Cognitive behaviour therapy (cbt) as an adjunct to standard interventions in prevention of relapse in alcohol dependence syndrome in hospitalised patients

Research Article
Lt Col Indira Das
DOI: 
DOI: http://dx.doi.org/10.24327/ijrsr.20231412.0840
Subject: 
Medical
KeyWords: 
ADS, Relapse, CBT
Abstract: 

Introduction-50% of detoxified alcoholics relapse within 3 months of treatment completion, 90% experience at least one relapse over the 4-year period following treatment. Methods–100 male patients diagnosed with ADS selected through Purposive sampling (control 50, experimental 50) over 1 year time period, were administered self-structured multiple choice questions to assess socio-demographic status and Alcohol Use Disorders Identification Test (AUDIT) for alcohol consumption pattern. Control received standard Group Therapy and anti-craving drugs, experimental received individual CBT as an adjunct. Patients reported with relapse during 1 year of follow-up underwent a semi-structured interview on factors causing relapse. Results–12 had relapse within 1 year of discharge from control and 4 reported from experimental.  The chi-square value is 4.7619 with p 0.029096, significant at 95% confidence. Craving & family problems remain significant as per Paired t Test value. Discussion–As per available literature, CBT has been effective in adjunct to standard therapy in prevention of relapse in alcohol and other substance dependence and the present study also exhibits the same. Implication-CBT can be made a part of standard treatment in all deaddiction setup. Conclusion–CBT is effective as an adjunct and should address craving and family problems to prevent relapse in ADS.