scholarly journals The prevalence of psychiatric comorbidity and its relationship to the severity of alcohol dependence in the population of rural south India

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Tangella Ravikanth ◽  
Sadia Sultan
Keyword(s):  
Alcohol Dependence ◽  
South India ◽  
Psychiatric Comorbidity ◽  
Manic Episode ◽  
Local Area ◽  
International Studies ◽  
Rural South ◽  
Alcohol Dependence Syndrome ◽  
Hypomanic Episode ◽  
Alcohol Dependent

Abstract Background Many international studies have reported a high prevalence of psychiatric comorbidity in alcohol-dependent individuals and highlighted the clinical, prognostic, and treatment implications of such findings. However, there is a paucity of such information within the context of India. This study investigates the prevalence of psychiatric comorbidity in treatment-seeking alcohol-dependent individuals and its relationship with the severity of this dependence. Result This was a prevalence study conducted for a period of 1 year. Patients were identified from Mahbubnagar, a local area in rural south India, and recruited at outpatient deaddiction clinic of SVS hosital. Application for research ethics approval was approved. A consecutive sample of 100 inpatients diagnosed with alcohol dependence syndrome was recruited. The Mini-International Neuropsychiatric Interview was used to assess psychiatric comorbidity 2 weeks after detoxification. The severity of dependence was judged using the Severity of Alcohol Dependence questionnaire. One-hundred (male, n = 65; female, n = 35) alcohol-dependent patients were recruited. The mean age of participants was 41.9 (SD = 9.3) years. Participants (n = 33, 33%) had a co-occurring psychiatric disorder, the commonest being mood disorder (n = 18), which sub-divided into major depressive disorder (n = 8), dysthymia (n = 5), manic episode (n = 3), and hypomanic episode (n = 2), followed by anxiety disorders (n = 11) and then psychotic disorder (n = 4). The comorbid psychiatric disorders were significantly associated with the severity of dependence (p = 0.001) and longer duration of alcohol (p = 0.003) use. Conclusion This result emphasizes the need to thoroughly assess patients for possible under-identified dual diagnosis and provide treatments accordingly.

Comorbidity among alcohol and tobacco dependent patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 132-132
Author(s):  
A. Zoghlami ◽  
D. Blauensteiner ◽  
O. Scheibenbogen ◽  
S. Zadro-Jäger ◽  
M. Musalek
Keyword(s):  
Alcohol Dependence ◽  
Inpatient Treatment ◽  
Preliminary Analysis ◽  
Psychiatric Comorbidity ◽  
Icd 10 ◽  
Withdrawal Therapy ◽  
Clinically Significant ◽  
Drug Use Disorder ◽  
Group Allocation ◽  
Alcohol Dependent

IntroductionPsychiatric concomitant diseases are common with alcohol and tobacco dependent patients. Few studies have compared comorbidities between alcohol dependent smokers and non-smokers.AimsThe aim of this study is to examine the pattern of psychiatric comorbidity among alcohol dependent smokers in an inpatient alcohol therapy unit.Material and methodAfter successfully completing withdrawal therapy, subjects between the ages of 18–65 years who meet the ICD 10 criteria for alcohol dependence and no criteria for other drug use disorder except smoking, and who were participating in an inpatient treatment program for alcohol dependence at Anton Proksch Institut were included.ResultsThis is a preliminary analysis of the survey. In total 81 patients could be examined. 53.1% of the interviewed subjects were female and 46.9% male. The explored samples age ranged from 21–66 years.74.1% of the questioned subjects were smokers, 60% of these patients smoked more than 20 cigarettes per day.Preliminary analysis shows that smoking alcohol dependent patients present a higher comorbidity rate than non-smokers but above all they show a tendency to increased anxiety disorders. Within the population of smokers 48.3% suffer from an anxiety disorder, 48.3% from depression and dysthymia, 12.1% from manic and hypomanic disorder and 5.2% from psychosis. These differences are not clinically significant. This can be explained by the small number of the sample and by the group allocation.ConclusionAlcohol addicted patients exhibit heightened psychiatric comorbidity. Smoking alcohol dependents are more frequently affected and have a disposition to psychiatric disorders.

