QUALITY OF LIFE OF MEN WITH ALCOHOL DEPENDENCE SYNDROME
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1 MTÜ Hingerahu QUALITY OF LIFE OF MEN WITH ALCOHOL DEPENDENCE SYNDROME Indrek Linnuste, MSc
2 Background: Estonia: Population: 1,3 mil Official language: Estonian Capital: Tallinn Research: Related to my Master s thesis at the University of Tartu (Public health) (2011) Supervisor K. Lang PhD
3 Quality of life of men with alcohol dependence syndrome Alcohol dependence is comprehensive disease that in addition to health problems, involves economic and social difficulties. Men s health indicators, mortality, and health awareness are much lower comparing to women. Alcohol dependence is in society stigmatized phenomenon that is often considered as velleity, not disease. This attitude inhibits prevention, treatment, rehabilitation and development of support systems.
4 Some alcohol consumption: levels and pattern in Estonia (WHO) World Health Organization Consumption: 2007: 12,6; 2008: 12,1 ; 2009: 10,2 litres of pure alcohol per person People affected with alcohol dependence 9,500 females and 45,400 males (2004)
5 Life expectancy at birth (Estonia) Statistics Estonia
6 Suicides
7 Quality of life of men with alcohol dependence syndrome Purpose: The study aims to describe and analyse quality of life of alcohol dependent men in Estonia Methods: Consecutive sample of men who participated in the study had been diagnosed with alcohol dependence and been on treatment in Pärnu Hospital, Estonia. The social-demographic indicators and exposure to alcohol were assessed using a questionnaire. General index of quality of life and six broader domains (physical health, psychological, level of independence, social relationships, environment, spirituality/religion, personal beliefs) of quality of life were investigated using WHOQOL-100. Time: The survey was carried out Data: analysis statistical program STATA and Mann-Whitney test was used.
8 Definitions: Dependence syndrome F10.2 (ICD-10/V). A cluster of behavioral, cognitive, and physiological phenomena that develop after repeated substance use and that typically include a strong desire to take the drug, difficulties in controlling its use, persisting in its use despite harmful consequences, a higher priority given to drug use than to other activities and obligations, increased tolerance, and sometimes a physical withdrawal state. ICD-10/V WHO has defined quality of life as individuals perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. Division of Mental Health and Prevention of Substance Abuse, WHO, 1997
9 Results: In the final analysis answers of 57 men were used. The lowest average index of quality of life was for physical health (12.06), psychological well-being (11.88) and spirituality (11.86). Men who were participating in self-help groups and/or were believers of some religion had higher estimation of their spirituality. Those men, who had had their longest period of nondrinking more than six and/or were in relationship, had higher estimations of social relationships. Compared to European mean, all domains for the study group had lower values.
10 WHO mean and alcohol dependent persons mean quality of life indexes. Quality of life domains (WHOQOL-100)
11 Conclusions: In broader context, deeper cooperation of medical, scientific, political and nongovernmental sphere is needed to gain success in the struggle against alcohol dependence. The practical work should start from better sharing of information about alcohol and comorbid problems, more strict official alcohol policy, restructuring of treatment process to integrate medical and psychological methods and also integrating spirituality issues into health care and rehabilitation system.
12 My thougths and recommendations: There are so many aspects and questions of the treatment of addiction, which do not pay enough attention. (dual-disorders; comorbidity; psycho-social factors etc.) Addiction is psycho-spiritual crisis (addiction versus freedom; archetyps) Researh hypothesis about psycho-spiritual epihanies Patterns of depression in men (alcohol, agression, autoagression) Metapathologies (Maslow) and spiritual initiation
13 We have two lives, and the second begins when we realize we only have one. Confucius Thank You! Cooperation, experiences and contacts are welcome: MTÜ Hingerahu Picture:
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