Preliminary study on remote treatment of relapse in alcohol dependent patients by the alcoholics anonymous
10.3969/j.issn.1002-0152.2024.11.003
- VernacularTitle:戒酒互助会远程干预酒精依赖患者复饮的初步研究
- Author:
Enhua YONG
1
;
Zhiling SONG
1
;
Wenting LU
1
;
Ruojia REN
1
;
Lan WANG
1
;
Na LI
1
;
Junfeng ZHANG
1
;
Tanyu YANG
1
;
Xueyi WANG
1
Author Information
1. 河北医科大学第一医院精神卫生中心,河北省精神心理疾病临床医学研究中心,河北省精神卫生研究所,河北省精神心理健康评估与干预技术创新中心,石家庄 050031
- Publication Type:Journal Article
- Keywords:
Alcohol dependence;
Alcoholics anonymous;
Online video conference;
Remote intervention;
Relapse;
Anxiety;
Depression
- From:
Chinese Journal of Nervous and Mental Diseases
2024;50(11):655-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of alcoholics anonymous (AA) online video conferences on relapse among alcohol dependent patients. Method Alcohol dependent patients who were hospitalized and discharged from the Mental Health Center of the First Hospital of Hebei Medical University from March 2020 to March 2022 were randomly divided into the AA group and the non AA group. The AA group underwent a 12-month remote AA treatment,participating in an AA online video conference once a week. The non-AA group did not receive any intervention. At baseline,the general condition of the subjects,such as alcohol consumption and addiction duration,as well as the severity of anxiety and depression symptoms,were evaluated. At 12 months after enrollment,clinicians communicated and assessed the subjects and their families via telephone or WeChat. The assessments included changes in anxiety and depression among the subjects,relapse into drinking,duration of abstinence after discharge,and other relevant factors. Result Eighty subjects were included,including 32 in the AA group and 48 in the non AA group. After intervention,the proportion of the AA group patients who resumed drinking was lower than that of the non AA group (68.8％ vs. 93.8％,P<0.01). The median duration of abstinence in the AA group was 7.5 (3.0,12.0) months,while the median duration of abstinence in the non AA group was 1.0 (0.3,5.0) months,with a significant difference (P<0.01). Multivariate logistic regression analysis showed that the risk of relapse in the non AA group was 14.85 times higher than that in the AA group (OR=14.85,95％CI:2.33-94.57). Conclusion Online videos for AA in quitting alcohol are convenient and easy to implement for alcohol dependent patients. This remote treatment can significantly prolong the duration of abstinence among alcohol dependent patients.
