Factors associated with relapse within 2 years of inpatient treatment among men with alcohol dependence syndrome
Year: 2025
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: To determine factors associated with relapse among men who underwent inpatient treatment for alcohol dependence syndrome (ADS). METHODS: Medical records of men aged 18 to 65 years who underwent inpatient treatment for ADS between January 2018 and January 2020 were retrospectively reviewed. Demographic and clinical data were collected to identify factors associated with relapse. RESULTS: Of 199 men with ADS included in the analysis, 109 (54.8%) had relapsed within 2 years of treatment; of these relapses, 74 (67.9%) occurred within the first 3 months after treatment. Relapse rates were higher in those who developed dependence at age ≥25 years (50.5% vs 35.6%, p = 0.035), had previous relapses after inpatient treatment (56.0% vs 41.1%, p = 0.037), were at the pre-contemplation stage of motivation (45.0% vs 10.0%, p < 0.001), had level 0 of insight (51.4% vs 15.6%, p < 0.001), and used denial as a defence mechanism (18.3% vs 2.2%, p = 0.001). CONCLUSION: Relapse was associated with an age of dependence of ≥25 years, previous relapse, lower levels of motivation and insight, and denial as a defence mechanism. Most relapses occurred within the first 3 months after treatment; more intensive follow-up during this period is needed.
DOI: 10.12809/eaap25101
Institution: Father Muller Medical College Hospital
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7118174684