Marital Satisfaction Among Spouses of Male Patients with Alcohol Dependence Syndrome

2019 ◽  
Vol 2 (02) ◽  
pp. 8-13
Author(s):  
Humayoon Akbar ◽  
Sudhakar S. ◽  
Shanthi B. ◽  
Khadeja Bi ◽  
Jayaseelan R. ◽  
...  
Keyword(s):  
Marital Satisfaction ◽  
Alcohol Dependence ◽  
Rural Areas ◽  
Tertiary Care ◽  
College Hospital ◽  
Medical College ◽  
Alcohol Dependence Syndrome ◽  
Male Patients ◽  
The Mean ◽  
Alcohol Dependent

BACKGROUND One third of Indians consume alcohol and there is an alarming annual increase in alcohol consumption. Majority of spouses of alcohol dependent males are also the primary care-takers of their husbands and are at risk of domestic violence. Marital dissatisfaction could reduce their involvement in getting their spouses treated for alcohol dependence. Our aim was to study the marital satisfaction among the spouses of patients with alcohol dependence. METHODOLOGY This study was conducted on spouses of male patients with alcohol dependence syndrome attending the psychiatry department of a tertiary care medical college hospital in Kanchipuram District in Tamilnadu. 200 consecutive male patients with alcohol dependence syndrome using the ICD 10 criteria were recruited. Severity of alcohol dependence was assessed using Short Alcohol Dependence Data (SADD). Marital satisfaction among the spouses was assessed using ENRICH Marital Satisfaction (EMS) Scale. Analysis of the data was done using Statistical Package for the Social Sciences (SPSS) version 22.0. RESULTS The mean age of alcohol dependent men and their spouses were 43.05±9.39 and 37.58±8.86 years respectively. Most of the spouses (83.5%) had done their primary education only and 50% were house-wives (unemployed). Majority of men earned between Rs.5000 to 10,000 and most of them were unskilled workers belonging to the lower socio-economic group in the rural areas. The mean SADD and EMS scores were 25.05 ± 8.891 and 31.76 ± 14.45 respectively. 74% of men in our study population were highly dependent on alcohol. Amongst the spouses of men with severe dependence 68.9% reported moderate and 28.3% reported low marital satisfaction. DISCUSSION and CONCLUSION Majority of alcohol dependent men suffered from severe dependence. An inverse relationship between marital satisfaction scores and severity of alcohol dependence was observed. Alcohol dependence and its severity was noted to have an adverse impact on marital satisfaction among spouses of the dependent patients.

scholarly journals DISCRIMINANT ANALYSIS OF AGGRESSIVE BEHAVIOR OF ALCOHOL-DEPENDENT PERSONS

2021 ◽  
pp. 53-57
Author(s):  
A.D. Sajkov ◽  
◽  
O.A. Skugarevskij ◽  
Keyword(s):  
Discriminant Analysis ◽  
Alcohol Dependence ◽  
Aggressive Behavior ◽  
Social Intelligence ◽  
Personality Structure ◽  
Single Model ◽  
Number Of Factors ◽  
Alcohol Dependence Syndrome ◽  
Education Profession ◽  
Alcohol Dependent

The article analyzes the results of the authors' own research on the influence of a number of factors on the aggressive behavior of patients with alcohol dependence syndrome in a state of intoxication. The comparison was made between groups of patients suffering from alcohol dependence, with and without objectively proven cases of aggressive behavior. The influence of education, profession, family functioning, social intelligence, personality structure, anosognosia is considered within the framework of a single model. Discriminant analysis used as a tool for constructing a generalized model of aggressive behavior of alcohol addicts.

scholarly journals Psychiatric Comorbidities in Patients with Alcohol Dependence Syndrome in a Tertiary Care Center: A Cross-Sectional Study

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Bhaskkar Sharma ◽  
Anup Devkota ◽  
Suresh Chandra Pant
Keyword(s):  
Anxiety Disorder ◽  
Alcohol Dependence ◽  
Psychiatric Comorbidity ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Axis I ◽  
Dsm Iv ◽  
Alcohol Dependent

Introduction: The co-occurence of substance abuse and mental illness is well known. Alcoholics are reported to be three times more likely to suffer from another psychiatric disorder. This study aims to observe the prevalence of psychiatric comorbidity in alcohol dependent patients in our setup. Methods: This was a hospital based cross-sectional observational study conducted over a period of three months. Consecutive patients presenting to the out-patient section of Psychiatric department who met the DSM-IV-TR criteria for alcohol dependence were included in the study. They were interviewed using Structured Clinical Interview for DSM-IV-TR (SCID I&II) to assess for comorbidity. Data was analyzed using Statistical Package for Social Sciences (SPSS TM) software. Mann Whitney U test and Chi square or Fisher's Exact tests were used for statistical analysis. Results: Out of 31 patients enrolled, 14 (45.16%) had psychiatric comorbid conditions all of which were Axis I disorders. Anxiety disorder (35.71%) was the most frequent associated disorder followed by depressive disorder (28.57%). The alcohol dependent patients with comorbidity was significantly younger (mean age=35.71±13.60 years) in comparison to those without comorbidity (mean age=42.59±11.15 years). Other socio-demographic parameters were comparable between the two groups. Patients with history of past psychiatric illness and medication were less likely to have comorbidity, which was statistically significant. Conclusion: Psychiatric comorbidity is common in alcohol dependent people. Anxiety disorder and depression were more prevalent entities. Those with past illness and medications were less likely to have comorbidities.

