Course of Alcohol Use Disorders: A Cross Sectional Hospital Based Observational Study
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 126
- Locations
- 1
- Primary Endpoint
- The course is to be studied in terms of the outcome in terms of maintaining abstinence from alcohol use, continued use of alcohol, lapses, and relapse, throughout the course of alcohol use in a patients lifetime with alcohol dependence using the timeline follow-back method.
Overview
Brief Summary
A cross-sectional observational study will be carried out over a period of around 23 months on 126 patients from psychiatry OPD, psychiatry and other wards of Kasturba Hospital. Patients age more than 18 years of age, able to give consent in English or Kannada, with history of alcohol use will be considered. Primary data will be collected by obtaining first-hand information from the respondents themselves regarding the socio-demographic and illness details based on a semi-structured proforma followed by administration of a series of rating scales, over a period of one to two hours to fulfill the aims and objectives of the study. Additional Data will be reviewed from the medical records available in the department.Finally the data will be streamlined and statistical analysis will be carried out to assess, analyse and to determine the course of the illness. No follow-ups are required.
Tools used-
1)Timeline Followback Method
2)Drinking-related locus of control scale (DRIE)
3)Presumptive Stressful Life Events Scale(PSLES)
4)Barratt Impulsiveness Scale 11 (BIS)
5)General Self-Efficacy Scale (GSE)
6)The Perth Alexithymia Questionnaire (PAQ)
The above mentioned self report scales have been translated to Kannada by seeking permission from the author once after IEC approval.
Statistical analysis will be conducted using SPSS version 16. Sociodemographic and clinical characteristics of the sample will be reported using descriptive statistics, including mean, SD, frequency, and percentages.Logistic regression(QL) will be used to assess correlations between establishment of dependance pattern with years of substance consumption.Pearson’s coefficient to compare 2 continuous variables such as quantity of substance consumption with severity of withdrawal symptoms.Paired student T test to compare abstinence/craving before and after intervention.Pearson’s Chi square test to compare presence of substance dependance with presence of family h/o of substance use. Additional Cluster Analysis may be considered as a possibility later after data is collected.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 18.00 Year(s) to 99.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •The patient visiting the Psychiatry Outpatient, Inpatient for treatment and seen in other departments with history of alcohol use disorder/dependance.
- •Individuals who are able to give consent in English and Kannada .
- •Patient with medical and psychiatric co morbidities.
Exclusion Criteria
- •Patients not consenting to participate for study.
- •Patients not in a condition to consent for the study due to some condition.
Outcomes
Primary Outcomes
The course is to be studied in terms of the outcome in terms of maintaining abstinence from alcohol use, continued use of alcohol, lapses, and relapse, throughout the course of alcohol use in a patients lifetime with alcohol dependence using the timeline follow-back method.
Time Frame: cross sectional study
This course will be studied cross-sectionally based on the history starting from the first use of alcohol until the cross-section of time at the interview point.
Time Frame: cross sectional study
Secondary Outcomes
- a) To assess the association between sociodemographic factors such as age, socioeconomic status, family history, occupation, & life stressors & their contributions to the maintenance of dependence patterns, lapses, & relapses through a comprehensive review of individual case files(b) To assess the association of pharmacological & non-pharmacological interventions in sustaining remission, managing lapses, & preventing relapses, to predict treatment outcomes.)
Investigators
Anshul Goyal
Kasturba Medical College,Manipal