Original Research Article_Expressed emotions and coping among the relapsed persons with alcohol dependence syndrome: A Comparative Study

Shanmugam, Backiyaraj; Das, Basudeb; Bhattacharjee, Dipanjan; Ezhumalai, Sinu

doi:10.30877/ijmh.8.4.2021.429-434

Cited by 3 publications

(4 citation statements)

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“…Our relapsed patients reported increased anger, loneliness, boredom, and negative affect due to avoidance by close family members. Similar to our study, Shanmugham et al, 24 found that relapsed patients have observed considerably higher expressed emotions from family members than abstinent patients. Patients who relapsed experienced high criticism, irritability, excessive interference, and a lack of required emotional assistance.…”

Section: Discussionsupporting

confidence: 92%

A Follow-up Study on Coping Strategies and its Association with Relapse Among Alcohol-dependent Patients

Venkateswaran,

Thirumalai

2024

Indian Journal of Psychological Medicine

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Background: Alcohol Dependence Syndrome is a chronic illness that is relapsing in nature. Past research has shown that coping strategies that are specific to alcohol dependence are useful in preventing long-term relapse. This follow-up study is, therefore, an attempt to understand the coping styles and strategies that are associated with relapse among individuals dependent on alcohol. Methods: We aimed to cross-sectionally assess the severity of alcohol dependence and coping styles of Alcohol dependent individuals. One hundred and twenty-seven consecutive patients who satisfied the International Classification of Diseases Tenth Edition (ICD 10) criteria for alcohol dependence and who were above the age of 18 years were included. This study was conducted in the de-addiction outpatient services of a Tertiary care center in South India between April 2019 and June 2020. Our Institutional Ethical Committee granted the approval for this study. We used a self-designed proforma for collecting the socio-demographic details. The Severity of Alcohol Dependence Questionnaire (SADQ) and Coping Orientation to Problems Experienced Inventory (Brief – COPE) were administered. Patients were followed up for six months. Motivation Enhancement Therapy was given to all our participants during their monthly follow-up visit. Descriptive analysis was performed using mean and standard deviation. We used the student t-test and chi-squared test to understand the differences in the coping strategies between relapsed and non-relapsed persons. Spearman’s correlation was used to assess the correlation between the severity of alcohol dependence and coping strategies. A p value of <.05 was taken as significant. Results: Non-relapsed individuals had significantly higher scores on active coping ( p = .008), emotional support ( p = .044), informational support ( p = .017), planning ( p < .001), acceptance ( p = .030), and humor ( p = .001). Relapsed individuals had statistically significant scores on denial ( p = .005), substance use ( p = .024), and self-blame ( p = .012). We found a positive correlation between the severity of alcohol dependence and maladaptive coping strategies ( p < .01). Conclusions: Relapsed individuals were found to have significantly higher maladaptive coping strategies. Non-relapsed individuals exhibited greater adaptive coping styles. Maladaptive coping strategies positively correlated with the severity of alcohol dependence.

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Section: Discussionsupporting

confidence: 92%

A Follow-up Study on Coping Strategies and its Association with Relapse Among Alcohol-dependent Patients

Venkateswaran,

Thirumalai

2024

Indian Journal of Psychological Medicine

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“…Previous studies reported similar findings that persons with AUD use avoidant approaches and multiple coping strategies (avoidance, substitution, distraction, and religious practices). [10][11][12][13][14][15][16][17][18][19][20] More relapsed individuals use escapism and fatalism as coping strategies. Coping strategies differ between abstinent and relapsed alcohol dependents.…”

Section: Discussionmentioning

confidence: 99%

“…10 A variety of coping strategies were used by men with AUD. [11][12][13][14][15][16][17][18][19] Women with AUD use more emotionfocused coping and less problem-focused coping than their male counterparts. [20][21][22][23] Coping strategies mediate the relationship between childhood trauma, AUD, social anxiety and AUD, borderline personality.…”

mentioning

confidence: 99%

Adverse Childhood Experiences, Coping and Resilience in Persons with Alcohol Use Disorder and Their Non-drinking Siblings in High-density Families: A Case-control Study

