Pattern of alcohol use and drinking antecedents in alcohol dependent patients with and without co-morbid depression: a comparative study

Background: Few studies have compared the pattern of alcohol use in Alcohol dependence syndrome (ADS) patients with and without co-morbid depression. Assessing the pattern may throw light into prevention of relapses more effectively in alcohol dependent patients with co-morbid depression. This study was undertaken to assess the difference in pattern of drinking of alcohol in patients with alcohol dependence with and without co-morbid depression.Methods: A descriptive comparative study was designed to compare the difference in pattern of alcohol use in alcohol dependent patients with co-morbid depression and without co-morbid depression. Severity of dependence on alcohol was assessed using Alcohol Use Disorders Identification Test (AUDIT). Drinking pattern was assessed using Timeline Follow back Calender and Drinking Pattern Questionnaire. The data were statistically analysed.Results: Total 96 alcohol dependent patients (24 had co-morbid depression and 72 without co-morbid depression) were included in the study. There were no significant differences in alcohol use in both the groups in terms of AUDIT scores, amount of drinking, abstinence days or binge drinking. More frequent drinking was observed in circumstances related to emotional, physiological, financial and children related situations in patients with co-morbid depression (p<0.05).Conclusions: Drinking circumstances like emotional, physiological, financial and children related situations require more attention while assessing, treating and aiming at relapse of prevention in ADS patients with co-morbid depression.

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A comparative study to assess drinking expectancy and functioning in alcohol dependent patients with and without co-morbid depression

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20203425 ◽

2020 ◽

Vol 8 (8) ◽

pp. 2850

Author(s):

Anu Mary Mani ◽

K. Srinivasan ◽

Priya Sreedaran

Keyword(s):

Alcohol Use ◽

Major Depressive ◽

Effective Prevention ◽

Level Of Functioning ◽

Depressed Patients ◽

Prevalence Of Depression ◽

Alcohol Dependence Syndrome ◽

The Difference ◽

Effective Prevention Strategies ◽

Alcohol Dependent

Background: Alcohol dependence syndrome (ADS) and major depressive disorder are highly prevalent. Much less is known about the expectancy of alcohol use in depressed patients with ADS. Few studies had compared the expectancy of alcohol use in ADS patients with and without co-morbid depression. Assessing the above factors may help to formulate effective prevention strategies. This study was designed to assess the difference in expectancy of alcohol use and functioning in patients with ADS with and without co-morbid depression.Methods: The difference in expectancy of alcohol use in 96 alcohol dependent patients, of which 24 had co-morbid depression and 72 without co-morbid depression was studied using drinking expectancy questionnaire. In addition, we compared the difference in functioning between the two groups using GAF.Results: Prevalence of depression in alcohol dependent patients was 25%. ADS patients with co-morbid depression had less expectancy about alcohol use for sexual enhancement and had lower level of functioning compared to ADS patients without depression.Conclusions: Less expectancy on sexual enhancement in patients with ADS and co-morbid depression could be possibly due to reduced libido in depressed patients. The observed lower functioning in ADS patients with co-morbid depression despite no difference in severity of alcohol use may be possibly explained by the added burden of both the diseases.

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Alcohol dependence syndrome in emergency services: assessment protocol for the professional nursing practice

Enfermería Global ◽

10.6018/eglobal.15.1.217891 ◽

2016 ◽

Vol 15 (1) ◽

pp. 78

Author(s):

Margarita Antonia Villar Luis ◽

Sara Pinto Barbosa ◽

Luciana Barizon Luchesi ◽

Jair Lício Ferreira Santos

Keyword(s):

Alcohol Use ◽

Alcohol Dependence ◽

Nursing Practice ◽

Emergency Services ◽

Alcohol Use Disorders ◽

Assessment Protocol ◽

Professional Nursing ◽

Professional Nursing Practice ◽

Identification Test ◽

Alcohol Dependence Syndrome

Estudio cuantitativo exploratorio realizado en los servicios de urgencias del municipio de Ribeirão Preto, interior del Estado de São Paulo, Brasil. El objetivo del estudio fue evaluar señales y síntomas del Síndrome de Abstinencia Alcohólica (SAA) por el equipo de enfermería, utilizando para esto un protocolo. La colecta de datos se realizó durante 642 horas de turnos. De los 463 participantes, 297 presentaron AUDIT (Alcohol Use Disorders Identification Test) ≥7, de estos, 59 (12,7%) presentaban AUDIT ≥20, o sea, sugerente de SAA siendo, por esto, incluídos en esta investigación. En cuanto a las señales, de los 59 usuarios, 8 no sabían decir el tiempo de hospitalización, 7 no sabían en qué año o mes estaban, y 13 presentaban inquietud. En relación a los signos físicos de la dependencia, 17 presentaron signos de temblores, 8 refirieron convulsiones. Los servicios de urgencias pueden ser lugares privilegiados para identificar síntomas de consumo abusivo y de dependencia del alcohol y la utilización del protocolo de evaluación de enfermería puede ser una estratégia útil en el seguimiento e intervención.

