A mixed methods study on factors associated with relapse of alcohol use disorder

Title

A mixed methods study on factors associated with relapse of alcohol use disorder

Creator

Joseph, Saji.

Contributor

K, Hemalatha.

Description

Background: Alcohol use disorder (AUD) is one of the most concerning mental health issues in India. According to the recent survey, Magnitude of Substance Use in India, 2019, 160 million of the countrys population consumes alcohol. About 35.6% are problem drinkers among those who drink, of which 18% are alcohol dependent. Despite the greater understanding of alcohol use disorder (AUD) and the scientific advancements in treatment, relapse remains to be the main challenge in managing AUD. This study aimed at investigating various factors associated with relapse of AUD and presenting an in-depth understanding of it. Methods: A Sequential Explanatory Mixed Methods design was used. In the quantitative phase, 72 relapsed individuals with AUD currently undergoing treatment were compared with 72 individuals previously treated for AUD who maintain total abstinence for a minimum period of one year. Relapsed participants were selected from three private de-addiction centers in Bangalore and abstaining participants were recruited from various Alcoholics Anonymous meetings in Bangalore. The relapsed and sober groups were matched on gender, AUD diagnosis, and previous inpatient alcohol de-addiction treatment. Cloninger's Temperament and Character Inventory-Revised was used to assess the personality profiles of the participants. A sociodemographic and clinical information form was also used to collect data. Six participants were selected purposively from the same sample for in-depth interviews. Data analysis was conducted using SPSS and NVivo for quantitative and qualitative data, respectively. The study protocol was approved by the institutional ethics committee. Results: Bivariate analyses showed a significant difference in Novelty Seeking, Persistence, Self-Directedness, and Self-Transcendence traits between the relapsed and sober participants. Results also suggested that reported use of other substances, post- discharge follow-ups, and living with drinking or drug-using individuals are significantly associated with relapse. Logistic regression displayed incomplete treatment, use of other substances, and no post-discharge follow-up as predictors of relapse. The qualitative thematic analysis revealed preparedness, motivation, personal exceptionalism, meaning and purpose, and social and interpersonal as the main relapse-related themes. Conclusions: The findings highlight the importance of treatment engagement, discharge planning, aftercare, and special attention to those presenting with multiple substance use. It also displays a few culture-specific aspects to be considered during treatment, such as preparing the individuals entering treatment to effectively engage, assessing and working with their motivation, and addressing the relationship dynamics.

Source

Author's Submission

Date

2022-01-01

Publisher

Christ(Deemed to be University)

Subject

Social Work

Rights

Open Access

Relation

No Thesis

Format

PDF

Language

English

Type

PhD

Identifier

http://hdl.handle.net/10603/426777