DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20203680

Factors influencing motivation in alcohol dependence syndrome patients in a tertiary care hospital of Assam

Prosenjit Ghosh, Prakash Barman, Ankur Bhattacharjee

Abstract


Background: The aim of this study is to study the change in motivation in patients with alcohol dependence syndrome (ADS).

Design: 50 consecutive patients admitted for the treatment of ADS in a tertiary care hospital were evaluated. It was a cross sectional observational study.

Methods: The study was done in a tertiary care hospital in the in-patient department of psychiatry. Structured performa for sociodemographic details. Psychiatric morbidity was assessed by structured clinical interview according to ICD10. SAD-Q (severity of alcohol dependence questionnaire) to assess severity of alcohol dependence. The assessment of motivation was done using the University of Rhode Island change assessment scale at baseline and after 10 days of admission. Data was evaluated keeping the aims and objectives in mind with appropriate statistical method using Statistical package social software (SPSS) version 21 and descriptive statistics was used. Chi square and Fisher exact test were used to assess the significance.

Results:  A total 64% were in pre-contemplation, 30% in contemplation and 6% were in action stage of motivation at baseline assessment. A significant change was seen in the levels of motivation towards contemplation and action stage after a brief hospital stay of 10 days. Motivation to change had a significant association with education and severity of alcohol dependence.

Conclusions: Pharmacological and non-pharmacological treatment during a short hospital stay results in improvement in readiness for change in patients of alcohol dependence syndrome. 


Keywords


Alcohol dependence syndrome, Family therapy, Motivation, Precontemplation, Psychoeducation

Full Text:

PDF

References


Global status report on alcohol. Geneva: World Health Organization; 2004.

Benegal V. India: Alcohol and public health. Addiction. 2005;100:1051-6.

Pillai A, Nayak MB, Greenfield TK, Bond JC, Hasin DS, Patel V. Adolescent drinking onset and its adult consequence among men: a population-based study from India. J Epidemiol Community Health. 2014;68:922-7.

Miller WR. Motivation for treatment: a review with special emphasis on alcoholism. Psychol Bull. 1985;98:84-107.

Miller WR. Motivational factors in addictive behaviors, in Rethinking Substance Abuse: What the Science Shows and What We Should Do About It (Miller WR, Carroll KM eds). The Guilford press, New York. 2006;134-150.

Prochaska JO, DiClemente CC. Transtheoreticaltherapy: toward a more integrative model of change. Psychother Theory Res Pract. 982;19:276-88.

DiClemente CC, Prochaska JO. Towardacomprehensive, transtheoretical model of change. In: Miller W. R., Heather N., editors. Treating addictive behaviors. New York: Plenum Press. 1998;3–24.

Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: applications to addictive behaviors. Am Psychol. 1992;47:1102-14.

DiClemente CC, Schlundt D, Gemmell L. Readiness and stages of change in addiction treatment. Am J Addict. 2004;13:103-19.

Witkiewitz K, Hartzler B, Donovan D. Matching motivation enhancement treatment to client motivation: Re-examining the Project MATCH motivation matching hypothesis. Addiction. 2010;105:1403-13.

Bauer S, Strik W, Moggi F. Motivation as a predictor of drinking outcomes after residential treatment programs for alcohol dependence. J Addict Med. 2014;8:137-42.

DiClemente CC, Bellino LE, Neavins TM. Motivation for change and alcoholism treatment. Alcohol Res Health. 1999;23:86-92.

D’Souza PC, Mathai PJ. Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital. Indian J Psychiatry. 2017;59:183-8.

Rumpf HJ, Hapke U, Meyer C, John U. Motivation to change drinking behavior: Comparison of alcohol-dependent individuals in a general hospital and a general population sample. Gen Hosp Psychiatry. 1999;21:348-53.

de Oliveira Júnior HP, Malbergier A. Assessment of motivation for treatment in alcohol dependent patients who sought treatment at a specialized medical service. Rev Bras Psiquiatr. 2003;25:5-10.

Forsberg L, Ekman S, Halldin J, Rönnberg S. The readiness to change questionnaire: Reliability and validity of a Swedish version and a comparison of scoring methods. Br J Health Psychol. 2004;9(3):335-46.

Lau K, Freyer-Adam J, Gaertner B, Rumpf HJ, John U, Hapke U. Motivation to change risky drinking and motivation to seek help for alcohol risk drinking among general hospital inpatients with problem drinking and alcohol-related diseases. Gen Hosp Psychiatry. 2010;32:86-93.

Bombardier CH, Rimmele CT. Alcohol use and readiness to change after spinal cord injury. Arch Phys Med Rehabil. 1998;79:1110-5.

Freyer-Adam J, Coder B, Ottersbach C, Tonigan JS, Rumpf HJ, John U et al. The performance of two motivation measures and outcome after alcohol detoxification. Alcohol Alcohol. 2009;44:77-83.

Williams EC, Kivlahan DR, Saitz R, Merrill JO, Achtmeyer CE, McCormick KA et al. Readiness to change in primary care patients who screened positive for alcohol misuse. Ann Fam Med. 2006;4:213-20.

Barnett NP, Lebeau-Craven R, O’Leary TA, Colby SM, Rohsenow DJ, Monti PM et al. Predictors of motivation to change after medical treatment for drinking-related events in adolescents. Psychol Addict Behav. 2002;16:106-12.