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COMPARATIVE STUDY OF SELF HARM BEHAVIOR AMONG ADULTS WITH ALCOHOL DEPENDENCE SYNDROME AND DEPRESSIVE DISORDER

10.36295/asro.2020.231513 ◽

2020 ◽

Vol 23 (15) ◽

Author(s):

Penubarthi Sravanthi ◽

Kailash S ◽

Shabeeba Z ◽

Sivabackiya C ◽

Srinivasan ◽

...

Keyword(s):

Depressive Disorder ◽

Comparative Study ◽

Alcohol Dependence ◽

Alcohol Dependence Syndrome ◽

Self Harm

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Lipid profile in patients with alcohol dependence syndrome

Annals of Clinical Chemistry and Laboratory Medicine ◽

10.3126/acclm.v1i1.12312 ◽

2015 ◽

Vol 1 (1) ◽

pp. 29-32

Author(s):

Mithileshwer Raut ◽

Prashant Regmi ◽

Saroj Prasad Ojha ◽

Bharat Jha

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Lipid Metabolism ◽

Alcohol Use ◽

Alcohol Dependence ◽

Lipid Profile ◽

Consumption Pattern ◽

Cholesterol Levels ◽

Alcohol Dependence Syndrome ◽

The Mean

BACKGROUND: Alcohol dependence syndrome (ADS) has become a global public health challenge because of its high prevalence and the concomitant increase in risk of liver disease, cardiovascular disease and premature death. Influence of alcohol use on lipid metabolism is well recognized. Investigations had been carried out in the earlier period on abnormal lipid profile as a risk factor for Coronary Heart disease (CHD). Patients of alcohol dependence usually have a consumption pattern of more heavy use. Therefore it is useful to study the lipid profile in patients of alcohol dependence, to understand the effects of increasing levels of consumption. METHODS: This cross-sectional study was conducted in TU Teaching Hospital. ADS patients were screened by the consultant psychiatrist using the Alcohol Use Disorder Identification Test (AUDIT) questionnaire. A total of 89 patients scored positive on the AUDIT as having alcohol-related problems and were included in the study. 89 ADS patients and 89 healthy controls both male and female were enrolled as participants. Blood Pressure and other anthropometric parameters were measured while fasting blood samples were analyzed for serum lipid profile. SPSS program was used to analyze data, t-test & Spearman's correlation coefficient was used to find correlation. RESULTS: Among the ADS cases 95% were current smokers. Mean age of cases and controls was 35.42±5.6 & 34.53±3.5 years respectively. The mean total cholesterol levels were found to be higher in cases (5.41±0.70) than controls (3.79±0.74) with a strong statistical significance (p<0.001). Also, Mean triglyceride (TG) levels (2.09±0.72), along with the mean HDL-cholesterol (1.66±0.40) and LDL-cholesterol levels (2.79±0.81) were also elevated in cases when compared to the control samples (p<0.001). CONCLUSION: This study has demonstrated definitive lipid profile changes in patients of alcohol dependence, with some correlation to the liver dysfunction. Alcohol causes alteration in various parameters of lipid metabolism including those which predispose to CHD. Low to moderate alcohol use over prolonged periods has been linked to have protective influence for development of coronary heart disease (CHD), through increase in high density lipoprotein cholesterol (HDL-C) levels. DOI: http://dx.doi.org/10.3126/acclm.v1i1.12312 Ann. Clin. Chem. & Lab. Med. 1(1) 2015: 29-32

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Thinking Styles, Social Problem Solving and Self-Efficacy in Alcohol Dependence Syndrome: A Comparative Study

Bengal Journal of Psychiatry ◽

10.51332/bjp.2017.v22.i2.84 ◽

2017 ◽

pp. 1-10

Author(s):

P.C. Raj Justine ◽

Dipanjan Bhattacharjee ◽

CR J Khess

Keyword(s):

Problem Solving ◽

Comparative Study ◽

Alcohol Dependence ◽

Social Problem ◽

Self Efficacy ◽

Social Problem Solving ◽

Thinking Styles ◽

Alcohol Dependence Syndrome

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A Prospective Comparison of Bipolar I and II Subjects With and Without Comorbid Alcohol Dependence From the COGA Dataset

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.522228 ◽

2020 ◽

Vol 11 ◽

Author(s):

Ulrich W. Preuss ◽

M. N. Hesselbrock ◽

V. M. Hesselbrock

Keyword(s):

