To identify predictors of relapse in cases of alcohol dependence syndrome in relation to life events

Chauhan, Vinay; Nautiyal, S C; Garg, Rajat; Chauhan, Kirti

doi:10.4103/ipj.ipj_27_18

Cited by 8 publications

(8 citation statements)

References 20 publications

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“…It was also observed that 77.3% of participants had a family member who also drank alcohol. This finding was congruent with other studies that indicated a positive history of alcohol use among people with alcohol relapse [42, 43].…”

Section: Discussionsupporting

confidence: 93%

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: 93%

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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“…When the participants spoke of the causes for relapsing, it became apparent that their mental distress was associated with their relapses. They explained that relapses had been accompanied by a great deal of negative emotions, and it was evident that some of the participants felt they had failed their relatives and themselves, which is in accordance with findings from previous studies ( Chauhan et al, 2018 ).…”

Section: Discussionsupporting

confidence: 88%

“This Is the Result of Something Else”: Experiences of Men That Abused Drugs and Had Experienced Childhood Trauma

2021

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Drug abuse is a serious public health issue that may have irreversible consequences. Research has revealed that childhood psychological trauma can promote addictive behaviors in adulthood and that drugs are often used as a coping mechanism. Men are less likely to report trauma and seek help than women. The purpose of this qualitative study was to explore the experience of men in Iceland who have abused drugs and experienced childhood psychological trauma, to increase knowledge and deepen the understanding of trauma and addiction. Participants were seven men who had both experienced childhood trauma and had a history of drug abuse. Two interviews were conducted with each participant. The main findings suggest that participants abused drugs as a coping mechanism due to the trauma experienced in childhood. For some participants, seeking companionship was a key component of their drug use. Participants were mostly dissatisfied with treatment resources in Iceland; waiting lists were long and too much focus was on religion. Five main themes were identified: emotional impact, self-medication for pain, gender expectations, impermanence of thoughts, and loss of a sense of wholeness. Increased societal and professional awareness of the linkage between trauma and drug abuse is needed, as are additional resources specific to men who have experienced childhood trauma and drug abuse. It is important to integrate trauma focused services into health-care settings to educate health-care professionals on trauma and the consequences thereof, in addition to utilizing screening tools such as the Adverse Childhood Experience Questionnaire for those seeking assistance.

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“…Few other studies showed higher relapse. 7,10,12 In the current study the, the univariate analysis had shown age at first drink in years, total duration of drinking in months and use of disulfiram and graduation as educational status are associated with higher odds of relapse. Having financial debts, prescription antidepressant intake and RTA under intoxication were associated with lower odds of relapse among the study population.…”

Section: Discussionmentioning

confidence: 46%

“…9 Therefore, relapse as a central issue in the treatment of alcohol dependence warrants further study. 10 Hence, in this study the factors associated with abstinence, lapse and relapse of drinking after an in-patient deaddiction programme was investigated. The current study showed that only 22(31.43%) participant were abstinent meaning most patient either had a lapse or a relapse.…”

Section: Discussionmentioning

confidence: 99%

“…Cüneyt Evren, et al 11 showed that the relapsed was associated fewer regular visits to the outpatientclinic, attended the Outpatient Treatment Program on an irregular basis or not at all, made fewer social changes to protect themselves from a relapse or were not able to make any changes at all, and used the anti-craving medication irregularly or not at all. Chauhan, V., et al 10 found that patients who had relapsed were found to have significantly more positive family history of substance use, past history of alcohol-related comorbidity, experienced a higher number of undesirable life events, and higher negative mood states and social anxiety and dysfunction in social, vocational, personal, family, and cognitive spheres compared to patients who had remained abstinent. This study showed various factors that influence alcohol relapse.…”

Section: Discussionmentioning

confidence: 99%

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A Study of Factors Associated with Relapse of Drinking during a 1 Year Follow-up: A Retrospective Cohort of 70 Males Treated as In-Patient for Alcohol Dependence Syndrome

Stanley¹,

Ayyanar²,

Venkatasamy³

et al. 2019

IJCMSR

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Relapse is a multi-factorial phenomenon and most likely to result from a combination of various factors. This study was conducted to determine factors associated with relapse of drinking in patients who underwent deaddiction treatment programme. Material and Methods: This is a retrospective cohort study was done in patients who were admitted for in-patient deaddiction care programme between September 2017 and February 2018. The in-patient charts of the subjects were retrieved from the medical records department. The SADQ score at admission, CIWA-Ar score and The Brief Substance Craving Score at the time of discharge were taken from the record. Results: A total of 70 patients were recruited and the mean age of participant was 41.27 ± 11.07 years. At the end of 1 year the mean total no. of lapses was 9.9 ± 12.67 in the study population and the mean total number of relapses was 0.84 ± 0.94. The mean duration of complete abstinence last 1 year (CDA) in days was 272.43 ± 109.12. The mean no. of readmissions for de-addiction last 1 year was 0.23 ± 0.57 in the study population. Univariate analysis shows age at first drink in years, total duration of drinking in months and use of disulfiram and graduation as educational status are associated with higher odds of relapse. However, multiple regression model showed no statistically significant association. Conclusion: The complete abstinence was seen only in 31.43% of the population

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To identify predictors of relapse in cases of alcohol dependence syndrome in relation to life events

Cited by 8 publications

References 20 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

“This Is the Result of Something Else”: Experiences of Men That Abused Drugs and Had Experienced Childhood Trauma

A Study of Factors Associated with Relapse of Drinking during a 1 Year Follow-up: A Retrospective Cohort of 70 Males Treated as In-Patient for Alcohol Dependence Syndrome

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