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Alcohol use disorder relapse factors: A systematic review
Wilco Sliedrecht1, Ranne de Waart2, Katie Witkiewitz3
1De Hoop GGZ, Provincialeweg 70, 3329 KP Dordrecht, the Netherlands.
Psychiatry Research
|June 8, 2019
Summary
Understanding Alcohol Use Disorder (AUD) relapse is crucial. Key relapse triggers include psychiatric issues and substance use, while social support and self-efficacy can prevent relapse in AUD patients.
Area of Science:
- Addiction Medicine
- Psychiatry
- Public Health
Background:
- Relapsing-remitting course is common in Alcohol Use Disorder (AUD).
- Identifying factors associated with alcohol resumption is challenging.
- Understanding relapse determinants is vital for effective AUD treatment.
Purpose of the Study:
- To systematically review recent literature (2000-2019) on determinants of Alcohol Use Disorder relapse.
- To identify specific factors significantly associated with and protective against AUD relapse.
Main Methods:
- Systematic review of 4613 identified papers, with 321 articles included.
- Consulted relevant databases for articles reporting statistically significant relapse determinants.
- Employed a descriptive methodology, categorizing determinants into biopsychosocial and spiritual domains.
Main Results:
- Psychiatric co-morbidity, AUD severity, craving, co-use of other substances, and health/social factors significantly predict AUD relapse.
- Supportive social networks, self-efficacy, and finding purpose/meaning in life are protective factors against relapse.
- Findings highlight a complex interplay of factors influencing AUD relapse and recovery.
Conclusions:
- Consistent identification of significant risk and protective factors for AUD relapse.
- Findings can inform personalized medicine approaches for improved AUD patient outcomes.
- Further research can refine understanding of relapse dynamics in Alcohol Use Disorder.
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