A Study of Factors Contributing To Relapse in Alcohol Dependence and Intra Group Comparison of Factors Influencing Delay In Treatment Seeking After Relapse
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Background: Alcoholism is a major mental and public health problem in developing countries like India. Social factors play vital role in unfolding of alcohol use disorders in any given population. Several factors beyond the confines of treatment settings influence the treatment outcome in alcohol outcome in alcohol dependence. Aims: 1. To study various psychosocial factors contributing relapse in alcohol dependence subjects. 2. To compare those factors in contributing early relapse. 3. To study various factors influencing delay in treatment seeking among relapsed patients. 4.To compare those factors among early and late treatment seekers. Materials and methods: 100 alcohol dependent subjects were taken with relapse in drinking after deaddiction treatment during a period of 4 months from March 2017 to June 2017. Semi structured proforma, severity of addiction assessed by severity of alcohol dependence questionnaire(SADQ), alcohol relapse risk scale(ARRS), DUSOCS (Duke’s Social support and stress scale) were employed and studied. Results: 43% of the study population were between 31 to 45 yrs of age. 67 % were married. 68 % people relapsed into use of alcohol in less than 1 year. Only 8 % were maintained abstinence for more than 2 years. Reasons for relapse were family problems in 57%, peer pressure in 39% and alcohol craving in 19%. Conclusion: Hence in this study, it is concluded that family problems constituted 51 % for reason for relapse, followed by peer pressure and alcohol craving. Also it is found that nearly 50 % delayed their treatment for more than 6 months after relapse.
Authors and Affiliations
Dr. Venkatesh Kumar . M. D. , Dr. Veenaa . M. D
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