Associated Factors of Alcohol Abstinence and Tendency Range of The Time in Outpatient at The Mental Health Clinic, Saraburi Hospital during 2017-2019

Main Article Content

Sitthinant Tanchakvaranont

Abstract

Objectives : To evaluate related factors of alcohol abstinence for at least 3 months, the tendency of the service admission rates, and successful withdrawal of drinking in outpatients at a mental health clinic, Saraburi Hospital during years 2017-2019.


Methods : This research is a retrospective descriptive study of outpatient’s medical records at a mental health clinic, Saraburi Hospital in the years 2017-2019. The sample was selected with alcohol problems, by aged at least 15 years, and had serviced more than one time. The data were analyzed by descriptive statistics, Chi-square (χ2), and Students’ t-test which obtained the association between successful withdrawal of drinking and the factors. Furthermore, decomposition analysis is used to determine the tendency of the data in successfully alcoholic withdrawal patients.


Results : Among the 522 people, there observed 216 cases (41.38%) who were able to stop drinking at least 3 months. The associated factors with alcohol abstinence were obtained including other psychiatric therapies, co-administered with multidisciplinary care, follow-up of the treatment plan until the releasing of the examination period, treatment rights, and on time doctor’s appointment (p <0.05). In addition, the tendency both the number of times, and alcohol abstinence cases were shown by seasonal pattern during the quarter of the year, the month that stopped drinking was significant increase in July to November since 2017-2019.


Conclusion : The associated factors for successfully alcoholic abstinence in patients involve both internal and external service system of clinic. Therefore, to design the service system for alcoholic problems should be synchronized every dimension to increase the chance of stopping alcohol usage.

Article Details

How to Cite
Tanchakvaranont, S. (2021). Associated Factors of Alcohol Abstinence and Tendency Range of The Time in Outpatient at The Mental Health Clinic, Saraburi Hospital during 2017-2019 . Journal of the Psychiatric Association of Thailand, 66(4), 455–468. Retrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/247529
Section
Original Articles

References

Liquor Distillery Organization. Statistics about alcohol [Internet]. 2017 [cited May 2,2020]. Available from: https://www.liquor.or.th/aic/ detail.

Prompim A, Laohasiriwong W, Udompanich S, Phajan T, Suwannaphant K. Alcohol use disorder situations and it’s associated factors among working age males in the industrial areas, Khon Kaen Province. Journal of Health and Nursing Research 2017; 23: 18-31.

Smith LA, Foxcroft DR. The effect of alcohol advertising, marketing and portrayal on drinking behaviour in young people: systematic review of prospective cohort studies. BMC Public Health 2009; 9: 1-11.

Maneeganol S, Arunponpaisal S, Pimpanit V, Jarassaeng N, Boontoch K. Prevalence of Substance Use in Psychiatric Outpatient Clinic at Srinagarind Hospital. Journal of the Psychiatrist Association of Thailand 2014; 59(4): 371-80.

Kittirattanapaiboon P, Tantirangsee N, Chutha W, Assanangkornchai S, Supanya S. Thai national mental health survey 2013: Methodology and procedure. Journal of Mental Health of Thailand 2016; 24(1): 1-14.

Hfocus. Alcohol drinking behavior of Thai people and the factors that influence behavior [Internet]. 2017 [cited May 2, 2020]. Available from: https://www.hfocus.org/content/2017/ 10/14639.

Prukkanon B, Sirisamod T, Duangtipsirikun S, Poangladda S, Sudsriwilai K. Epidemiology, mental health and psychiatric problems: Support and promotion program one stop service for psychiatric patients in the intensive target area Under the universal health insurance system. Nonthaburi: Health Intervention and Technology Assessment Program; 2013.

World Health Organization. WHO Global Status Report on Alcohol 2011. Geneva: WHO Press 2011; 1: 20-3.

Supawat A, Phunikhom K, Sattayasai J. Alcohol Addiction, Alcohol Withdrawal Syndrome and Treatment. Srinagarind Med J 2015; 30(6): 618-29.

Clapp P, Bhave SV, Hoffman PL. How adaptation of the brain to alcohol leads to dependence: a pharmaco logical perspective. Alcohol Res Health 2008; 31: 310-39.

Chatchawan Panyapayatjati. Road accident Causes of Thai deaths on average 2 people / hr [Internet]. 2014 Nov 17 [cite May 19, 2020]. Available from: https://www.thaihealth.or.th/ Content/26508-อุบัติเหตุบนถนน.html

Research Centre for Social and Business Development. Harm to others from alcohol drinking. Bangkok: Center of Alcohol Studies; 2019.

Kulwongthanaroj A. A study on incidence of traffic accident deaths with presence of alcohol drugs and psychotropic substances/ medicines in Samut sakhon 2015-2018. Reg 4-5 Med J 2020; 39(2): 214-26.

Alcohol and Public Policy Group. Alcohol: No ordinary commodity: research and public policy. Nonthaburi: Graphico System; 2010.

Research Centre for Social and Business Development. Campaign evaluation project “No alcohol in Buddhist Lent 2017”: Case studies of people aged 15 years and over in 12 provinces across all regions of the country. Bangkok: Center of Alcohol Studies; 2017.

Geller K, Lippke S, Nigg CR. Future directions of multiple behavior change research. J Behav Med 2017; 40: 194-202.

Noknoy S. Review of brief intervention in alcohol abuse. Chiangmai: Ministry of Public Health; 2009.

Korchmaros JD. The seven challenges® comprehensive counseling program: Effectiveness for adults with substance use problems. J Drug Iss 2018; 48: 590-607.

Akhajan S, Vatanasin D, Hengudomsub P. Factors associated with intention to alcohol abstinence among persons with relapsed alcohol dependence. Journal of Boromarajonani College of Nursing 2017; 33: 17-26.

Burton R, Henn C, Lavoie D, O’Connor R, Perkins C, Sweeney K, et al. A rapid evidence reviews of the effectiveness and cost-effec¬tiveness of alcohol control policies: An English perspective. Lancet 2017; 389: 1558-80.