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
Related Articles
- EP ID EP416580
- DOI -
- Views 122
- Downloads 0
Quality of life in HIV seropositive individuals
INTRODUCTION: HIV/AIDS (Human Immunodeficiency Virus) (Acquired immune deficiency syndrome) is an incurable and debilitating condition which has a significant impact on the quality of life of the afflicted individuals in...
Role of gender on quality of life and Research Article disability in obsessive compulsive disorder on remission
The disability burden and the quality of life (QOL) of patients suffering from OCD spectrum disorder is well established in last decades after long standing research in different socio cultural settings....
CIDLD PSYCIDATRIC DISORDERS IN DSM-5 AND ITS CRITICALAPPRAISAL
Indevelopment for more than a decade, the fifth edition of the Diagnosticand Statistical Manualof Mental Disorders (DSM-5) isnow a reality.DSM-5 updates disorder criteria to more precisely capture the experiences and sym...
ATYPICAL ANTIPSYCHOTICS IN OPTIMISING OUTCOME IN SCHIZOPHRENIA: A REVIEW
Clinicians focus on various aspects of medicatioms like efficacy and effectiveness, side effect profile, adherence, and influence 00 functional outcome including quality of life to maximise outcome in schizophrenia. Atyp...
DEPRESSION AND THE HEART
Depression is common in patients with cardiac ailments & few studies have reported incidence of depressive features in upto 33% of individuals after a heart attack. The patho-physiological mechanisms seem to be multipron...