Effects of Strength Based Supportive Therapy on Family Functioning and Coping among Persons with Alcohol Dependence Syndrome

2018 ◽  
Vol 9 (2) ◽  
pp. 75
Author(s):  
Shrikant Pawar ◽  
Niteen Abhivant ◽  
Praful Kapse ◽  
Manisha Kiran ◽  
Amol Ranjan Singh

Background: Alcohol dependence is a complex behaviour with far-reaching harmful effects on the family, work, society, as well as on the physical and mental health of the individual. Epidemiological studies conducted in India showed that 20-30% of our population is using alcohol at a harmful level. Mental health professionals provide support and understanding of the illness for the affected individual and family members. They work together on planning treatment; provide mutual support and understanding of the disorder. Aim: To study the effects of strength based supportive therapy on family functioning and coping of persons with alcohol dependence syndrome. Methodology: This was a hospital based intervention study. It had adopted the quasi-experimental before and after with control group research design. Participants were randomly allocated to the experimental and control groups. 10 persons with alcohol dependence syndrome were selected for the study  five each person with alcohol dependence syndrome and their family members were assigned in the control group (treatment as usual group; TAU) and five persons with alcohol dependence syndrome and their family members were assigned in the experimental group (treatment as usual positive family intervention group). Family functioning was assessed through McMaster family assessment device Patients were assessed through brief cope. Result: The study results indicated a significant improvement in various domains of family functioning in experimental group participants compared to the treatment as usual group. It has also noted improvement in coping among patients. Conclusion: strength based supportive intervention useful for the caregivers as well as it also helps in improving coping among person with alcohol dependence syndrome.

2011 ◽  
Vol 60 (1) ◽  
pp. 7-10 ◽  
Author(s):  
André Soares Rebello ◽  
Rodrigo Moura-Neto ◽  
Maria da Glória da Costa Carvalho

OBJECTIVE: The aim of this study was to investigate the polymorphism Ile349Val of the enzyme alcohol dehydrogenase ADH1C gene among individuals with alcohol dependence syndrome (ADS) attending Alcoholics Anonymous (AA) meetings. METHODS: A total of 120 subjects residing in Rio de Janeiro city participated in this study. Subjects were divided into two groups: a group consisting of 54 individuals from the ADS group and 66 individuals that declared not having any alcohol dependence (control group). DNA was extracted from mouth epithelial cells by phenol-chloroform method and further submitted to amplification by polymerase chain reaction (PCR). RESULTS: Our results did not show differences between the genotypes of control individuals and ADS subjects. Nevertheless, we found increased rates of alcoholism in families of ADS subjects as compared to controls. CONCLUSIONS: Our results did not show any genotype difference on the ADH1C gene when control and AA genotypes are compared.


2016 ◽  
Vol 24 (5) ◽  
pp. 768-779 ◽  
Author(s):  
Maite Ferrin ◽  
Viviana Perez-Ayala ◽  
Samaa El-Abd ◽  
Teresa Lax-Pericall ◽  
Brian Jacobs ◽  
...  

Objective: Psychoeducation forms part of the current practice for ADHD; however, its efficacy is yet to be established. Method: Sixty-nine children/adolescents with ADHD were randomly assigned for their families to receive either a well-structured psychoeducation program ( n = 35), or belong to a control group (treatment-as-usual, n = 34). Results: One-way analyses of variance showed a statistically significant Treatment × Time interaction, for ADHD total symptoms, inattention/cognition, and hyperactivity/impulsivity subdomains according to the parents, the first two with medium-large effect sizes. The effects of the intervention on the ADHD total and the inattention/cognition domain persisted after 6 months follow-up. No significant differences in teacher ratings were found; however, an improvement in clinical functioning as measured by clinicians was observed. Conclusion: This psychoeducation program has shown effectiveness in reducing ADHD symptoms when compared with treatment as usual. Psychoeducation needs to be considered as a valid and additional approach in ADHD.


2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Shobha Yadav

Although effect of mindfulness based stress reduction (MBSR) are effective and highly valued, but all the patients will not be interested due to extensive time and cost. Brief interventions (e.g., body scans) may be used by individuals, at a lower cost and with little training. Aim: To study the effect of body scan meditation on negative and positive affect in patients with alcohol dependence. Method: The present study was conducted on patients with alcohol dependence in Central Institute of Psychiatry, Ranchi. The study samples were collected from 30 in-patients with alcohol dependence syndrome (ADS) using a self-rating scale. After that the subjects who were randomly assigned to receiving body scan meditation underwent 45 minutes guided meditation and 15 minutes discussion for one week. Subjects assigned to other group did not receive body scan meditation. However, both the groups received pharmacological treatment as usual. After the intervention, subjects in both the groups were revaluated. Results: Patients in experimental group had significantly less severe dependence on alcohol and did not show significant reduction in negative affect and increment in positive affect after one week intervention of body scan meditation. Conclusion: There is no significant reduction in negative and increment in positive affect after receiving one week of body scan meditation intervention in alcohol dependence patients.


