scholarly journals Social Support and Treatment Outcome in Alcohol Dependence Syndrome in Armed Forces

Author(s):  
Siddharth Dixit
2017 ◽  
Vol 8 (1) ◽  
pp. 28
Author(s):  
Indrajeet Banerjee ◽  
Debasree Bora ◽  
Sonia P Deuri

Background: In India alcohol is the most commonly used substance of abuse. The effect of alcoholism in husbandsmostly leads to disturbances in marital life.These effects may directly or indirectly drain out caregivers of substanceabusers. One of the most affected among caregivers is the marital partners. In other words it is the wives of substanceabusing husband who are the victims. Coping mechanisms are used by the wives to handle the stressful situation hasa vital role in reducing psychological difficulties. In case of wives with alcohol dependent husbands, the socialsupport is a buffer for crisis periods. Aim of the study: The study is aimed to enquire the coping strategies andperceived social support of the wives of persons with alcohol dependence syndrome. Material and methods: A total30 wives of persons with alcohol dependence syndrome according to ICD-10 were taken as the sample usingpurposive sample collection. Socio-demographic profile was assessed through semi-structured questionnaire whilecoping strategies was assessed through Ways of Coping Scale (1986) and the Multidimensional Scale of PerceivedSocial Support (1988) was applied to assess the perceived social support after taking their informed consent. Dataanalysis was done using SPSS for descriptive statistics. Results: The result shows that varied types of coping strategieswere used by wives of persons with alcohol dependence. In contrast the previous studies suggest use of emotionalfocused or escape avoidance coping. This study suggests that adaptive copings such as positive reappraisal, seekingsocial support and problem solving were used in comparison to escape avoidance. In contrast to previous studiesperceived social support was found to be high in this study group. Conclusion: It is well known fact that copingstrategies plays a major role in dealing with stressful life situations and perceived social support also have positiveimpact over health. Finding from this study suggests that any psychosocial intervention designed for this group mustconsider these facts and findings. Eventually these findings from the study can be used to help in enhancing thewellbeing of wives of alcohol dependents.Keywords: Alcohol dependence, coping strategies, perceived social support


2020 ◽  
Vol 23 (15) ◽  
Author(s):  
Penubarthi Sravanthi ◽  
Kailash S ◽  
Shabeeba Z ◽  
Sivabackiya C ◽  
Srinivasan ◽  
...  

Author(s):  
Anagha S. Deshmukh ◽  
Samir Kumar Praharaj ◽  
Shweta Rai ◽  
Asha Kamath ◽  
Dinesh Upadhya

Background: Alcohol dependence is a significant public health problem, contributing to the global health burden. Due to its immense socio-economic burden, various psychosocial, psychological, and pharmacological approaches have attempted to alter the behaviour of the patient misusing or abusing alcohol, but their efficacy is modest at best. Therefore, there is a search for newer treatment approaches, including noninvasive brain stimulation in the management of alcohol dependence. We plan to study the efficacy of Prefrontal Cortex Transcranial direct current stimulation Treatment in Alcohol dependence syndrome (PreCoTTA). Methods: Two hundred twenty-five male patients with alcohol dependence syndrome will be randomized into the three study arms (2 active, left dorsolateral prefrontal cortex and left orbitofrontal cortex, and 1 sham) to receive a total of 14 tDCS sessions (10 continuous and 4 booster sessions). Data will be collected from them at five different time points on clinical, neuropsychological and biochemical parameters. In addition, 225 healthy age and education matched controls will be administered the neuropsychological test battery at baseline for comparison with the patient group. Discussion: The proposed study aims to explore the use of non-invasive brain stimulation; tDCS as a treatment alternative. We also aim to overcome the methodological gaps of limited sample sizes, fewer tDCS intervention sessions, lack of long term follow ups to measure the sustainability of gains and lack comprehensive measures to track changes in functioning and abstinence after tDCS intervention. The main outcomes include clinical (reduction in cue-induced craving, time to first drink and QFI); neuropsychological (risk-taking, impulsivity, and other neuropsychological domains) and biochemical markers (BDNF, leptin and adiponectin). The findings of the study will have translational value as it may help to improve the clinician’s ability to effectively manage craving in patients with alcohol dependence syndrome. Furthermore, we will have a better understanding of the neuropsychological and biochemical effects of non-invasive brain stimulation techniques which are of interest in the comprehensive treatment of addiction disorders. Trial registration: The study has been registered with the Clinical Trials Registry-India (CTRI/2020/09/027582) on September 03rd 2020.


2019 ◽  
Vol 91 ◽  
pp. 81-85 ◽  
Author(s):  
Evija Gutmane ◽  
Normunds Suna ◽  
Anastasija Tomilova ◽  
Lelde Liepina ◽  
Valdis Folkmanis ◽  
...  

2015 ◽  
Vol 1 (1) ◽  
pp. 29-32
Author(s):  
Mithileshwer Raut ◽  
Prashant Regmi ◽  
Saroj Prasad Ojha ◽  
Bharat Jha

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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