scholarly journals The Study of Use of Obsessive–Compulsive Drinking Scale, For Craving in Alcohol-Dependent Patients: Relationship to Alcoholism Severity

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. Neeli Uma Jyothi ◽  
Shaik.Faizan Ali ◽  
Mounica. Bollu
Keyword(s):  
Visual Analogue Scale ◽  
Alcohol Dependence ◽  
Analogue Scale ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Obsessive Compulsive ◽  
Addiction Severity ◽  
Mini Mental Status Examination ◽  
Index Of Severity

Background: Many clinicians and researchers believe that “craving” an abusable substance is a central phenomenon related to addiction. Craving for alcohol appears to be intimately related to the loss of control over consumption and to compulsive alcohol use. Aim: To compare the scores of obsessive compulsive drinking scale with visual analogue scale, severity of alcohol dependence questionnaire and addiction severity index. Materials and Methods: Literate patients who met DCR-ICD-10 criteria for alcohol dependence syndrome were taken in the study and they must have been drinking alcohol daily till 1 week ago and the subjects were required to consume at least 6 standard drinks per day over the last month. Instruments used in this study were Obsessive Compulsive Drinking Scale – OCDS, Severity of Alcohol Dependence Questionnaire – SADQ, Addiction Severity Index – ASI ,Visual Analogue Scale – VAS, Mini Mental Status Examination – MMSE, Timeline Method – TL. Results: Among 40 patients, the mean age of these patients was 38 yrs (38.55+ 9.60). 95% of them were Hindus and 5 % Christians. 82.5 % were married. And 50% of patients have the income between Rs.15000-20000 per month. The correlation matrix of OCDS variables (OCDS-T,OCDS-O,OCDS-C),ASI-A,SADQ,VAS variables(G,F,I) and TL on all four follow-ups were measured. All correlations were positive and significant at p<0.001.obsessive compulsive drinking scale total score in 2 drinking outcome groups during 8 week treatment period was seen in which there is a difference between in two patient groups at baseline. i.e., abstinent group had lower score than relapse group. This difference was consistently observed between the groups over the entire period of follow-up. Conclusion: Craving was higher among those who relapsed than those who did not. Craving did predict high alcohol consumption and high index of severity at baseline and all through the follow-up.

Predictors of Posttreatment Drinking Outcomes in Patients with Alcohol Dependence

2014 ◽  
Vol 21 (1) ◽  
pp. 19-30 ◽  
Author(s):  
Gerardo Flórez ◽  
Pilar A. Saiz ◽  
Paz García-Portilla ◽  
Francisco J. De Cos ◽  
Sonia Dapía ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Dependence ◽  
Biological Markers ◽  
Relapse Prevention ◽  
Treatment Initiation ◽  
Positive Impact ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Obsessive Compulsive ◽  
Timeline Followback

Aim: This cohort study examined how predictors of alcohol dependence treatment outcomes work together over time by comparing pretreatment and posttreatment predictors. Methods: A sample of 274 alcohol-dependent patients was recruited and assessed at baseline, 6 months after treatment initiation (end of the active intervention phase), and 18 months after treatment initiation (end of the 12-month research follow-up phase). At each assessment point, the participants completed a battery of standardized tests [European Addiction Severity Index (EuropASI), Obsessive Compulsive Drinking Scale (OCDS), Alcohol Timeline Followback (TLFB), Fagerström, and International Personality Disorder Examination (IPDE)] that measured symptom severity and consequences; biological markers of alcohol consumption were also tested at each assessment point. A sequential strategy with univariate and multivariate analyses was used to identify how pretreatment and posttreatment predictors influence outcomes up to 1 year after treatment. Results: Pretreatment variables had less predictive power than posttreatment ones. OCDS scores and biological markers of alcohol consumption were the most significant variables for the prediction of posttreatment outcomes. Prior pharmacotherapy treatment and relapse prevention interventions were also associated with posttreatment outcomes. Conclusions: The findings highlight the positive impact of pharmacotherapy during the first 6 months after treatment initiation and of relapse prevention during the first year after treatment and how posttreatment predictors are more important than pretreatment predictors.

Effects of Losing SSI Benefits on Standard Drug and Alcohol Outcome Measures

2003 ◽  
Vol 30 (1-2) ◽  
pp. 169-193 ◽  
Author(s):  
Joseph Guydish ◽  
Claudia Ponath ◽  
Alan Bostrom ◽  
Kevin Campbell ◽  
Nancy Barron
Keyword(s):  
Severity Index ◽  
Addiction Severity Index ◽  
Standard Drug ◽  
Linear Effect ◽  
Addiction Severity ◽  
Composite Scores ◽  
The Impact ◽  
Drug And Alcohol ◽  
Termination Date

P.L. 104–121 eliminated drug addiction and alcoholism (DA&A) as an impairment category for Supplemental Security Income (SSI), allowing a six-month period for DA&A recipients to request an eligibility redetermination, and terminating all SSI DA&A benefits on January 1, 1997, In a multi-site cohort study of persons affected by this change, participants were interviewed prior to the benefits termination date and reinterviewed over a two-year follow-up period. We assessed the impact of loss of SSI DA&A benefits on Addiction Severity Index (ASI) composite scores, which are often used to reflect treatment outcomes in seven areas (psychological, social, alcohol, drug, legal, employment, and medical). We classified participants as either on SSI or off SSI (n=1,670) during follow-up and analyzed ASI composite scores treating time as a linear effect, including baseline composite scores as covariates. The dependent variable in each analysis was the ASI composite score, dichotomized into high and low categories. We hypothesized that those who lost SSI benefits would experience poorer outcomes than those who requalified for benefits. In the context of the limitations discussed, the results do not support this hypothesis. Participants in both groups showed either improvement or no change over time, and patterns of change did not differ by SSI status.

