Spirituality and Abstinence Self-efficacy in Patients with Alcohol Dependence Syndrome
Published: June 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44389.13789
Dinesh Panati, Ramya Keerthi Paradesi, Vinay Kumar Sayeli, Swetha Panati
1. Assistant Professor, Department of Psychiatry, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India.
2. Assistant Professor, Department of Psychiatry, Sri Venkateswara Medical College, Tirupati, Andhra Pradesh, India.
3. Assistant Professor, Department of Pharmacology, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India.
4, Junior Resident, Department of Anaesthesiology, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India.
Correspondence
Dr. Ramya Keerthi Paradesi,
Department of Psychiatry, Sri Venkateswara Medical College, Tirupati-517507, Andhra Pradesh, India.
E-mail: pramyakeerthi@gmail.com
Introduction: Spirituality and self-efficacy are the concepts related to health, which plays a protective role in maintaining abstinence as well as predicts response to treatment in alcohol dependence patients.
Aim: To determine the correlation between Spirituality and Abstinence self-efficacy among patients with alcohol dependence syndrome.
Materials and Methods: An observational study was conducted on 50 patients with DSM-IV (Diagnostic and Statistical Manual of Mental Disorders-4th edition) for diagnosis of alcohol dependence syndrome. They were recruited from the de-addiction unit of psychiatry ward at a tertiary care centre. Subjects were assessed for spirituality and abstinence self-efficacy using The Functional Assessment of Chronic Illness Therapy-Spiritual well-being scale (FACIT Sp-12) {12 indicates total number of items in FACIT Sp questionnaire, which consists of three subscales (Meaning, Peace and Faith subscales) of four questions each} and Alcohol Abstinence Self-Efficacy (AASE) scale. Mean and standard deviation for continuous variables and frequency counts for discrete variables were obtained. Pearson’s correlation coefficient (r) was used to determine the correlation.
Results: The current study demonstrated that the subjects had more spiritual belief in meaning and faith components and less belief in peace component of the FACIT Sp-12. AASE scale showed high efficacy (Total score=78.2±17.2) to remain abstinent. There was a significant positive correlation among two spiritual variables meaning (r-value=0.799) and faith (r-value=0.825) with negative effect, social and positive behaviour, physical and other concerns, craving and urges. There was a negative correlation (r-value=-0.026) with peace component in spiritual well-being and AASE scale.
Conclusion: Spiritual belief and AASE were found to be high in index study. Also, spiritual variables (meaning and faith) had a positive correlation with ASSE, which suggests that patients with high spiritual belief had a better capability to remain abstinent from alcohol and good long term recovery than others.
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