Psychosocial Factors Associated with Relapse in Patients with Alcohol Dependence

Sureshkumar, Kailash; Kailash, Shabeeba Z; Dalal, Pronob Kumar; Reddy, Murali Mohan; Sinha, Preema

doi:10.4103/0253-7176.207337

Cited by 17 publications

(22 citation statements)

References 14 publications

(14 reference statements)

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“…Also, there was a positive relationship between maladaptive coping and alcohol relapse in this study ( r s = 0.217, p < 0.05). The findings of coping strategies are seen as parallel with previous studies that found individuals who had abstained from alcohol tended to use a greater number of effective coping strategies than those who had relapsed [26, 44].…”

Section: Discussionsupporting

confidence: 83%

“…Understanding factors related to relapse allows clinicians to develop effective relapse prevention strategies [25]. Although there have been a number of studies conducted on the topic, factors correlating to relapse were varied and not consistent among different groups of peoples and cultures [26–28]. Conducting a context-specific study could provide information on the local relapse situation.…”

Section: Introductionmentioning

confidence: 99%

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Alcohol dependence and the psychological factors leading to a relapse: a hospital-based study in Vietnam

Trieu

Uthis

Suktrakul

2020

JHR

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PurposeTo study the situation of alcohol relapse and to investigate the relationship between psychological factors and alcohol relapse in persons with alcohol dependence in Thai Nguyen hospitals, Vietnam.Design/methodology/approachA correlation study was conducted among 110 patients. Data were collected through structured interviews and were analyzed using descriptive statistics and Spearman's correlation coefficient (rs).FindingsMore than two-thirds of the participants were found to relapse more than once (X¯ = 2.04, SD = 0.86). Positive outcome expectancies, cravings, negative emotional states, and maladaptive coping were positively associated with relapse (rs = 0.550, 0.522, 0.497; p = 0.000 and rs = 0.217, p < 0.05, respectively). While, motivation to change with three subscales had a negative correlation to relapse including recognition (rs = −0.199, p < 0.05), ambivalence (rs = −0.331, p = 0.000), and taking steps (rs = −0.606, p = 0.000). Adaptive coping, self-efficacy, and social support were also found to be negatively correlated to relapse (rs = −0.535, −0.499, −0.338; p = 0.000, respectively). However, negative outcome expectancies (rs = −0.024, p = 0.805) and positive emotional states (rs = 0.081, p = 0.399) were not significantly related to relapse.Practical implicationsThe findings of this study are significant implications for relapse prevention strategies. It suggests that the essential parts of relapse prevention are through: changing alcohol expectations, increase drinking refusal self-efficacy, coping skills training, enhancing motivation to change, managing alcohol craving and expanding social support.Originality/valueThis is the first study in Vietnam which investigated the relationship between psychological factors and alcohol relapse in individuals with alcohol dependence.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Alcohol dependence and the psychological factors leading to a relapse: a hospital-based study in Vietnam

Trieu

Uthis

Suktrakul

2020

JHR

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“…NARRATIVE THEORY IV: WITHIN-SUBJECT EFFECTS real-world stressful events, including job loss or financial stress and hurricanes, has been linked to increased use of alcohol or relapse (Sinha, 2012;Sureshkumar et al, 2017). Additionally, a recent decline in life expectancy in the United States has been linked to "deaths of despair" due to substance use and economic hardship (Case & Deaton, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…The ability to shift delay discounting within-subject during a single session via active versus control narratives could help inform future experimental designs, but perhaps more importantly suggests scarcity narratives exert state-dependent effects on discounting that dissipates when challenged by an opposing narrative. Exposure to real-world stressful events, including job loss or financial stress and hurricanes, has been linked to increased use of alcohol or relapse (Sinha, 2012; Sureshkumar et al, 2017). Additionally, a recent decline in life expectancy in the United States has been linked to “deaths of despair” due to substance use and economic hardship (Case & Deaton, 2017).…”

Section: Discussionmentioning

confidence: 99%

Narrative theory IV: Within-subject effects of active and control scarcity narratives on delay discounting in alcohol use disorder.

Craft¹,

Tegge²,

Bickel³

2022

Experimental and Clinical Psychopharmacology

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Imagining narratives involving sudden economic scarcity has been shown to increase delay discounting rates. However, previous studies have only compared active and control narratives between groups. Moreover, an investigation of the quantitative effects of different narrative scenario types has not been conducted. In this study, active and control scarcity narratives were administered within-subject in a sample of individuals meeting criteria for alcohol use disorder (AUD). Individuals with AUD (N = 81; 26.9% female) were recruited via Amazon Mechanical Turk. After assignment to the job (N = 42) or storm (N = 39) narrative groups, participants completed delay discounting tasks while imagining an active (job loss/hurricane) and control (job neutral/mild storm) condition. Both active narratives increased delay discounting relative to the corresponding control condition ( p < .001), with no effect of order of presentation ( p = .202). Additionally, both narrative types exerted similar effect sizes on discounting rates (job: d = 0.54; storm: d = 0.45). This study replicates and extends previous research on the manipulability of delay discounting rates with scarcity narratives. We demonstrated that the active narrative significantly increased delay discounting relative to a control narrative within-subject, regardless of presentation order. Moreover, both the job loss and hurricane narratives exerted a similar effect on the delay discounting rate. These results highlight the robust ability of the Narrative Theory framework to shift delay discounting rates and suggest that in AUD, imagining economic scarcity due to job loss or hurricane exerts comparable effects on behavioral economic decision-making. Public Significance StatementThis study's findings replicate and extend previous work on scarcity by demonstrating the feasibility of using active and control scarcity narratives to shift delay discounting rates within-subjects during a single session in individuals with alcohol use disorder. This highlights the robustness of Narrative Theory as a framework to influence a behavioral process relevant to substance use and abuse.

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“…Psychosocial factors are also relevant in episodes of alcohol dependence relapses [11]. Specifically, it has been shown that 'social support', defined as the help from nearby people [12], can reduce the risk of relapses [13].…”

Section: Introductionmentioning

confidence: 99%

Hospital discharge location and socioeconomic deprivation as risk factors for alcohol dependence relapses: A cohort study

Manca

Lewsey

2021

Drug and Alcohol Dependence

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Psychosocial Factors Associated with Relapse in Patients with Alcohol Dependence

Cited by 17 publications

References 14 publications

Alcohol dependence and the psychological factors leading to a relapse: a hospital-based study in Vietnam

Alcohol dependence and the psychological factors leading to a relapse: a hospital-based study in Vietnam

Narrative theory IV: Within-subject effects of active and control scarcity narratives on delay discounting in alcohol use disorder.

Hospital discharge location and socioeconomic deprivation as risk factors for alcohol dependence relapses: A cohort study

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