Korean J Biol Psychiatry.  2007 Nov;14(4):249-255.

A Study on Relapse Predictors in Korean Alcohol-Dependent Patients: A 24 Weeks Follow up Study

Affiliations
  • 1Department of Neuropsychiatry, Yangsan Hae-In General Hospital, Yangsan, Korea.
  • 2Department of Psychiatry, School of Medicine, Pusan National University, Busan, Korea. sungkim@pusan.ac.kr
  • 3Department of Psychiatry, College of Medicine, Yonsei University, Seoul, Korea.
  • 4Department of Neuropsychiatry, Maryknoll Hospital, Busan, Korea.
  • 5Department of Psychiatry, National Health Insurance Corporation Ilsan Hospital,Goyang, Korea.
  • 6Department of Neuropsychiatry, College of Medicine, Hallym University, Seoul, Korea.

Abstract


OBJECTIVES
The aim of this prospective study is to investigate predictors estimating relapse in Korean alcohol-dependent patients using variables like alcohol history, drinking craving, treatment motivation and insight.
METHODS
Alcohol dependent patients(N=48) who completed questionnaires about sociodemographic variables and drinking history, Timeline Follow-Back(TLFB), Obsessive-Compulsive Drinking Scale(OCSD), Alcohol Urge Questionnaire(AUQ), Pennsylvania Alcohol Craving Scale(PACS), University of Rhode Island Change Assessment(URICA), Hanil Alcohol Insight Scale(HAIS) were followed-up for 24weeks. Subjects who drank heavily(5 standard drinking or more/day) or were not followed up anymore were classified as the relapse group. We used logistic regression analysis with backward elimination of SPSS PC+11.5 to investigate relapse estimate predictors.
RESULTS
Average drinking amount per drinking day for last 1 year and HAIS score were predictors of relapse in alcohol-dependent patients.
CONCLUSIONS
Our findings suggest that therapist should give more attention to alcohol-dependent patients who had more drinks per drinking day for last 1 year and had lower insight level.

Keyword

Alcohol dependence; Relapse predictor; Follow-up

MeSH Terms

Alcoholism
Drinking
Follow-Up Studies*
Humans
Logistic Models
Motivation
Pennsylvania
Prospective Studies
Recurrence*
Rhode Island
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