Volume :
8
Issue :
1
Abstract :
INTRODUCTION:
Although in India, men have
exhibited high rates of alcohol and drug use
disorders; there is a paucity of substance
use disorder treatment outcome research.
In addition, there exists controversy about
effectives among different available
intervention strategies.
METHOD:
This was a retrospective cohort
study conducted at post graduate
department of psychiatry, CMC Vellore
from 1
st
January 2005 to 31
. June 2005.
Patients charts (Files) were screened and
out of 3145 charts registered during the
period of six consecutive months, only ICD
10 diagnosis of ADS with or without comorbidity
were assessed in detail. The poor
st
outcome group was defined by those with
frequent relapses and irregular follow up.
Better adherance and Good outcome group
was of patients with minor lapses, higher
compliance and regular follow up in 3
50
month. All the demographic, and clinical as
well as interventions related factors were
compared among these two groups and data
was analysed in SPSS 11.
RESULTS:
100 male with mean age 28.8 SD 6.5
were assessed and 45% had family history
of ADS and23% had co-morbid major
mental illness. Out of 100 men ADS, 75
only received acute care intervention
followed by outpatient de-addiction
strategies with predominantly became poor
outcome 76%. The analysis showed that
factors responsible for better adherence and
good outcome were the spouse education
as compared to the patient (p=0.0001), inpatient
admission(p=-0.02), psychotherapy
session
(p=.0001), use of disulfiram (p=0001)
.
CONCLUSIONS:
ADS patients who come to
hospital for psychiatrists help must be offered comphrehensive care
including in patient admission,
detoxification, antabuse theray, client
centred psychotherapy and
motivational enhancement and relapse
prevention interventions. With above
said strategies chance of long term out
come in male ADS would improve.