Psychosocial factors associated with repeated hospitalisation in men with alcohol dependence: A hospital based cross sectional study
DOI:
https://doi.org/10.61841/defqzc10Abstract
Background: Relapse and repeated hospitalisation is common in alcohol dependence syndrome, which is mediated by several biological and psychological factors. This study expired the association between demographic and clinical variables and various psychosocial factors such as family environment, social network, coping skills and perceived stress, between the repeatedly admitted patients and first time admitted patients.
Methods: Structured assessments of demographic and clinical parameters, family functioning, social networks, coping skills and perceived stress were carried out among repeatedly admitted male patients with alcohol dependence (n=30) and compared with first time admitted male patients (n=30).
Results: Patients who are repeatedly admitted were significantly likely to have family history of alcoholism, alcoholism among first degree relatives, past history of delirium tremens, severe alcohol intake, poor social support, poor social network, negative family environment, maladaptive coping strategies and higher perceived stress.
Conclusion: Our study added further evidence in support of the importance of specific psychosocial and clinical factors in relapse and repeated hospitalisation. The study results have clinical, educational , research and policy implications
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References
Gupta, P.C., Saxena, S., Pednekar, M.S., Maulik, P.K. (2003). Alcohol consumption among middle-aged and elderly men: a community study from western India. Alcohol & Alcoholism, 38(4), 327–31.
Mattoo, S.K., Chakrabarti, S., Anjaiah, M. (2009). Psychosocial factors associated with relapse in men with alcohol or opioid dependence. Indian J Med Res,130, 702-708
Larimer, M.E., Palmer, R.S., Marlatt, G.A. (1999). Relapse prevention. An overview of Marlatt’s cognitive- behavioral model. Alcohol Res Health, 23, 151-60.
Stewart, J. (2008). Psychological and neural mechanisms of relapse. Philos Trans R Soc Lond B Biol Sci, 363, 3147-58.
Stockwell, T., Murphy, D., Hodgson, R. (1983). The severity of alcohol dependence questionnaire: Its use, reliability and validity. British Journal of Addiction, 78(2),145-155.
Edwards, C., Gross, M.M. (1976).Alcohol Dependence: Provisional description of a clinical syndrome.British Medical Journal, 1, 1058-1061.
Moos, R.H & Moos, B.S. (1994). Family environment scale manual. 3rd Edition. Consulting Psychologists Press, Palo Alto, California.
Joshi, M.C & Vyas, O.M. (1987). Hindi adaptation of family environment scale. Rupa Psychological centre, Varanasi.
Lubben, J & Gironda, M. (2004). Measuring social networks and assessing their benefits. In: Phillips C, Allan G, Morgan D (Eds). Social networks and social exclusion: Sociological and policy perspectives. Ashgate publishing limited, England.
Carver, C.S., Scheider, M.F., Weintraub, J.K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2),267-283.
Cohen, S & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In: Spacapan S & Oskamp S (Eds.) The social psychology of health. Sage, Newbury Park, California.
Dixit, S., Chauhan, V.S., Azad, S. (2015). Social Support and Treatment Outcome in Alcohol Dependence Syndrome in Armed Forces. Journal of Clinical and Diagnostic Research : JCDR, 9(11), VC01-VC05.
doi:10.7860/JCDR/2015/14142.6739.
Sher, K.J. (1991). Psychological characteristics of children of alcoholics: Overview of research methods and findings. In M. Galanter, H. Begleiter, R. Deitrich, D. M. Gallant, D. Goodwin, E. Gottheil, A. Paredes, M. Rothschild, D. H. Van Thiel, et al. (Eds.), Recent developments in alcoholism, Vol. 9. Children of alcoholics (pp. 301-326). New York, NY, US: Plenum Press.
Bijttebier, P., Goethals, E., Ansoms, S. (2006). Parental drinking as a risk factor for children's maladjustment: The mediating role of family environment. Psychology of Addictive Behaviors, 20(2),126-130.
Steinglass, P. (1985). Family system approaches to alcoholism. Journal of Substance Abuse Treatment, 2, 161- 167.
Marshall, E.J & Murray, R.M. (1992). The familial transmission of alcoholism: Imitation and inheritance. British Medical Journal, 303, 72-73.
Bennett, L.A & Wolin, S.J. (1990). “Family culture and alcoholism transmission" in R.L. Collins, E.L. Kenneth and J.S. Searles (eds.) Alcohol and the Family: Research and Clinical Perspectives (pp. 194-220), The Guilford Press, London.
Beavers, W.R & Hampson, R.B. (1993). Measuring family competence: the Beavers Systems Model. In F. Walsh (ed.) Normal Family Processes (2nd edn). New York: Guilford Press.
Bowen, M. (1978). Family therapy in clinical practice. Jason Aronson, New York.
Broderick, C.B. (1993). Understanding family process: Basics of family systems theory. Sage, Newbury Park, California.
Finney, J.W., Moos, R,H., Mewborn, C.R. (1980). Posttreatment experiences and treatment outcome of alcoholic patients six months and two years after hospitalization. J Consult Clin Psychol, 48(1), 17-29.
Rosenberg, H. (1983). Relapsed versus Non-relapse alcohol abusers: Coping skills, life events and social support. Addictive behaviour, 8, 183–86.
Vuchinich, R.E., Tucker, J.A. (1996). Alcoholic relapse, life events and behavioural theories of choice: A prospective analysis. Experimental and Clinical Psychopharmacology, 4, 19-28.
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