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Factors Associated with Abstinence Among Men with Alcohol Use Disorder: A Qualitative Study
Backiyaraj Shanmugam1, Jayant Mahadevan2, Dhanasekara Pandian Ramasamy1
1Dept. of Psychiatric Social Work, National Institute of Mental Health and Neuro-Sciences (NIMHANS), Bengaluru, Karnataka, India.
Indian Journal of Psychological Medicine
|August 18, 2025
Summary
Sustained abstinence in men with Alcohol Use Disorder (AUD) is promoted by employment, treatment, social support, and responsibility. Enhanced after-care services and family interventions are crucial for reducing relapse risk.
Area of Science:
- Addiction Medicine
- Psychology
- Sociology
Background:
- Alcohol Use Disorder (AUD) recovery is complex, involving relapse and remission.
- Sustained abstinence is a primary treatment goal for AUD.
- This study focuses on factors promoting abstinence in men with frequent relapses.
Purpose of the Study:
- To explore factors promoting abstinence in men with AUD and frequent hospitalizations.
- To identify key elements contributing to sustained sobriety in a vulnerable patient group.
Main Methods:
- 29 men with AUD and frequent relapses were recruited.
- Data collected via six Focus Group Discussions (FGDs) over four months.
- Inductive thematic analysis of transcribed FGDs using ATLAS.ti software.
Main Results:
- Five themes emerged: employment, treatment, fear, social support, and responsibility.
- Beneficial factors included post-discharge support, aversion therapy, job security, family commitment, and peer support.
- Specifics: telephonic follow-up, free medication, therapist availability, family recognition, disulfiram, fear of job loss, child welfare, non-drinking friends.
Conclusions:
- After-care services, workplace support, and family interventions are vital.
- Integrating abstinence-promoting factors into treatment plans can reduce relapse and improve outcomes.
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