Factors related to treatment adherance of men wtih alcohol dependence syndrome : a retrospective cohort study
Journal Title: The Odisha Journal of Psychiatry - Year 2015, Vol 22, Issue 1
Abstract
Although in India, men have exhibited high rates of alcohol and drug use disorders; there is a paucity of substance use disorder treatment outcome research. In addition, there exists controversy about effectives among different available intervention strategies. METHOD:This was a retrospective cohort study conducted at post graduate department of psychiatry, CMC Vellore from 1'1 January 2005 to 31si. June 2005. Patients charts (Files) were screened and out of 3145 charts registered during the period of six consecutive months, only ICD 10 diagnosis of ADS with or without co• morbidity were assessed in detail. The poor outcome group was defined by those with frequent relapses and irregular follow up. Better adherance and Good outcome group was of patients with minor lapses, higher compliance and regular follow up in 3 month. All the demographic, and clinical as well as interventions related factors were compared among these two groups and data was analysed in SPSS 11. RESULTS: 100 male with mean age 28.8 SD 6.5 were assessed and 45% had family history of ADS and23% had co-morbid major mental illness. Out of 100 men ADS, 75 only received acute care intervention followed by outpatient de-addiction strategies with predominantly became poor outcome 76%. The analysis showed that factors responsible for better adherence and good outcome were the spouse education as compared to the patient (p=0.0001), in• patient admission(p=-0.02), psychotherapy session (p=.0001), use of disulfiram (p=- 0001) · CONCLUSIONS: ADS patients who come to hospital for psychiatrists help must be offered comphrehensive care including in patient admission, detoxification, antabuse theray, client centred psychotherapy and motivational enhancement and relapse prevention interventions. With above said strategies chance of long term out come in male ADS would improve.
Authors and Affiliations
Dr. Jayaprakash Russell Ravan, Dr. Siddhartha Sankar Dash, Dr. Sumit Kumar, N Munaf Munaf, Dr. Naveen Thomas, Dr. Anto P Rajkumar
Keywords
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