Bipolar Disorder ◽

Alcohol Use ◽

Alcohol Dependence ◽

Collaborative Study ◽

Structured Interviews ◽

Prospective Comparison ◽

Bipolar Ii ◽

Bipolar Patients ◽

Alcohol Dependent

Objective: Comorbidity of alcohol use disorders in bipolar subjects is high as indicated by epidemiological and clinical studies. Though a more severe course of bipolar disorder in subjects with comorbid alcohol dependence has been reported, fewer studies considered the longitudinal course of alcohol dependence in bipolar subjects and the prospective course of comorbid bipolar II subjects. Beside baseline analysis, longitudinal data of the COGA (Collaborative Study on Genetics in Alcoholism) were used to evaluate the course of bipolar I and II disordered subjects with and without comorbid alcohol dependence over more than 5 years of follow-up.Methods: Characteristics of bipolar disorder, alcohol dependence and comorbid psychiatric disorders were assessed using semi-structured interviews (SSAGA) at baseline and at a 5-year follow-up. Two hundred twenty-eight bipolar I and II patients were subdivided into groups with and without comorbid alcohol dependence.Results: Of the 152 bipolar I and 76 bipolar II patients, 172 (75, 4%) had a comorbid diagnosis of alcohol dependence. Bipolar I patients with alcohol dependence, in particular women, had a more severe course of bipolar disorder, worse social functioning and more suicidal behavior than all other groups of subjects during the 5-year follow-up. In contrast, alcohol dependence improved significantly in both comorbid bipolar I and II individuals during this time.Conclusions: A 5-year prospective evaluation of bipolar patients with and without alcohol dependence confirmed previous investigations suggesting a more severe course of bipolar disorder in comorbid bipolar I individuals, whereas bipolar II individuals were less severely impaired by comorbid alcohol use disorder. While severity of alcohol dependence improved during this time in comorbid alcohol-dependent bipolar I patients, the unfavorable outcome for these individuals might be due to the higher comorbidity with personality and other substance use disorders which, together with alcohol dependence, eventually lead to poorer symptomatic and functional clinical outcomes.

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Marital Satisfaction Among Spouses of Male Patients with Alcohol Dependence Syndrome

INDIAN JOURNAL OF MENTAL HEALTH AND NEUROSCIENCES ◽

10.32746/10.32746/ijmhns.2019.v2.i2.19 ◽

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.

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Evaluation of childhood traumatic experience as a risk factor for alcohol use disorder in adulthood

BMC Psychiatry ◽

10.1186/s12888-020-2428-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Lan Wang ◽

Cui-Xia An ◽

Mei Song ◽

Na Li ◽

Yuan-Yuan Gao ◽

...

Keyword(s):

Risk Factors ◽

Alcohol Use ◽

Alcohol Abuse ◽

Alcohol Dependence ◽

Physical Abuse ◽

Emotional Abuse ◽

Alcohol Use Disorder ◽

Alcohol Use Disorders ◽

Traumatic Experience ◽

Frequent Drinking

Abstract Background We aimed to investigate the effect of early-age (prenatal, infant, and childhood) trauma on adulthood alcohol use disorder. Methods A total number of 1534 subjects who were born and live in the city of Tangshan were selected. The subjects were divided into three age groups. General demographic data, conditions of the mothers during pregnancy, and condition of the babies at birth, were collected. The diagnosis of alcohol use disorder was based on Structured Clinical Interviews for DSM-IV Axis Disorders (patient version) (SCID). The childhood trauma questionnaire short form (CTQ-SF) [1] and the Lifetime of Experience Questionnaire (LTE-Q) [2] were used to evaluate stress in childhood and adulthood, respectively. Results Only male subjects were diagnosed with lifelong alcohol abuse and alcohol dependence. There was no statistically significant difference in the prevalence of lifetime alcohol use disorder (X2 = 4.480, P = 0.345), current alcohol abuse, and current alcohol dependence among the three groups (X2abuse = 2.177, X2depedence = 2.198, P > 0.05). However, higher prevalence of lifetime alcohol use disorders was found in group with higher scores of CTQ (X2 = 9.315, P = 0.009), emotional abuse (X2 = 8.025, P = 0.018), physical abuse (X2 = 20.4080, P < 0.001), but not in the group with higher scores of emotional neglect (X2 = 1.226, P = 0.542), sexual abuse (X2 = 2.779, P = 0.249), physical neglect (X2 = 3.978, P = 0.137), LTE-Q (X2 = 5.415, P = 0.067), and PSQI (X2 = 5.238, P = 0.073). Protective factor for alcohol abuse for men was identified to be heavy drinking (OR = 0.085, 95%CI: 0.011–0.661), and the risk factors for alcohol abuse were identified to be frequent drinking (OR = 2.736, 95%CI: 1.500, 4.988), and consumption of low liquor (OR = 2.563, 95%CI: 1.387, 4.734). Risk factors for alcohol dependence in males were identified to be consumption of low liquor (OR = 5.501, 95%CI: 2.004, 15.103), frequent drinking (OR = 2.680, 95%CI: 1.164, 6.170), and childhood physical abuse (OR = 2.310, 95% CI: 1.026, 5.201). Conclusion Traumatic experience during infant and prenatal periods does not have a strong statistical correlation with alcohol use disorders for male adults. However, subjects with high CTQ scores, experience of emotional abuse and physical abuse show a statistically higher prevalence of lifetime alcohol use disorders. Several risk factors including consumption of low liquor, frequent drinking, and childhood physical abuse contribute to alcohol dependence in male adults.

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