2021 ◽  
Vol 12 ◽  
Author(s):  
Yi Huang ◽  
Xu Chen

Objective: This study aimed to determine the benefits and feasibility of using group music therapy based on emotion-regulation skills to treat male inpatients with alcohol dependence (AD).Methods: We recruited male inpatients with alcohol dependence and randomly assigned those eligible for enrollment to either the study group or the control group. The study group received group music therapy along with treatment-as-usual (TAU), while the control group received only treatment-as-usual. Primary outcomes, including anxiety levels, sleep quality, and alcohol craving, were assessed at baseline and after 2 weeks of treatment. Secondary outcomes included feasibility measures such as dropout rates. We evaluated the acceptability of group music therapy based on semi-structured interviews and feedback from patients and therapists.Results: The average attendance rate of the study group patients who underwent group music therapy was 70.77%, and the drop-out rate was 7.69%. Based on intention-to-treat analysis, we found no differences in baseline assessments (p > 0.05). Assessment after 2 weeks of treatment showed that study group patients were less anxious, slept better, and had reduced alcohol cravings than control group patients. However, these differences were not statistically significant. Participants reported that group music therapy made them feel more relaxed and improved their mood.Conclusion: Group music therapy based on emotion-regulation skills is feasible with potential for efficacy and can be used to treat men with alcohol dependence in a closed inpatient environment. Further long-term research is required to gain a better understanding of the efficacy of using group music therapy to treat alcohol dependence.


2017 ◽  
Vol 2 (2) ◽  
pp. 146
Author(s):  
Liyanovitasari Liyanovitasari ◽  
Noor Hamdani ◽  
Asti Melani Astari

Schizophrenia is a psychiatric illness that causes the burden and maladaptive coping mechanism on the family. The burden and maladaptive coping mechanisms have an impact on the quality of family life and the ability of families to care for schizophrenic patients. The purpose of this study was to prove the effect of supportive group therapy on the burden and coping mechanisms in caring for family members who suffer schizophrenia. The design of this research was a pretest-posttest quasi-experimental study with control group design. The number of samples was 14 in the treatment group and 15 in the control group with purposive sampling. Variable of burden was measured with the Zarit Burden Interview (ZBI) and the coping mechanism was assessed by using Brief COPE Inventory (BCI). This supportive therapy was performed in 4 sessions with a total of 6 meetings. The results showed that there were significant differences on burden values and coping mechanisms before and after supportive therapy in the treatment group (p-value= 0.000). In the control group, there was a significant difference on the value of burden before and after health counseling (p-value =0.010), but there was no difference of coping mechanism value before and after health counseling (p-value=0.225). There were significant differences on the burden value (p-value=0.002) and coping mechanisms (p-value= 0.001) between treatment and control group. dr Rehatta Hospital is expected to facilitate the formation of peer support group in the psychiatry clinic so mental health in the family can be achieved.


GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Sonia Lech ◽  
Julie L. O’Sullivan ◽  
Paul Gellert ◽  
Jan‐Niklas Voigt-Antons ◽  
Robert Greinacher ◽  
...  

Abstract. Most people with dementia (PwD) are treated on an outpatient basis, predominantly by general practitioners (GPs). This article provides a detailed protocol of a study aimed at developing and evaluating a tablet-based intervention to improve outpatient dementia care by fostering guideline-based treatment. A cluster-randomized controlled trial with an intervention group (tablet-based intervention) and a control group (treatment as usual plus information handbook) will be conducted. Clusters will be randomized at GP level. Primary outcome is defined as adherence to dementia guideline recommendations after 9 months. Secondary outcomes include various health outcomes assessed in PwD (e.g., quality of life) and informal caregivers (e.g., caregiver burden). Outcomes will be analyzed by an intention-to-treat analysis and using mixed models.


2018 ◽  
Vol 102 (10) ◽  
pp. 1443-1447 ◽  
Author(s):  
Alok Sati ◽  
Parthasarathi Moulick ◽  
Sandeep Shankar ◽  
Kaushik Chatterjee ◽  
Arun Kumar Dwivedi ◽  
...  

Background/aimsTo evaluate the corneal endothelial changes in patients with alcohol dependence syndrome (ADS).MethodsA total of 322 corneas of 322 subjects were studied, and two groups were formed. The first, the ADS group, included 161 corneas of 161 patients and the second, the age-matched control group, was composed of 161 corneas of 161 healthy subjects. Both the groups were examined by specular microscope and the endothelial parameters were compared. The endothelial parameters were also compared before and after the abstinence of alcohol in the former group. The ADS group was further analysed to assess the influence of life time alcohol consumption, years/pattern of drinking, levels of Liver enzymes, levels of mean corpuscular volume, screening questionnaires and stages of fatty liver on corneal endothelium.ResultsOn comparing the two groups using Mann-Whitney U test, a significant difference was found in central corneal thickness (CCT) and endothelial cell density (CD) between the ADS (CCT: 529±29 µm, CD: 2571±236 cells/mm2) and control groups (CCT: 510±32 µm, CD: 2752±291 cells/mm2) (P<0.001 (CCT); P<0.001 (CD)). Using Wilcoxon sign-rank test, a significant difference was found in CCT (P<0.001) and CD (P<0.001) with abstinence of alcohol. Kruskal-Wallis test was used to compare the endothelial parameters in four stages of fatty liver and found a significant difference in terms of CCT (P<0.001) and CD (P<0.001).ConclusionsCorneal endothelial alteration is present in patients with ADS, more marked in patients with an increase in stage of fatty liver.


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