Occurrence and Motives Associated with Relapse after a De-addiction Treatment in Men with Alcohol Dependence Syndrome in a Tertiary Care Hospital- A Cross-sectional Study
Dr. Suvarna Jyothi Kantipudi,
Department of Psychiatry, Sri Ramachandra Medical College, Porur, Chennai-600116, Tamil Nadu, India.
Introduction: Alcohol dependence is a chronic relapsing brain disorder. A combination of biological, psychological and social factors influences the outcome of de-addiction treatment. Understanding these factors help in formulation of effective relapse management strategies in alcohol dependence.
Aim: To understand the occurrence and motives of drinking behaviour after de-addiction in males with past diagnosis of alcohol dependence syndrome.
Materials and Methods: A cross-sectional design was employed for determining the prevalence of relapse after de-addiction treatment. A semi structured socio-demographic proforma, clinical data form and Drinking Motives Questionnaire-Revised (DMQR) were used to assess correlates of relapse and remission on men who underwent de-addiction for alcohol dependence (n=58) after obtaining informed consent. Comparisons were carried out on different variables between relapse and remission groups using Statistical Package for Social Sciences (SPSS) version 20 and were reported.
Results: The occurrence of relapse after de-addiction treatment was 51.7%. Patients who had relapsed were significantly more likely to have less than a year of abstinence in the past and have received less than two de-addiction treatments in the past. More patients who had received less than two weeks of in-patient treatment for de-addiction maintained remission when compared to patients who had relapsed. Presence of high scores on social, coping and conformity motives was positively associated with relapse in this study.
Conclusion: The occurrence of relapse after de-addiction treatment was found to be high. Multiple biological, psychosocial and treatment variables influence the outcomes of de-addiction treatment. This study added to the literature on treatment variables and individuals motive for drinking behaviour.