Relationship between craving and early relapse in alcohol dependence: A short-term follow-up study
Background: The role of craving in alcohol dependence and its relationship with relapse has been studied widely in the past decade. The present study was undertaken to assess the role of craving in short-term relapse of patients seeking treatment for alcohol dependence and changes in craving score a...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-01-01
|
| Series: | Indian Journal of Psychological Medicine |
| Subjects: | |
| Online Access: | http://www.ijpm.info/article.asp?issn=0253-7176;year=2018;volume=40;issue=4;spage=315;epage=321;aulast=Kharb |
| _version_ | 1818858787933519872 |
|---|---|
| author | Rajan Kharb Lokesh S Shekhawat Ram Pratap Beniwal Triptish Bhatia Smita N Deshpande |
| author_facet | Rajan Kharb Lokesh S Shekhawat Ram Pratap Beniwal Triptish Bhatia Smita N Deshpande |
| author_sort | Rajan Kharb |
| collection | DOAJ |
| description | Background: The role of craving in alcohol dependence and its relationship with relapse has been studied widely in the past decade. The present study was undertaken to assess the role of craving in short-term relapse of patients seeking treatment for alcohol dependence and changes in craving score at the end of detoxification and at follow-up. Materials and Methods: A total of 34 male individuals with alcohol dependence (excluding comorbid drug dependence, organic or psychiatric disorder), after detoxification and discharge, consented. No anticraving medicine, aversive or psychotherapy, was advised. They were diagnosed on the International Statistical Classification of Diseases-10 using Diagnostic Interview for Genetic Studies. Severity of Alcohol Dependence Questionnaire (SADQ) and Clinical Institute Withdrawal Assessment Scale–Alcohol-Revised (CIWA-AR) were administered at the time of admission. Penn Alcohol Craving Scale (PACS) was applied at the time of discharge and follow-up to measure craving for alcohol. Results: Out of a total of thirty patients analyzed after dropout, 21 relapsed at the end of 1 month. On comparing PACS scores between relapsed and nonrelapsed patients, the difference was significant at both time points, i.e., at discharge and follow-up (t = 4.15, P < 0.0001 and t = 4.01, P < 0.001, respectively). In the total sample, SADQ and CIWA-AR scores were positively correlated (r = 0.47, P = 0.009). PACS at discharge was compared with PACS at follow-up, of which the correlation was high (r = 0.832, P < 0.0001). Conclusion: Craving seems to be a main factor related to relapse. Its measurement with PACS can be a useful tool to predict subsequent drinking and to identify individual risk for relapse during treatment. |
| first_indexed | 2024-12-19T09:01:51Z |
| format | Article |
| id | doaj.art-3ce44d1eaf544d49a2a1baf1c557f437 |
| institution | Directory Open Access Journal |
| issn | 0253-7176 |
| language | English |
| last_indexed | 2024-12-19T09:01:51Z |
| publishDate | 2018-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Indian Journal of Psychological Medicine |
| spelling | doaj.art-3ce44d1eaf544d49a2a1baf1c557f4372022-12-21T20:28:27ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71762018-01-0140431532110.4103/IJPSYM.IJPSYM_558_17Relationship between craving and early relapse in alcohol dependence: A short-term follow-up studyRajan KharbLokesh S ShekhawatRam Pratap BeniwalTriptish BhatiaSmita N DeshpandeBackground: The role of craving in alcohol dependence and its relationship with relapse has been studied widely in the past decade. The present study was undertaken to assess the role of craving in short-term relapse of patients seeking treatment for alcohol dependence and changes in craving score at the end of detoxification and at follow-up. Materials and Methods: A total of 34 male individuals with alcohol dependence (excluding comorbid drug dependence, organic or psychiatric disorder), after detoxification and discharge, consented. No anticraving medicine, aversive or psychotherapy, was advised. They were diagnosed on the International Statistical Classification of Diseases-10 using Diagnostic Interview for Genetic Studies. Severity of Alcohol Dependence Questionnaire (SADQ) and Clinical Institute Withdrawal Assessment Scale–Alcohol-Revised (CIWA-AR) were administered at the time of admission. Penn Alcohol Craving Scale (PACS) was applied at the time of discharge and follow-up to measure craving for alcohol. Results: Out of a total of thirty patients analyzed after dropout, 21 relapsed at the end of 1 month. On comparing PACS scores between relapsed and nonrelapsed patients, the difference was significant at both time points, i.e., at discharge and follow-up (t = 4.15, P < 0.0001 and t = 4.01, P < 0.001, respectively). In the total sample, SADQ and CIWA-AR scores were positively correlated (r = 0.47, P = 0.009). PACS at discharge was compared with PACS at follow-up, of which the correlation was high (r = 0.832, P < 0.0001). Conclusion: Craving seems to be a main factor related to relapse. Its measurement with PACS can be a useful tool to predict subsequent drinking and to identify individual risk for relapse during treatment.http://www.ijpm.info/article.asp?issn=0253-7176;year=2018;volume=40;issue=4;spage=315;epage=321;aulast=KharbAlcohol dependencecravingearly relapse |
| spellingShingle | Rajan Kharb Lokesh S Shekhawat Ram Pratap Beniwal Triptish Bhatia Smita N Deshpande Relationship between craving and early relapse in alcohol dependence: A short-term follow-up study Indian Journal of Psychological Medicine Alcohol dependence craving early relapse |
| title | Relationship between craving and early relapse in alcohol dependence: A short-term follow-up study |
| title_full | Relationship between craving and early relapse in alcohol dependence: A short-term follow-up study |
| title_fullStr | Relationship between craving and early relapse in alcohol dependence: A short-term follow-up study |
| title_full_unstemmed | Relationship between craving and early relapse in alcohol dependence: A short-term follow-up study |
| title_short | Relationship between craving and early relapse in alcohol dependence: A short-term follow-up study |
| title_sort | relationship between craving and early relapse in alcohol dependence a short term follow up study |
| topic | Alcohol dependence craving early relapse |
| url | http://www.ijpm.info/article.asp?issn=0253-7176;year=2018;volume=40;issue=4;spage=315;epage=321;aulast=Kharb |
| work_keys_str_mv | AT rajankharb relationshipbetweencravingandearlyrelapseinalcoholdependenceashorttermfollowupstudy AT lokeshsshekhawat relationshipbetweencravingandearlyrelapseinalcoholdependenceashorttermfollowupstudy AT rampratapbeniwal relationshipbetweencravingandearlyrelapseinalcoholdependenceashorttermfollowupstudy AT triptishbhatia relationshipbetweencravingandearlyrelapseinalcoholdependenceashorttermfollowupstudy AT smitandeshpande relationshipbetweencravingandearlyrelapseinalcoholdependenceashorttermfollowupstudy |