Background:Alcohol Dependence Syndrome is a chronic illness that is relapsing in nature. Past research has shown that coping strategies that are specific to alcohol dependence are useful in preventing long-term relapse. This follow-up study is, therefore, an attempt to understand the coping styles and strategies that are associated with relapse among individuals dependent on alcohol.Methods:We aimed to cross-sectionally assess the severity of alcohol dependence and coping styles of Alcohol dependent individuals. One hundred and twenty-seven consecutive patients who satisfied the International Classification of Diseases Tenth Edition (ICD 10) criteria for alcohol dependence and who were above the age of 18 years were included. This study was conducted in the de-addiction outpatient services of a Tertiary care center in South India between April 2019 and June 2020. Our Institutional Ethical Committee granted the approval for this study. We used a self-designed proforma for collecting the socio-demographic details. The Severity of Alcohol Dependence Questionnaire (SADQ) and Coping Orientation to Problems Experienced Inventory (Brief – COPE) were administered. Patients were followed up for six months. Motivation Enhancement Therapy was given to all our participants during their monthly follow-up visit. Descriptive analysis was performed using mean and standard deviation. We used the student t-test and chi-squared test to understand the differences in the coping strategies between relapsed and non-relapsed persons. Spearman’s correlation was used to assess the correlation between the severity of alcohol dependence and coping strategies. A p value of <.05 was taken as significant.Results:Non-relapsed individuals had significantly higher scores on active coping ( p = .008), emotional support ( p = .044), informational support ( p = .017), planning ( p < .001), acceptance ( p = .030), and humor ( p = .001). Relapsed individuals had statistically significant scores on denial ( p = .005), substance use ( p = .024), and self-blame ( p = .012). We found a positive correlation between the severity of alcohol dependence and maladaptive coping strategies ( p < .01).Conclusions:Relapsed individuals were found to have significantly higher maladaptive coping strategies. Non-relapsed individuals exhibited greater adaptive coping styles. Maladaptive coping strategies positively correlated with the severity of alcohol dependence.

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酒精依赖患者应对策略及其与复发的关系的后续研究

背景：酒精依赖综合症是一种会复发的慢性疾病。过去的研究表明，针对酒精依赖的应对策略有助于预防长期复发。因此，这项后续研究试图了解与酒精依赖者复发相关的应对方式和策略。方法：我们旨在横断面评估酒精依赖的严重程度和酒精依赖者的应对方式。纳入了连续 127 名符合国际疾病分类第十版（ICD 10）酒精依赖标准且年龄在 18 岁以上的患者。这项研究于 2019 年 4 月至 2020 年 6 月在印度南部一家三级护理中心的戒瘾门诊进行。我们的机构伦理委员会批准了这项研究。我们使用自行设计的形式来收集社会人口统计详细信息。进行了酒精依赖严重程度问卷 (SADQ) 和应对问题经历量表 (Brief – COPE)。对患者进行了六个月的随访。我们所有的参与者在每月的随访期间都接受了动机增强治疗。使用平均值和标准差进行描述性分析。我们使用学生 t 检验和卡方检验来了解复发者和非复发者之间应对策略的差异。斯皮尔曼相关性用于评估酒精依赖的严重程度与应对策略之间的相关性。p 值 <.05 被视为显着。结果：非复发个体在积极应对 (p = .008)、情感支持 (p = .044)、信息支持 (p = .017)、计划 (p < .001)、接受 (p = .030) 和幽默 (p = .001)。复发者在否认 (p = .005)、物质使用 (p = .024) 和自责 (p = .012) 方面的得分具有统计显着性。我们发现酒精依赖的严重程度与适应不良的应对策略之间呈正相关（p < .01）。结论：复发个体的适应不良应对策略显着较高。未复发的个体表现出更强的适应性应对方式。适应不良的应对策略与酒精依赖的严重程度呈正相关。