scholarly journals Interrelation of Alexithymia and Affective and Personal Properties in Persons Dependent on Alcohol

2018 ◽  
pp. 36-41
Author(s):  
I. V. Grigorieva ◽  
M. M. Skugarevskaya ◽  
M. N. Trushchenko ◽  
T. A. Adamchuk
Keyword(s):  
Emotion Regulation ◽  
Alcohol Dependence ◽  
Negative Attitude ◽  
Medical Rehabilitation ◽  
High Rate ◽  
Difficulties In Emotion Regulation ◽  
Beck Hopelessness Scale ◽  
Alcohol Dependence Syndrome ◽  
Control Application ◽  
Alcohol Dependent

Objective: to define interrelation of alexithymia and affective and personal properties in persons dependent on alcohol. Material and methods. 41 patients with alcohol dependence syndrome were under observation. The method of complex medical rehabilitation was applied during work with patients with alcohol dependence syndrome and disturbance of mood. The following techniques were used: the Toronto Alexithymia Scale (TAS-20); the Hospital scale of anxiety and a depression (HADS); the Beck Hopelessness Scale; the Existence Scale by A. Längle; the Level of Subjective Control (LSC); the Scale of diagnostics of frustration of a bipolar range (BSDS). Results. Alexithymia in patients with alcohol dependence syndrome is directly interconnected with anxiety as per the Difficulties in Emotion Regulation Scale, with the Beck Hopelessness Scale (R = 0.55; p = 0.02), which shows growing self-dissociation in alcohol dependent persons, reveals interrelations of all the alexithymia scales with the subscales of the Existence Scale technique, indicates a direct link of the Beck Hopelessness Scale with the subscales of the Difficulties in Emotion Regulation Scale (R = 0.56; p = 0.022) and “externally focused thinking” (R = 0.57; p = 0.02). Thus, expressed negative attitude of dependent persons to their own future is directly connected with inability to identify their own feelings. Conclusion. Alcohol dependent persons reveal a high rate of alexithymia, which has interrelations with anxiety, depression, existential sensibleness, level of subjective control. Application of complex medical rehabilitation is effective in respect of decreasing the alexithymia rate and affective disorders, increasing consciousness and self-expression of feelings in persons dependent on alcohol.

scholarly journals Co-morbidity in women with alcohol dependence syndrome (ADS) in Eastern Nepal

2017 ◽  
Vol 5 (1) ◽  
pp. 18-21
Author(s):  
R.G. Joshi ◽  
D.R. Shakya ◽  
P.M. Shyangwa ◽  
B. Pradhan
Keyword(s):  
Gastrointestinal Tract ◽  
Alcohol Dependence ◽  
Mood Disorders ◽  
Psychiatric Comorbidity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Icd 10 ◽  
Alcohol Dependence Syndrome

Introduction: Women with ADS may have psychiatric comorbidites along with physical comorbidities. Societal attitudes towards women and alcohol are barriers to the detection and treatment of their alcohol related problems.Objective: To explore the magnitude of co-morbidity among women with ADS in Eastern Nepal.Method: This is a hospital based cross-sectional study of women with ADS. Those who scored two or more than two in T-ACE questionnaire were enrolled. The diagnosis was made according to ICD-10 criteria. Consultation with concerned physician was done to assess physical condition.Result: Fifty one patients with ADS were enrolled. Among them, 21.6% had no comorbidity, 52.9% had single co-morbidity (psychiatric or physical) and 25.5% had both psychiatric and physical co-morbidity. In psychiatric comorbidity, mood disorder in 35.29% was the commonest followed by nicotine use in 26.47%. Among mood disorders 83.3% had depression. In physical comorbidity, disease of gastrointestinal tract and hepatobiliary system in 50.9% was the commonest followed by hypertension in 11.5%.Conclusion: : Psychiatric as well as physical co-morbidities are common in women with ADS. The finding points to the importance of exploring comorbidities and their optimal treatment.

scholarly journals Rise in Cases of Alcohol Withdrawal following Lockdown in Dry District of Wardha

2020 ◽  
Vol 11 (03) ◽  
pp. 478-480
Author(s):  
Prakash B. Behere ◽  
Aniruddh P. Behere ◽  
Debolina Chowdhury
Keyword(s):  
Alcohol Dependence ◽  
Public Transportation ◽  
Alcohol Withdrawal ◽  
World Health ◽  
Educational Institutions ◽  
Restricted Movement ◽  
The World ◽  
Alcohol Dependence Syndrome ◽  
Health Organization ◽  
Alcohol Dependent

