Phenomenology, Treatment, Outcome And Cause Of Relapse In Male With Alcohol Dependence Syndrome

Abstract

Background: This study aimed to document and compare the socio-demographic profile, primary diagnosis in psychiatry, clinical symptoms of the alcohol dependence, alcohol dependence in patients by using SADQ scale, treatment and the reason for relapse in male Alcohols.

Methods: This is a longitudinal study conducted among 150 study participants (50 cases and 50 controls) in a Psychiatry OPD and IPD of psychiatry department in a tertiary care hospital and research Centre, for a duration of 2 years.

Result: No significant result was observed in between cases and controls except for educational status and family history of substance use. As compared to controls educational status and employment was poor among cases. More than half of the cases from nuclear family and they were married. Among the cases all of them were used to drink at day time and more than half of them initiated drinking at the age of 20-40 and all of them experienced withdrawal symptoms. Less than one fourth of them had history of psychiatric disturbances and substance abuse disorder was the most prevalent one (>80%)but more than one fourth were suffering from at least one physical illness. All the cases had treatment with lorazepam and 92% with Baclofen. Among the study population, the mean SADQ (Severity of Alcohol Dependence Questionnaire) was 26.11 ± 5.93, the mean AASE was 131.84 ± 15.56

Conclusion: Individual suffering from alcohol dependence disorder deserve care from the primary setting itself considering its impact on both physical, mental, economic and social consequences. We also recommend to concentrate on them to ensure the continuum of medication till prescribed time along with other support to prevent relapse.