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Spirituality and Abstinence Self-efficacy in Patients with Alcohol Dependence Syndrome
VC09-VC12
Correspondence
Dr. Ramya Keerthi Paradesi,
Department of Psychiatry, Sri Venkateswara Medical College, Tirupati-517507, Andhra Pradesh, India.
E-mail: pramyakeerthi@gmail.com
Introduction: Spirituality and self-efficacy are the concepts related to health, which plays a protective role in maintaining abstinence as well as predicts response to treatment in alcohol dependence patients.
Aim: To determine the correlation between Spirituality and Abstinence self-efficacy among patients with alcohol dependence syndrome.
Materials and Methods: An observational study was conducted on 50 patients with DSM-IV (Diagnostic and Statistical Manual of Mental Disorders-4th edition) for diagnosis of alcohol dependence syndrome. They were recruited from the de-addiction unit of psychiatry ward at a tertiary care centre. Subjects were assessed for spirituality and abstinence self-efficacy using The Functional Assessment of Chronic Illness Therapy-Spiritual well-being scale (FACIT Sp-12) {12 indicates total number of items in FACIT Sp questionnaire, which consists of three subscales (Meaning, Peace and Faith subscales) of four questions each} and Alcohol Abstinence Self-Efficacy (AASE) scale. Mean and standard deviation for continuous variables and frequency counts for discrete variables were obtained. Pearson’s correlation coefficient (r) was used to determine the correlation.
Results: The current study demonstrated that the subjects had more spiritual belief in meaning and faith components and less belief in peace component of the FACIT Sp-12. AASE scale showed high efficacy (Total score=78.2±17.2) to remain abstinent. There was a significant positive correlation among two spiritual variables meaning (r-value=0.799) and faith (r-value=0.825) with negative effect, social and positive behaviour, physical and other concerns, craving and urges. There was a negative correlation (r-value=-0.026) with peace component in spiritual well-being and AASE scale.
Conclusion: Spiritual belief and AASE were found to be high in index study. Also, spiritual variables (meaning and faith) had a positive correlation with ASSE, which suggests that patients with high spiritual belief had a better capability to remain abstinent from alcohol and good long term recovery than others.