Factors prolonging the period of sobriety in young patients with alcohol use
Alcohol beverages became a regular part of the everyday life of society. This is particularly true for those in social environments when alcohol is using for socializing. Due to this fact, it is easy to fail to notice the health and social damage caused by alcohol drinking.
In the pilot study we examined the feasibility and initial efficacy of a brief intervention on reducing risky drinking among emerging adults in Ukraine. Patients were evaluated in 3 months after the brief motivational intervention (BMI).
We included patients who successfully completed the pilot study (all of them had an opportunity to visit our clinic after completing the study for free if necessary). We had 2 groups of participants: (1-st group - young patients of Railway Clinical Hospital, with risky drinking (AUDIT-C> 5); and, 2-nd group - students of the National Medical University OO Bogomolets, with risky drinking (AUDIT-C> 5). All participants were evaluated using set of tests (Structured Interview (personal data, substance use, substance use treatment history, medical history), AUDIT-C, RAPI, DMQ, Quality of Life Scale (O. Chaban, 2009), BSSS, PHQ-9, GAD-7, BPAQ-SF) in 4 years after taking part in a pilot study when they obtained BMI. We also evaluated many factors including the frequency of participants’ visits to our clinic after completing the pilot study.
Participants from the university setting were significantly younger, and single (as opposed to married), with fewer children comparing to participants in the hospital setting. Regression analyses were conducted, separately for each setting, predicting alcohol outcomes (consumption and consequences). In both settings, the brief intervention group (BI group) showed significantly less alcohol consumption and consequences after 4 years period compare to the control group (p<0.001). However university group showed more cases of sobriety disruption during this period. Among the BMI sample showed lower level of depressive and anxiety symptoms according to PHQ-9 and GAD-7 scales, relative to the control group. Also, the brief intervention group showed a higher level of quality of life relative to the control group. Also the aggression level was different in BMI and control groups (control group showed higher level of aggression). However, there are some differences between patients and students samples with BMI in the results of quality of life scale. This result can be related to the quality of sobriety period in these groups and to the presence of higher level of aggression (including indirect aggression - guilty feelings, according to BPAQ-SF) in students sample.
The data obtained indicate that BMI are promising for reducing risky drinking among emerging adults in the Ukraine in both settings (patient hospital and university).
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