Cognitive Behaviour Therapy (CBT) as an adjunct to standard interventions in the prevention of relapse in Alcohol Dependence Syndrome in hospitalized patients

Author Name: Lt Col Indira Das & Maj Ranjana Banik

Volume: 02/01

Country: INDIA

DOI NO.: 02.2024-66318347 DOI Link: https://doi-ds.org/doilink/02.2024-66318347/GIJNR

Affiliation:

1. Professor & HOD, Dept of Mental Health Nursing, Command Hospital, Lucknow, India.
2. Assistant Professor, Dept of Mental Health Nursing, Command Hospital, Lucknow, India.

ABSTRACT

Introduction: Alcohol Dependence Syndrome (ADS) is a significant global health issue, with high rates of relapse following treatment. Cognitive Behavioral Therapy (CBT) has shown promise as an adjunct to standard interventions in preventing relapse. This study aimed to assess the effectiveness of CBT in preventing relapse in ADS patients. Methods: A quasi-experimental study was conducted over a one-year period, involving 100 male patients diagnosed with ADS. Participants were selected through purposive sampling and divided into control (n=50) and experimental (n=50) groups. Socio-demographic data and alcohol consumption patterns were assessed using self-structured multiple-choice questions and the Alcohol Use Disorders Identification Test (AUDIT). The control group received standard Group Therapy and anti-craving drugs, while the experimental group received individual CBT as an adjunct to standard therapy. Patients reporting relapse during the one-year follow-up underwent a semi-structured interview to identify factors contributing to relapse. Results: Out of the 100 participants, 12 in the control group and 4 in the experimental group reported relapse within one year of discharge. Statistical analysis revealed a significant difference in relapse rates between the two groups (chi-square value = 4.7619, p = 0.029096). Factors such as craving and family problems were found to be significant contributors to relapse. Conclusion: The findings suggest that CBT, when used as an adjunct to standard interventions, can be effective in preventing relapse in ADS patients. CBT should focus on addressing craving and family issues to improve outcomes. Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings.

Key words: Cognitive Behaviour Therapy (CBT), Relapse and Alcohol Dependence Syndrome.