Occurrence and Motives Associated with Relapse after a De-addiction Treatment in Men with Alcohol Dependence Syndrome in a Tertiary Care Hospital- A Cross-sectional Study
Published: April 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44240.13656
Alka Chandrakar, Suvarna Jyothi Kantipudi, K Sandhya, Sathianathan Ramanathan
1. Junior Resident, Department of Psychiatry, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
2. Assistant Professor, Department of Psychiatry, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
3. Psychiatric Social Worker, Department of Psychiatry, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
4. Professor and Head, Department of Psychiatry, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Correspondence
Dr. Suvarna Jyothi Kantipudi,
Department of Psychiatry, Sri Ramachandra Medical College, Porur, Chennai-600116, Tamil Nadu, India.
E-mail: suvarna.srmc@gmail.com
Introduction: Alcohol dependence is a chronic relapsing brain disorder. A combination of biological, psychological and social factors influences the outcome of de-addiction treatment. Understanding these factors help in formulation of effective relapse management strategies in alcohol dependence.
Aim: To understand the occurrence and motives of drinking behaviour after de-addiction in males with past diagnosis of alcohol dependence syndrome.
Materials and Methods: A cross-sectional design was employed for determining the prevalence of relapse after de-addiction treatment. A semi structured socio-demographic proforma, clinical data form and Drinking Motives Questionnaire-Revised (DMQR) were used to assess correlates of relapse and remission on men who underwent de-addiction for alcohol dependence (n=58) after obtaining informed consent. Comparisons were carried out on different variables between relapse and remission groups using Statistical Package for Social Sciences (SPSS) version 20 and were reported.
Results: The occurrence of relapse after de-addiction treatment was 51.7%. Patients who had relapsed were significantly more likely to have less than a year of abstinence in the past and have received less than two de-addiction treatments in the past. More patients who had received less than two weeks of in-patient treatment for de-addiction maintained remission when compared to patients who had relapsed. Presence of high scores on social, coping and conformity motives was positively associated with relapse in this study.
Conclusion: The occurrence of relapse after de-addiction treatment was found to be high. Multiple biological, psychosocial and treatment variables influence the outcomes of de-addiction treatment. This study added to the literature on treatment variables and individuals motive for drinking behaviour.
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