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TRENDS AND ISSUES IN RELATION TO ALCOHOL DEPENDENCE IN THE ARMED FORCES
Authors:MSVK RAJU  S CHAUDHURY  S SUDARSANAN  SK SALUJHA  KALPANA SRIVASTAVA
Affiliation:*Senior Advisor (Psychiatry), Base Hospital, Delhi Cantt-110 010;+**Reader (Psychiatry), Department of Psychiatry, Armed Forces Medical College, Pune – 411 040;++Scientist ‘D’ (Psychiatry), Department of Psychiatry, Armed Forces Medical College, Pune – 411 040;#Professor and Head, Department of Psychiatry, Armed Forces Medical College, Pune – 411 040
Abstract:
Alcohol dependence syndrome has an estimated prevalence of 1533% of all psychiatric hospitalizations in a year. There is an increasing trend in incidence among JCOs/ORs. The index of admission was highest in Armoured Corps, Mechanized Infantry and Army Medical Corps (AMC). Generally a service personnel becomes dependent at 35 years of age after about 11 years of drinking. The average consumption of alcohol dependent individuals was 6-7 pegs/day. A family history of alcohol abuse/dependence was found in 31 % cases. Alcoholics had high anxiety, depression, extroversion, neuroticism and psychopathic deviate traits. Alcoholism was associated with significantly low self esteem. Significantly more alcoholics were alexithymic as compared to non-alcoholics. The γ glutamyl transferase (GGT) and mean corpuscular volume (MCV) were found to be useful diagnostic aids for alcoholism. Almost a third of alcoholics have potentially serious physical problems, 20% suffer from various degrees of psychotic phenomena, 40-55% have significant marital, occupational and disciplinary problems, while 3-6.93% attempted deliberate self-harm. Despite wide variations in mode of disposal, after diagnosis only a small percentage of alcoholics remain in service beyond three years. There is need for concerted investigations into the precipitating and perpetuating factors, co-morbidity, the process of change towards betterment and the long-term outcome of alcoholism in service personnel.KEY WORDS: Alcohol dependence syndrome, Outcome, Personality, Prevalence
Keywords:Alcohol dependence syndrome  Outcome  Personality  Prevalence
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