Prevalence of relapse among clients with alcohol use disorder in Eldoret, Kenya
DOI:
https://doi.org/10.58256/hjp.v4i1.1263Keywords:
alcohol use disorder, prevalence, relapseAbstract
Alcohol is addictive, which means there is always a risk for those who try to quit drinking alcohol to relapse. Studies have shown that recovered clients with alcohol use disorder often relapse after they join their families. Therefore, this study examined the level of prevalence of relapse among clients with alcohol use disorder in Eldoret municipality, Kenya. The study was guided by Structural Family Therapy and used concurrent explanatory mixed method approach. The quantitative segment used ex post facto, causal comparative design while the qualitative strand used phenomenological research design. The study targeted a population of 360, comprising 174 clients with alcohol use disorder, 174 family members and 12 counsellors in the 6 alcohol and drug rehabilitation centres registered and licensed by NACADA in Eldoret town. Stratified sampling and systematic random sampling were used to select 38 clients with alcohol use disorder and 38 family members. Purposive sampling was used to select a sample of 12 relapsed clients with alcohol use disorder and 4 counsellors. Data for the study was collected using questionnaires and focus group discussion guides. Quantitative data was cleaned, organized, keyed into a computer and analysed with the aid of Statistical Package for the Social Sciences (SPSS), version 23. The generated descriptive statistics were summarized and presented using frequency tables. Qualitative data was coded and analysed thematically. From the findings, it is concluded that there is high prevalence of relapse among clients with alcohol use disorder in Eldoret municipality. Most clients with alcohol use disorder last only three months before relapse after discharge from rehabilitation centre. The common reasons for relapse are depression, mistrust, peer pressure, idleness, financial issues and emotional issues. The study findings underscore the important role of family in relapse prevention for clients with alcohol use disorder. As such, policy makers need to consider community-based rehabilitation, which would reach out to the grassroots where families of clients with alcohol use disorder could be involved in relapse prevention programmes and campaigns against alcohol use.
References
Appiah, R., Boakye, K. E., Ndaa, P., & Aziato, L. (2018). “Tougher than ever”: An exploration of relapse prevention strategies among patients recovering from poly-substance use disorders in Ghana. Drugs: Education, Prevention and Policy, 25(6), 467-474.
Atwoli, L., Mungla, P. A., Ndung'u, M. N., Kinoti, K. C., & Ogot, E. M. (2011). Prevalence of substance use among college students in Eldoret, western Kenya. BMC psychiatry, 11(1), 1-9.
Chauhan, V. S., Nautiyal, S., Garg, R., & Chauhan, K. S. (2018). To identify predictors of relapse in cases of alcohol dependence syndrome in relation to life events. Industrial Psychiatry Journal, 27(1), 73.
Chepkwony, S. J., Chelule, E., & Barmao, A. C. (2013). An investigation into prevalence and factors contributing to relapse among alcoholics in selected rehabilitation centres in Nairobi county, Kenya. International Journal of Innovative Research & Development, 2(8),
Deveau, C. S., Tengia, L., Mutua, C., Njoroge, S., Dajoh, L., & Singer, B. (2010). Utilization of community-based outpatient addiction treatment programmes in Kenya. African Journal of Drug and Alcohol Studies, 9(2), 62-70.
Ferreira-Borges C., Rehm, J., Dias, S., Babor, T., & Parry, C. D. (2016). The impact of alcohol consumption on African people in 2012: An analysis of burden of disease. Trop Med Int Health, 21(1), 52-60.
Foster, L. (2012). Understanding addition relapse. Retrieved from http:// www.everydayhealth.com/
Gitatui, M., Kimani, S., Miniu, S., & Okube, O. (2019). Determinants of harmful use of alcohol among urban slum dwelling adults in Kenya. Afr Health Sci, 19(4), 2906-2925.
Jacob, N., MacArthur, G. J., Hickman, M., & Campbell, R. (2015). A qualitative investigation of the role of the family in structuring young people's alcohol use. The European Journal of Public Health, 26(1), 102-110.
Kabisa, E., Biracyaza, E., Habagusenga, J. D. A., & Umubyeyi, A. (2021). Determinants and prevalence of relapse among patients with substance use disorders: case of Icyizere Psychotherapeutic Centre. Substance Abuse Treatment, Prevention and Policy, 16(1), 1-12.
Kendagor, A., Gathecha, G., Ntakuka, M. W., Nyakundi, P., Gathere, S., Kiptui, D., ... & Ngaruiya, C. (2018). Prevalence and determinants of heavy episodic drinking among adults in Kenya: analysis of the STEPwise survey, 2015. BMC Public Health, 18(3), 1-9.
Kuria, M. W. (2013). Factors associated with relapse and remission of alcohol dependent persons after community-based treatment. Open Journal of Psychiatry, 3(2), 264-272. https://doi.org/10.4236/ojpsych.2013.32025
Marlatt, G. A., & Donovan, D. M. (2005). Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviours (pp. 1-50). New York: Guilford Press.
