ALCOHOL USE AND DEPRESSION AROUND KM MEDICAL COLLEGE AND HOSPITAL MATHURA A FOLLOW UP STUDY

Abstract

Alcohol misuse in the college years continues to be an important public health problem. Alcohol is the most widely used substance among college students. Heavy drinking can result in adverse consequences, like accidents, sexual abuse, fighting, and even death. One of the survey show that a substantial minority of college students report depression. Also a link between depression and alcohol misuse among college students; even sub-clinical levels of depression are linked to alcohol or other substance misuse is shown in research. Material and Methods: We included 18 years adults and older in the outpatient department of Psychiatrics at KM Medical College and Hospital Mathura and were interview to reduce alcohol. Patients reported symptoms of depression and hazardous drinking was included in the study. All patients received OPD and usual care in the department. Care include individual and group psychotherapy and medication management, which varies based on clinical need and patient preferences, also brief intervention and motivational interviewing was done. Hazardous drinking is ?5 drinks. RESULTS: A total of 124 patients were enrolled in the study. Of which 23 patients were not willing to participate in the study. Out of 101 patients 22 patients were lost during follow-up. Finally 79 patients were included in the study for final analysis. Patients who were advised to reduce the use of alcohol, BDI –II score on start of treatment was 28.9 while after 6 months of follow up was 21.1.patients who were not advised in baseline BDI –II score was 26.8 and after 6 months it was 19.5. There was reduction in hazardous drinking in both the groups, in advised group at baseline was 77.6% and at 6 months it was 46.2 %. In no advice group hazardous drinking at baseline was 58.3% and at 6 months it was 25 %. 50.7% patients in advised group received intensive outpatient services, 79.1% received medication management and in 95.5 % Individual psychotherapy was given. In no advice group services received for intensive outpatient, medication management and Individual psychotherapy was 50%, 75% and 91.7% respectively. Conclusion: Additional training on alcohol and drug misuse and adverse effects on psychiatric treatment outcomes may be needed in clinical psychology and psychiatric residency programs. Further studies are needed to identify effective ways to improve early identification and treatment of alcohol use among depression patients.

Keywords: psychology, psychiatric, depression, alcohol, toreduce and antidepressant