AbstractOn March 11, 2020, the World Health Organization declared the SARS-CoV-2 outbreak to be a pandemic which has sent all countries in a frenzy. We cannot be callous about treatment of non-COVID-19-related patients. The Wardha district of Maharashtra is a declared “dry area” which makes the sale, purchase, and consumption of alcohol illegal. On March 24, 2020, Indians were informed of a 21-day long lockdown which was subsequently extended for another 3 weeks during which all modes of public transportation, educational institutions, offices, and other nonessential businesses were closed and people expected to remain at home unless necessary. Since then admissions of alcohol-dependent patients showed a spike from14% in the prelockdown period to 27% of patients of alcohol dependence syndrome. It is most likely due to poor availability of liquor, inability to earn money to buy the alcohol, or restricted movement of individuals.

scholarly journals Marital Satisfaction Among Spouses of Male Patients with Alcohol Dependence Syndrome

2019 ◽  
Vol 2 (02) ◽  
pp. 8-13
Author(s):  
Humayoon Akbar ◽  
Sudhakar S. ◽  
Shanthi B. ◽  
Khadeja Bi ◽  
Jayaseelan R. ◽  
...  
Keyword(s):  
Marital Satisfaction ◽  
Alcohol Dependence ◽  
Rural Areas ◽  
Tertiary Care ◽  
College Hospital ◽  
Medical College ◽  
Alcohol Dependence Syndrome ◽  
Male Patients ◽  
The Mean ◽  
Alcohol Dependent

BACKGROUND One third of Indians consume alcohol and there is an alarming annual increase in alcohol consumption. Majority of spouses of alcohol dependent males are also the primary care-takers of their husbands and are at risk of domestic violence. Marital dissatisfaction could reduce their involvement in getting their spouses treated for alcohol dependence. Our aim was to study the marital satisfaction among the spouses of patients with alcohol dependence. METHODOLOGY This study was conducted on spouses of male patients with alcohol dependence syndrome attending the psychiatry department of a tertiary care medical college hospital in Kanchipuram District in Tamilnadu. 200 consecutive male patients with alcohol dependence syndrome using the ICD 10 criteria were recruited. Severity of alcohol dependence was assessed using Short Alcohol Dependence Data (SADD). Marital satisfaction among the spouses was assessed using ENRICH Marital Satisfaction (EMS) Scale. Analysis of the data was done using Statistical Package for the Social Sciences (SPSS) version 22.0. RESULTS The mean age of alcohol dependent men and their spouses were 43.05±9.39 and 37.58±8.86 years respectively. Most of the spouses (83.5%) had done their primary education only and 50% were house-wives (unemployed). Majority of men earned between Rs.5000 to 10,000 and most of them were unskilled workers belonging to the lower socio-economic group in the rural areas. The mean SADD and EMS scores were 25.05 ± 8.891 and 31.76 ± 14.45 respectively. 74% of men in our study population were highly dependent on alcohol. Amongst the spouses of men with severe dependence 68.9% reported moderate and 28.3% reported low marital satisfaction. DISCUSSION and CONCLUSION Majority of alcohol dependent men suffered from severe dependence. An inverse relationship between marital satisfaction scores and severity of alcohol dependence was observed. Alcohol dependence and its severity was noted to have an adverse impact on marital satisfaction among spouses of the dependent patients.

The prevalence of alcohol dependence syndrome in a rural general hospital in Northern Ireland

1994 ◽  
Vol 11 (2) ◽  
pp. 73-75 ◽  
Author(s):  
Brian G Mangan ◽  
Diana G Patterson
Keyword(s):  
Alcohol Dependence ◽  
General Hospital ◽  
Severity Of Illness ◽  
Alcohol Dependency ◽  
Maximum Score ◽  
Surgical Units ◽  
Alcohol Dependence Syndrome ◽  
Cage Questionnaire ◽  
Surgical Unit ◽  
Alcohol Dependent

AbstractObjective:To estimate the prevalence of alcohol dependence syndrome in a rural General Hospital.Method:The entire inpatient population of 107 patients was administered the CAGE questionnaire to detect alcohol dependency. Patients scoring two or more (maximum score 4) were diagnosed alcohol dependent.Results:Sixteen patients were unable to complete the questionnaire due to severity of illness or dementia. Of the 91 patients who completed the CAGE questionnaire, 20 scored one or more, and 12 scored two or more, giving a prevalence of probable alcohol dependency in this population of 13%. There were significantly more male alcohol dependent patients than female, 30% vs 2% (p<0.001). Fifty percent of the patients who scored on the CAGE as alcohol dependent were not recognised by medical staff as being problem drinkers. All of the alcohol dependent patients came from the medical and surgical units including Ear, Nose and Throat surgical unit (ENT).Conclusion:Administration of the CAGE questionnaire to all medical and surgical admissions seems to be one of the most economical way of detecting alcohol dependency and engaging patients in treatment as early as possible.

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