Factors Influencing Relapse Among Alcohol Dependent Patients - A Mixed Method Study
DOI:
https://doi.org/10.30834/KJP.37.2.2024.469Keywords:
Alcohol Dependence Syndrome, Reasons for Relapse, Qualitataive Study , Mixed Method, Co-morbid Tobacco Use, Borderline Personality DisorderAbstract
Background
Alcohol use disorders are chronic, and relapses occur due to neurobiological and psychosocial factors. This study was conducted to elicit the prevalence of psychiatric co-morbidities, severity of dependence, craving, and level of motivation in alcohol-dependent subjects who have relapsed and to elicit factors resulting in relapse using a mixed method.
Method
Eighty-two alcohol dependence syndrome patients (ADS) with a history of relapse were recruited after obtaining consent. A mixed method-concurrent parallel design was adopted. Mini-International neuropsychiatric interview (M.I.N.I), Penn Alcohol Craving Scale (PACS), Severity of Alcohol Dependence Questionnaire (SADQ), and Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) questionnaires were administered. Six in-depth interviews (IDI) and 5 focus group discussions (FGD) were conducted, and the data from the two phases were analyzed.
Results
The mean age of the participants was 44.45 years. 53.7 % had co-morbid tobacco use, 43.9 % had borderline personality disorder and 47.6% had mild dependency. 41.5 % had only moderate levels of motivation to quit. A significant association was obtained between the severity of dependence and craving (p= 0.016). Qualitative data identified 1) Drinking Motives, 2) Self-perception, 3) Misconceptions related to alcohol use, and 4) Social factors leading to relapse.
Conclusion
The study shows that co-morbid tobacco use and the presence of borderline personality disorders were higher in patients with relapse and that severe dependence was associated with higher craving. Motives related to usage, self-perception about alcohol use, misconceptions related to alcohol use, and social factors also led to relapse.
Funding: Self funded
Conflict of Interest: None
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Copyright (c) 2024 Chikku Mathew, Nithin K Raju, Ambily Nadaraj (Author)
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