Mkuu, R. S., Barry, A. E., Montiel Ishino, F. A., & Amuta, A. O. (2018). Examining characteristics of recorded and unrecorded alcohol consumers in Kenya. BMC Public Health 18, 1058 https://doi.org/10.1186/s12889-018-5960-1
Morel, A., Imbeaud, S., Scemla, A., Péré, H., Fourgeaud, J., Amrouche, L., ... & Veyer, D. (2022). Severe relapse of SARS-CoV-2 infection in a kidney transplant recipient with negative nasopharyngeal SARS-CoV-2 RT-PCR after rituximab. American Journal of Transplantation, 22(8), 2099-2103.
Mousali, A. A., Bashirian, S., Barati, M., Mohammadi, Y., Moeini, B., Moradveisi, L., Sharma, M. (2021). Factors affecting substance use relapse among Iranian addicts. J Edu Health Promot, 10, 129 https://www.jehp.net//text.asp?2021/10/1/129/316247
Myran, D., Friesen, E. L., Pugliese, M., Milani, C., Kurdyak, P., Saraswat, M., & Tanuseputro, P. (2023). Changes in health service use due to alcohol during the COVID-19 pandemic among individuals with and individuals without pre-existing alcohol-related medical diagnoses. Canadian Journal of Public Health, 1-10.
National Authority for the Campaign against Drug and Substance Abuse (2007). A Handbook on Prevention of Drug and Substance Abuse in Kenya. Nairobi: Ministry of Health.
National Authority for the Campaign Against alcohol and Drug Abuse (2017). Rapid Situation Assessment of Drugs and Substance Abuse in Kenya. Nairobi: Ministry of Health.
National Authority for the Campaign Against Alcohol and Drug Abuse (2022). List of Accredited Treatment and Rehabilitation Facilities in Kenya. Nairobi: NACADA.
National Institute on Alcohol Abuse and Alcoholism (2016). Proposed Updated Guidelines for Fetal Alcohol Spectrum Disorders. NIAAA.
Niraula, S. R., Chhetry, D. B., Singh, G. K., Nagesh, S., & Shyangwa, P. M. (2006). Role of rehabilitation centers in reducing drug abuse problem in a town of Eastern Nepal. Kathmandu Univ Med J (KUMJ), 4(4), 448-454.
Pompili, M., Serafini, G., Di Cosimo, D., Dominici, G., Innamorati, M., Lester, D., ... & Martelletti, P. (2010). Psychiatric comorbidity and suicide risk in patients with chronic migraine. Neuropsychiatric Disease and Treatment, 6, 81-91.
Qi, Q., Yan, X., Gao, M., Wu, X., Zhang, S., Dela Rosa, R. D., Zhang, Y., & Xu, Y. (2022). A Study on the Relationship between Mental Resilience, Work-Family Conflict, and Anxiety of Nurses in Shandong, China. BioMed Research International, 2022, 4308618. https://doi.org/10.1155/2022/4308618
Ramsewak, S., Putteeraj, M., & Somanah, J. (2020). Exploring substance use disorders and relapse in Mauritian male addicts. Heliyon, 6(8), e04731. https://doi.org/10.1016/j.heliyon.2020.e04731
Rossow, I, & Norström T. (2012). The impact of small changes in bar closing hours on violence. The Norwegian experience from 18 cities. Addiction, 107(3), 530-7. doi: 10.1111/j.1360-0443.2011.03643
Seo, D., Lacadie, C. M., Tuit, K., Hong, K. I., Constable, R. T., & Sinha, R. (2013). Disrupted ventromedial prefrontal function, alcohol craving, and subsequent relapse risk. JAMA Psychiatr, 70(7), 727-39.
Swanepoel, I., Geyer, S., & Crafford, G. (2016). Risk factors for relapse among young African adults following inpatient treatment for drug abuse in the Gauteng Province. Social Work/Maatskaplike Werk, 52(3), 7.
Takahashi, R., Wilunda, C., Magutah, K., Mwaura-Tenambergen, W., Wilunda, B., & Perngparn, U. (2017). Correlates of alcohol consumption in rural western Kenya: a cross-sectional study. BMC psychiatry, 17, 1-10.
The Free Dictionary (2016). Scholar. Retrieved from https://www.thefreedictionary.com/scholar
Vanderplasschen, W., Colpaert, K., & Broekaert, E. (2010). Determinants of relapse and re-admission among alcohol abusers after intensive residential treatment. Arch Public Heal, 67(4), 194-21.
Weerasinghe, S., & Bartone, S. (2016). Mindfulness for addiction recovery: A cognitive disciplinary preventive approach to avoid relapse into substance abuse. Journal of Basic & Applied Sciences, 12, 81-91.
World Health Organization (2009). Global health risks: mortality and burden of disease attributable to selected major risks. Geneva, Switzerland: World Health Organization Press.
World Health Organization (2010). Global strategy to reduce the harmful use of alcohol. Geneva: World Health Organization Press.
Zeng, R., Wang, L., & Xie, Y. (2016). An Analysis of Factors Influencing Drinking Relapse among Patients with Alcohol-Induced Psychiatric and Behavioural Disorders. Shanghai Arch Psychiatry, 28(3), 147-153.
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