scholarly journals A Cross-sectional Study of Psychiatric Comorbidity and Severity of Addiction in Patients with Early- and Late-Onset Alcohol Dependence

2020 ◽  
Vol 42 (4) ◽  
pp. 334-340
Author(s):  
Anamika Das ◽  
Sujita Kumar Kar ◽  
Pawan Kumar Gupta ◽  
Pronob Kumar Dalal
Keyword(s):  
Alcohol Dependence ◽  
Early Onset ◽  
Late Onset ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Addiction Severity Index ◽  
Cross Sectional ◽  
Addiction Severity ◽  
Onset Group ◽  
Early Onset Group

Background: Alcohol use disorder is a serious health problem with high comorbidities. Early-onset alcohol use has been associated with greater impulsivity, increased severity of dependence, frequent alcohol withdrawal complications, externalizing symptoms, and antisocial behaviors. We aimed to evaluate the psychiatric comorbidities and severity of addiction in early- and late-onset alcohol dependence. Methods: This was a cross-sectional study. All patients fulfilling the diagnostic criteria of alcohol dependence as per International Classification of Diseases (10th edition) were included in it. Semi-Structured Assessment for Genetics of Alcoholism IV was applied to find the age of onset of dependence as per the lifetime frame and also to find comorbidities. Composite International Diagnostic Interview 3.0. was used to find other comorbidities. The severity of addiction was evaluated with Addiction Severity Index, 5th edition. All the sociodemographic and clinical parameters were compared between patients with the early- and late-onset alcohol dependence. Results: Out of the 112 patients screened, 57 met the selection criteria, 26 were with early-onset and 31 with late-onset alcohol dependence. The patients were all males. The patients with early-onset alcohol dependence had a higher family history (P = 0.006) and were nonearning (P = 0.002) in comparison to the group with late-onset dependence. The comorbidity among all patients was 59.6% and 84.2% in current and lifetime frames, respectively. It was significantly higher in the early-onset group, both for current (P = 0.015) and lifetime (P = 0.031) frames. On the domains of Addiction Severity Index 5th edition, the early-onset group had a more severe profile of addiction in all domains except the medical domain. Conclusion: Comorbidity is high among patients with alcohol dependence and is even higher for the early-onset group. The family history was higher in the early-onset group and they have more severe profile of substance use.

Co-morbid anxiety disorders predict early relapse after inpatient alcohol treatment

2015 ◽  
Vol 30 (1) ◽  
pp. 128-136 ◽  
Author(s):  
A.F.A. Schellekens ◽  
C.A.J. de Jong ◽  
J.K. Buitelaar ◽  
R.J. Verkes
Keyword(s):  
Anxiety Disorders ◽  
Alcohol Dependence ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Late Relapse ◽  
Early Relapse ◽  
Addiction Severity ◽  
Character Inventory ◽  
Relapse Rates ◽  
Alcohol Dependent

AbstractIntroduction:Alcohol dependence and anxiety disorders often co-occur. Yet, the effect of co-morbid anxiety disorders on the alcohol relapse-risk after treatment is under debate. This study investigated the effect of co-morbid anxiety disorders on relapse rates in alcohol dependence. We hypothesized that co-morbid anxiety disorders would be particularly predictive for early relapse, but not late relapse.Subjects and methods:In a prospective design, male alcohol dependent patients (n = 189) were recruited from an inpatient detoxification clinic. Psychiatric diagnoses and personality traits were assessed using the Mini International Neuropsychiatric Interview for psychiatric disorders and the Temperament and Character Inventory. The addiction severity index was used to assess addiction severity and follow-up.Results:One year after detoxification, 81 patients (53%) relapsed and nine patients (7%) were deceased, due to alcohol related causes. Co-morbid anxiety disorder, marital status, addiction severity, in particular legal problems, and harm avoidance predicted relapse. Anxiety disorders specifically predicted early relapse.Conclusion:Alcohol dependence is a severe mental disorder, with high relapse rates and high mortality. Alcohol dependent patients with co-morbid anxiety disorders are particularly prone to relapse during the first three months of treatment. These patients may therefore require additional medical and psychological attention.

scholarly journals The Addiction Severity Index (ASI) and the attitudes of staff to the use of care outcome measurement in Saudi Arabia

2013 ◽  
Vol 10 (3) ◽  
pp. 67-68
Author(s):  
Abdelaal Ahmed
Keyword(s):  
Clinical Practice ◽  
Outcome Measurement ◽  
Daily Practice ◽  
Severity Index ◽  
Addiction Severity Index ◽  
Measurement Tool ◽  
Addiction Severity ◽  
Measurement Tools ◽  
Care Outcome

Several years ago, Al Amal Hospital began to use the Addiction Severity Index (ASI) for the assessment and measurement of the outcome of care provided for persons with addiction problems. Clinical staff have been sceptical about the usefulness of this tool in clinical practice. We conducted a survey of staff to record their opinions of the ASI and other outcome measurement tools. Participants highlighted factors that would encourage the use of such tools in daily practice. In order to achieve the desired goals, an outcome measurement tool should be concise, adapted to culture and suitable for use in treatment planning and follow-up by clinicians.

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