The Clinical and Demographic Profile of Male Patients with Alcohol Dependence Syndrome

By Reddy, M.; Babu, R. et al. | Indian Journal of Psychological Medicine, October-December 2014 | Go to article overview

The Clinical and Demographic Profile of Male Patients with Alcohol Dependence Syndrome


Reddy, M., Babu, R., Pathak, Satish, Venkateshwarlu, S., Indian Journal of Psychological Medicine


Byline: M. Reddy, R. Babu, Satish. Pathak, S. Venkateshwarlu

Aims: To study the demographic factors associated with alcohol dependence syndrome so that the problems of alcohol related co morbidities can be prevented with appropriate preventive measures. Materials and Methods: The study was conducted in De-Addiction Clinic of the Department of Psychiatry, Mamata Medical College, Khammam, Andhra Pradesh from July 2008 to February 2009. Patient who fulfills criteria for alcohol dependence, according to diagnostic and statistical manual of mental disorders, fourth edition were included. Results: Mean age (standard deviation) at first drink was 18.93 (3.81) years and at onset of Alcohol dependence was 28.28 (6.55) years. The most common reason being given by the patients was financial strain (70% of the patients) due to alcohol use and its consequences. Educational qualification of 12th standard or above was seen only in 7.5%. Alcohol dependence syndrome was more common in unemployed, unskilled and semi-skilled patients. Majority of patients (80%) belonged to lower socio-economic class. Conclusion: Alcohol dependence syndrome and its related co morbidities can be minimized to a great extent if the educational and socio-economic standards are improved in countries like India where there is increase in alcohol consumption as a life style choice.

Introduction

Alcohol has been consumed in India for centuries. The pattern of drinking in India has undergone a change from occasional and ritualistic use to being a social event. These developments have raised concerns about the health and the social consequences of excessive drinking leading to dependence.

In the last decade there is a rapid increase in the number of city bars and nightclubs in India and as a result an undocumented rise in alcohol abuse amongst all the sections of the society. The percentage of the drinking population aged less than 21 years has increased from 2% to more than 14% in the past 15 years, according to studies in the southern state of Kerala by Alcohol and Drugs Information Center India, a non-governmental organization. What is of particular concern and an important indicator of health risks is that the signature pattern of alcohol consumption in India is frequent and heavy drinking. More than half of all drinkers fall into the criteria for hazardous drinking, which is characterized by bingeing and solitary consumption to the point of intoxication. Moreover, spirits account for 95% of the beverages drunk in India. The present study is carried out to look for the demographic factors associated with alcohol dependence syndrome so that the problems of alcohol related co morbidities can be prevented with appropriate preventive measures.

Materials and Methods

The study was conducted in De-Addiction Clinic of the Department of Psychiatry, Mamata Medical College and Associated Mamata General Hospital, Khammam, Andhra Pradesh during the period from July 2008 to February 2009. All the subjects fulfilling the inclusion and exclusion criteria during the study period were included in this study.

Inclusion criteria

All male subjects presenting to the De-Addiction Clinic of the Mamata General Hospital with alcohol related problems were potential candidates for this study and they are enrolled into the study if they fulfill the following inclusion criteria:

*Patient of age 18 years and above *Patient who fulfills criteria for alcohol dependence, according to diagnostic and statistical manual of mental disorders, fourth edition (DSM-IV).

Exclusion criteria

Subjects with any of the following will not be included in the study:

*Concurrent presence of other Substance Dependence, according to DSM-IV, other than Nicotine *Presence of any significant illness requiring intensive medical/Surgical management.

Patients fulfilling the selection criteria were admitted after obtaining informed consent and demographic details, history, general physical examination and mental status examination were recorded on a semi-structured proforma designed for the study. …

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