Original Research Article
Year: 2019 | Month: December | Volume: 6 | Issue: 12 | Pages: 442-448
A Cross Sectional Study on Motivation to Quit and Abstain From Alcohol and Factors Affecting Relapse in Alcohol Use Disorders
Mehraaj Sandhu1, S. Choudhary2, Vivek Kumar3
1Post Graduate Student, 2Professor & HOD, 3Assistant Professor,
Department of Psychiatry, Subharti Medical College, Swami Vivekanand Subharti University, Meerut
Corresponding Author: Mehraaj Sandhu
ABSTRACT
Introduction: Alcohol-related problems account for over a fifth of hospital admissions in India. Successfully handling and treating unmotivated patients continues to be a daunting challenge faced by clinicians across the globe. This study was planned to assess motivation to quit and abstain from alcohol and factors affecting relapse in alcoholics.
Material and method: A cross sectional study was conducted among 30 patients in outpatient unit and inpatient unit of Department of Psychiatry, Subharti Medical College, Meerut. Patients were selected on the basis of convenience sampling criteria attending psychiatry OPD, aged between 18-65 years, diagnosed by a consultant psychiatrist in accordance with ICD 10. Scales used to record subjects responses were URICA, AUDIT and the Aware Questionnaire.
Results: The mean age of the participants was 39.27±7.40 years. Most subjects(93.33%) in current study have audit score of >15 putting them at a serious risk for alcohol abuse and addiction while only a few (6.67%) scored between 8-10 putting them at some risk and none scored below 8. Mean pre-contemplation and contemplation scores were highest in the age group of 18-30 year old participants, the mean action score was highest in the age group of 41-50 years(2.61) and the mean maintenance score was the highest in the age group >50 years(2.57).
Conclusion: Most substance abuse treatment programs and self-help initiatives are designed to assist patients who are motivated and address their problems. However, people who are not ready to change or who are in the early stages of change are also admitted into these programs. Therefore, most clinicians need to know how to handle poorly motivated or ambivalent patients.
Key words: Alcohol, Abuse AUDIT, URICA
[PDF Full Text]