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Indian Journal of Psychiatry logoLink to Indian Journal of Psychiatry
. 2003 Apr-Jun;45(2):39–44.

Relapse Precipitants, Life events and Dysfunction in alcohol and opioid dependent men

Surendra K Mattoo *,*, Debasish Basu †, Anil Malhotra ‡, Rama Malhotra §
PMCID: PMC2952145  PMID: 21206832

Abstract

One hundred subjects each who reported with a relapse of alcohol and opioid dependence were assessed using Relapse Precipitants Inventory-Hindi (RPI-Hindi), Presumptive Stressful Life Events Scale (PSLES) and Dysfunction Analysis Questionnaire (DAQ). The two groups were similar for substance related clinical profile and RPIHindi score profile. On PSLES, the alcohol group reported higher number of and stress due to desirable (but not undesirable, ambiguous or total) events in lifetime while, the opioid group reported higher number of and stress due to total, desirable and undesirable (but not ambiguous) events in the past one year. On DAQ opioid group reported higher total dysfunction and in social, family and cognitive areas. Regression analysis showed the contribution to relapse to be significant in terms of: the total number of life events in lifetime and in past one year in alcohol group; the number of and stress due to total life events in past one year and social dysfunction in opioid group and; the number of desirable and undesirable events in lifetime and in the past one year and stress due to desirable events in the past one year, when the two groups were combined together. Thus, the results suggest that relapse in alcohol and opioid dependence is associated with similar relapse precipitants but a differential dysfunction and, life events in terms of the number and type of events and associated stress in lifetime and in the past one year.

Keywords: Alcohol dependence, Opioid, Stress, Life events

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Selected References

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  1. Cerbone F. G., Larison C. L. A bibliographic essay: the relationship between stress and substance use. Subst Use Misuse. 2000 Apr;35(5):757–786. doi: 10.3109/10826080009148420. [DOI] [PubMed] [Google Scholar]
  2. Gunn R. C. Smoking clinic failures and recent life stress. Addict Behav. 1983;8(1):83–87. doi: 10.1016/0306-4603(83)90062-x. [DOI] [PubMed] [Google Scholar]
  3. Hoffmann J. P., Su S. S. Stressful life events and adolescent substance use and depression: conditional and gender differentiated effects. Subst Use Misuse. 1998 Sep;33(11):2219–2262. doi: 10.3109/10826089809056256. [DOI] [PubMed] [Google Scholar]
  4. Holmes T. H., Rahe R. H. The Social Readjustment Rating Scale. J Psychosom Res. 1967 Aug;11(2):213–218. doi: 10.1016/0022-3999(67)90010-4. [DOI] [PubMed] [Google Scholar]
  5. Kosten T. R., Rounsaville B. J., Kleber H. D. A 2.5 year follow-up of treatment retention and reentry among opioid addicts. J Subst Abuse Treat. 1986;3(3):181–189. doi: 10.1016/0740-5472(86)90019-x. [DOI] [PubMed] [Google Scholar]
  6. Litman G. K., Eiser J. R., Rawson N. S., Oppenheim A. N. Differences in relapse precipitants and coping behaviour between alcohol relapsers and survivors. Behav Res Ther. 1979;17(2):89–94. doi: 10.1016/0005-7967(79)90016-0. [DOI] [PubMed] [Google Scholar]
  7. Litman G. K., Stapleton J., Oppenheim A. N., Peleg M. An instrument for measuring coping behaviours in hospitalized alcoholics: implications for relapse prevention treatment. Br J Addict. 1983 Sep;78(3):269–276. doi: 10.1111/j.1360-0443.1983.tb02511.x. [DOI] [PubMed] [Google Scholar]
  8. Litman G. K., Stapleton J., Oppenheim A. N., Peleg M., Jackson P. Situations related to alcoholism relapse. Br J Addict. 1983 Dec;78(4):381–389. doi: 10.1111/j.1360-0443.1983.tb02526.x. [DOI] [PubMed] [Google Scholar]
  9. Malhotra S., Malhotra S., Basu D. A comparison of the beliefs of Indian alcohol-dependent patients and their close family members on their reasons for relapse. Addiction. 1999 May;94(5):709–713. doi: 10.1046/j.1360-0443.1999.9457098.x. [DOI] [PubMed] [Google Scholar]
  10. Neff J. A. Evaluating the stress-buffering role of alcohol consumption: variation by type of event and type of symptom. Alcohol Alcohol. 1985;20(4):391–401. [PubMed] [Google Scholar]
  11. O'Doherty F., Davies J. B. Life events and addiction: a critical review. Br J Addict. 1987 Feb;82(2):127–137. doi: 10.1111/j.1360-0443.1987.tb01451.x. [DOI] [PubMed] [Google Scholar]
  12. Prochaska J. O., Lapsanski D. V. Life changes, cessation and maintenance of smoking: a preliminary report. Psychol Rep. 1982 Apr;50(2):609–610. doi: 10.2466/pr0.1982.50.2.609. [DOI] [PubMed] [Google Scholar]
  13. Rosenberg H. Relapsed versus non-relapsed alcohol abusers: coping skills, life events, and social support. Addict Behav. 1983;8(2):183–186. doi: 10.1016/0306-4603(83)90012-6. [DOI] [PubMed] [Google Scholar]
  14. Wills T. A., Vaccaro D., McNamara G. The role of life events, family support, and competence in adolescent substance use: a test of vulnerability and protective factors. Am J Community Psychol. 1992 Jun;20(3):349–374. doi: 10.1007/BF00937914. [DOI] [PubMed] [Google Scholar]

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