Sreenivasulu M.,

Prathyusha,

Ezhumalai

et al. 2024

Indian Journal of Psychological Medicine

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Background: Adverse childhood experiences (ACEs) increase the odds of alcohol use disorder (AUD). Aim: To study the ACEs, coping, and resilience in persons with AUD and their non-drinking siblings from high-density families. Methods: The study used a case-control study design. Using purposive sampling, 135 participants were selected; the sample consists of persons with AUD ( n = 45), non-drinking siblings ( n = 45), and healthy controls ( n = 45), selected from out-patient and in-patient services from a government-run de-addiction centre in Bengaluru. Individuals were administered an ACEs questionnaire, Brief-COPE, and Connor-Davison Resilience scale. Descriptive statistics, Friedman’s test, and Bonferroni’s post-hoc test, Binary Logistic Regression were used for analysis. Results: ACEs, coping, and resilience significantly differ across the three groups. Persons with AUD and their non-drinking siblings are comparable in terms of ACEs and having dysfunctional family members. Non-drinking siblings and healthy controls have similar coping and resilience. None of the healthy controls had dysfunctional family members. Conclusion: ACEs are more prevalent and more frequent in persons with AUD. Individuals with AUD showed higher avoidant coping and lower resilience than their non-drinking siblings and healthy controls. Early identification of ACEs and interventions to build resilience and coping strategies could prevent individuals from developing AUD in high-density families.

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“…[ 212 213 214 215 216 217 218 219 ] At an individual level, temperamental factors like extraversion, coping styles, factors like exposure to relapse cues, craving, locus of control (external), mood states, and anger are common reasons for relapse. [ 97 220 221 222 223 224 225 226 ] A few studies explored the role of biological markers (leptin, ghrelin) as predictors of relapse. [ 227 228 ] Interpersonal factors, social support, and occupational factors emerged as being associated with abstinence.…”

Section: Course and Prognosismentioning

confidence: 99%

Alcohol use disorder research in India: An update

Narasimha,

Mukherjee,

Arya

et al. 2024

Indian Journal of Psychiatry

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Background: Despite alcohol use being a risk factor for numerous health-related conditions and alcohol use disorder (AUD) recognized as a disease, there was limited research in India until 2010. This narrative review aims to evaluate AUD-related research in India from 2010 to July 2023. Methods: A PubMed search used key terms for AUD in India after 2010. Indian and international journals with regional significance that publish alcohol-related research were searched by each author individually. These were then collated, and duplicates were removed. In addition, we also conducted a gray literature search on focused areas related to AUD. Results: The alcohol-related research in India after 2010 focused on diverse areas associated with alcohol use. Some areas of research have received more attention than others. Two major epidemiological surveys conducted in the past decade reveal that around 5% have a problematic alcohol use pattern. Factors associated with alcohol use, like genetic, neurobiological, psychological, and sociocultural, were studied. The studies focused on the clinical profile of AUD, including their correlates, such as craving, withdrawal, alcohol-related harm, and comorbid psychiatric and medical illnesses. During this period, minimal research was conducted to understand AUD’s laboratory biomarkers, course, and prognosis. While there was a focus on generating evidence for different psychological interventions for alcohol dependence in management-related research, pharmacological studies centered on anticraving agents like baclofen. Research on noninvasive brain stimulation, such as rTMS, has shown preliminary usefulness in treating alcohol dependence. Very little research has been conducted regarding alcohol policy. Conclusion: In the past decade, Indian research on alcohol has focused on diverse areas. Epidemiological and psychological management-related research received maximum attention. Considering the magnitude of the alcohol-related burden, it is essential to prioritize research to other less studied areas like pharmacological management of alcohol dependence and alcohol policy.

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Original Research Article_Expressed emotions and coping among the relapsed persons with alcohol dependence syndrome: A Comparative Study

Cited by 3 publications

References 0 publications

A Follow-up Study on Coping Strategies and its Association with Relapse Among Alcohol-dependent Patients

A Follow-up Study on Coping Strategies and its Association with Relapse Among Alcohol-dependent Patients

Adverse Childhood Experiences, Coping and Resilience in Persons with Alcohol Use Disorder and Their Non-drinking Siblings in High-density Families: A Case-control Study

Alcohol use disorder research in India: An update

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