collected. Results: Half of alcoholics started drinking at very young age (<26 years). Majority were Hindu and one fourth cases had primary education and one fourth was literate up to higher secondary. Half of cases were daily wages and majority were from SES class III & IV. Only 16% had positive family history. Majority (80%) consumed more than 3 to 6 quarter of alcohol daily. Majority (79%) consumed “Desi” alcohol. Conclusion: When alcohol is started late then the amount of alcohol consumed is less. Per capita income has a negative 18.2% change in amount of alcohol. Age of starting consumption of alcohol also made a significant contribution to predict type of alcohol consumed.
Journal of Evidence Based Medicine and Healthcare, 2017
BACKGROUND Alcohol de-addiction is a cornerstone in the treatment of alcohol dependence syndrome. Following de-addiction therapy many patients relapse and only few patients maintain abstinence. The clinical, demographic variables have been reported to play an important role in the dynamics of relapse and abstinence after de-addiction in many studies, but there is no clear cut association between the variables and outcome till date, so the present study was planned. MATERIALS AND METHODS Initially, all study subjects in the study were subjected to alcohol detoxification and later to alcohol de-addiction therapy. After de-addiction patients were recalled for evaluation for period of three months. The sociodemographic data and details of clinical variables related to alcohol use were obtained in a pre-structured pro forma prepared in the Department for the purpose of the study. Severity of Alcohol Dependence Questionnaire (SADQ-C) was used in the study to assess the severity of alcohol dependence in the study subjects. RESULTS There was no statistical significance result observed in relation to any demographic variables, clinical variables and outcome (relapse/abstinence to alcohol). CONCLUSION In this study, no significant association was found between sociodemographic variables, clinical variables and the outcome.
Public Health Review: International Journal of Public Health Research, 2019
Introduction-The menace of alcohol abuse in the Punjab State is not less prevalent than the rest of India. Alcoholism in Punjab is assuming an alarming proportion. Chronic alcohol abuse may lead to mal-absorption of various substances, calcium, vitamin B complex and iron leading to health problems. Objective-To assess the impact of prolonged alcohol use on different systems of the body leading to health problems. Methods-The present cross-sectional study was conducted in rural and urban field practice areas attached to the Department of Community Medicine, Government Medical College, Amritsar. The target population in urban area was 847 and in rural area it was 737. Three sets of proforma i.e. A, B and C were evolved. Results-Majority of the regular alcohol users were suffering from different liver diseases like fatty infiltration 60 (56.08%), alcoholic hepatitis 25 (23.36%), alcoholic cirrhosis 10 (9.35%). In cardiovascular system assessment, 23 (21.50%) were suffering from severe hypertension. Recurrent chest infections were observed in 32 (29.91%). In CNS assessment it was observed that 37 (34.58%) were suffering from loss of recent memory and 51 (47.68%) from insomnia. Delayed ejaculation was observed in 30 (28.04%). Conclusion-There is urgent need for further indepthcommunity based research in a larger sample and for a longer period, should be undertaken jointly by the specialists from the medical profession, social scientists and enforcement agencies to have real picture of alcohol consumption and its effect on health.
This study investigated influence of personality traits and demographic factors on number of relapse among treated alcoholics. Fifty participants (32 males and 18 females) were selected for the study from ESUT Teaching hospital Parklane, Enugu. They were already diagnosed, treated and had numbers of relapse in alcohol that consented to the study. Their mean age was 22.74 and SD was 3.35. The Big five inventory developed by John, Donahue and Kentle (1991) was used in assessing the domains of personality traits, grouped into five major domains, Mac-Andrew Alcoholism Scale (MAS) developed by Craig Mac-Andrew in 1965 and validated in Nigeria by Selemo (1995), was used in measuring the degree of excessive alcohol consumption and composite record of medical diagnosis based on DSM-V diagnostic criteria for alcohol relapse to establish relapse as well as the number of relapse. It was a cross-sectional survey and One-way ANOVA was used to test hypothesis one to five while Independent T-test was used to test hypothesis six and seven of the study variables. The result showed that openness to experience and agreeableness personality trait does not have significant difference on number of relapse in alcohol amongst treated alcoholics, agreeableness and conscientiousness personality trait does not have significant difference on number of relapse in alcohol amongst treated alcoholics, conscientiousness and neuroticism personality trait does not have significant difference on number of relapse in alcohol amongst treated alcoholics, neuroticism and extraversion personality trait does not have significant difference on number of relapse in alcohol amongst treated alcoholics, extraversion and openness personality trait does not have significant difference on number of relapse in alcohol amongst treated alcoholics, genders does not have a significant influence on number of relapse in alcohol among treated alcoholics, employment status does not have a significant influence on number `relapse in alcohol among treated alcoholics.
