Mary Wangari Kuria. Factors associated with relapse and remission of alcohol dependent persons after community based treatment

Citation:
"Mary Wangari Kuria. Factors associated with relapse and remission of alcohol dependent persons after community based treatment.". 2013.

Abstract:

Knowledge of factors associated with relapse and remission after treatment for alcohol dependence en-
ables the clinician to offer better individualized treatment. It also enables the clinician to predict which
patients are likely to relapse and therefore offer appropriate and effective treatment to prevent relapse.
Objective: This study sought to determine the factors associated with remission and relapse in a group of
alcohol dependent persons undergoing Community Based Detoxification and Rehabilitation of alcohol
dependent persons. Method: One hundred and eighty eight (188) persons with Alcohol Use Disorder Identi-
fication Test (AUDIT) positive were subjected to outpatient detoxification for 10 days using a pair of
ampoules of high potency Vitamin B and C intravenously daily for 3 consecutive days, diazepam 5 mg
and carbamazepine 200 mg for 5 and 10 consecutive nights respectively on an outpatient basis. The par-
ticipants were visited twice a week (at home) by the community based health workers and reviewed once
a week by the principal investigator and attended a bimonthly group therapy session conducted in groups
of 20 s as part of the rehabilitation process. The groups were converted to self-help groups after 4
months to generate income for the participants. Results: Factors significantly associated with relapse to
alcohol use included severity of alcohol use and craving for alcohol at intake and the age of onset of alco-
hol drinking. Further there was a statistically significant predictive value in the mean score of alcohol re-
lated problems in the community based group (health,social, financial and legal). Conclusion: Identifying
factors that are associated with relapse after alcoholdependence treatment is likely to improve the effec-
tiveness of treatment and prevent relapse in persons at risk.

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