https://www.ijhsr.org/IJHSR\_Vol.11\_Issue.1\_Jan2021/IJHSR\_Abstract.028.html, 2021
Introduction: Alcohol use disorders have been prevalent across all societies. The pattern of alcohol use varies depending on age, religion, education, type of drink and other demographic characteristics. Alcohol use is increasing in developing countries, but reliable factors are not available. Since 1970, 47% of developing countries in transition and 35% of developed countries have increased their consumption of absolute alcohol per adult (WHO, 1999). Alcohol causes 4% of the total disability adjusted life years and alcohol use disorders account for1.4% of the total burden of disease, according to recent estimates (WHO, 2002). 1 Keeping in this mind, this study was undertaken to assess the contributing factors for alcoholism among adults. Objectives: The study was conducted to determine the major contributing factors of alcoholism among adults and to find the association between the contributing factors for alcoholism in selected demographic variables. Methodology: A quantitative approach is used for this study. The study was carried out on 41 alcoholic patients admitted in the psychiatry de addiction ward of selected hospital in mangaluru. Institutional ethics committee permission was obtained. After taking informed consent from the 41 alcoholic patients were selected by purposive sampling technique. The tool consists of demographic profile along with contributing factors questionnaire. Reliability and validity of the tool were established. Data was analyzed using descriptive and inferential statistics Result: The study findings show that out of 20 contributing factors the majority of them have said that personal and psychological factors contribute for alcoholism among adults. There is no association between the baseline variables and contributing factors for alcoholism.
International Journal of Midwifery and Nursing Practice
Background: Alcoholism refers to the use of alcoholic beverages to the point of causing damage to the individual, society or both. In India the alcohol addiction is more common and the disorders are also increasing. About 75% of the adults in India are regular drinkers. Most of the family problems and other violence are arising due to alcohol consumption. Aim: The aim of the study was to assess the prevalence of alcoholism and psychosocial problems among adults. Objectives: 1. To assess the prevalence of alcoholism among adults. 2. To identify the psychosocial problems related to alcoholism among adults. 3. To find the relationship between prevalence of alcoholism and psychosocial problems. 4. To find out the association between prevalence of alcoholism and psychosocial problems with selected socio-demographic variables. Methodology: 100 adults from rural area, Akkuthotta, Nellore were selected by using stratified random sampling method. Results: The study concluded that almost half of the adults 42(42%) were mild alcoholics and 44(44%) adults had psychological problems due to alcoholism. The co-relation between the prevalence of alcoholism and psychosocial problems was +0.89.
Case Study on Application of Relapse Prevention Therapy in Person with alcohol dependence syndrome
Background: Relapse prevention therapy propounded by Marlatt and Gordon is found to be effective in the process of prevention or delaying of relapse by persons with Alcohol use disorder. It is based on the Cognitive Behavioural approach and employs strategies to identify high risk situations. Aim: The study aims to explore the efficacy of Relapse prevention strategies in maintaining abstinence. Methods: The study is based on a single case study design done inside the Department of Deaddiction, Lokopriyo Gopinath Bordoloi Regional Institute of Mental Health, Tezpur. The case in this context is an individual diagnosed with Alcohol Dependence Syndrome as per the International Classification of Diseases-10 (ICD 10). A qualitativeassessment was done to understand the psychosocial background of the client besides exploring the risk factors for relapse (immediate determinants and covert antecedents). Following assessment Psychosocial interventions were provided inthe form of relapse prevention therapy sessions at the individual level and family Psychoeducation. Result: During the followups of 3 months, 6 months and 1 year after the Psychosocial treatment the individual was found to be abstinent with an improvement in work functioning. Conclusion: Relapse prevention therapy techniques have been effective in helping the client maintain abstinence. The client was also able to develop alternative ways of coping stressful situations.
A study on socio-demographic factors of alcoholics attending a deaddiction centre in Kannur district
Public Health Review: International Journal of Public Health Research, 2019
Background: Alcoholism is a major public health problem in Kerala. It leads to serious social, mental and physical consequences. Method: A deaddiction centre based cross sectional study was done on 370 individuals using a predesigned questionnaire during the period of 2012-2013. The data was analyzed using SPSS version 17. Chi-Square test was used to find association between the study variables. Results: The study was done on 370 alcohol dependent subjects. The mean age of the study subjects was 38.08±8.46 years. 64.3% of the study subjects were from rural areas. The mean age of starting alcohol consumption was 25.46±6.6 years. Family history of alcohol consumption was present in 99 (26.8%) patients. The age at initiation of alcohol intake was significantly (p < 0.05) associated with family history. The mean duration of drinking was 12.62±7.47 years. 42.4% of the study subjects consumed brandy. 37.6% of them consumed < 200ml of alcohol per day. Peer pressure was the most common reason cited by 44.1% individuals for starting alcohol consumption. The most common reason cited by 30.5% individuals for continuing alcohol consumption was because they liked its effect. Family problems and financial problems were the most common reasons cited wanting to stop alcohol consumption. Conclusion: Alcohol use is a serious public health problem. Awareness programs regarding its harmful use should be given to the people in the community.