Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up

Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up

Soontaree Srikosai1, Sirisak Thitidilokrat2, Hathaichonnee Booncharoen3, Doungdaen Chainoy4, Apisak Wittayanookulluk5, Napatsorn Rungsiwaroj5, Lasita Srithammachart 5                

1Rajanagarindra Institute of Child Development, Department of Mental Health, Thailand; 2Srithanya Hospital, Department of Mental Health, Thailand; 3Mental Health Center Region; 4Department of Mental Health, Thailand; 4Suan Prung Psychiatric Hospital, Department of Mental Health, Thailand; 5Thanyarak Chiangmai Hospital, Department of Medicine, Thailand

International Journal of Addiction Research and Therapy

Background: After receiving in-patient treatment for alcohol abuse, alcohol-dependent patients (ADP) are at risk to return to heavy drinking. Little has been known regarding the correlates of socio-demographic and heavy drinking within 6-month after inpatient treatment.

Objectives: This study aims to examine the socio-demographic correlates of heavy drinking among Thai ADP after hospital discharge within six-months.

Methods: A prospective cohort study of 618 ADP who received inpatient treatment at two tertiary care hospitals in Northern Thailand between July and December 2014. Heavy drinking is defined by the World Health Organization as ≥5 standard drinks for men and ≥4 standard drinks for women per occasion. Heavy drinking data was collected using a Timeline Follow Back Calendar (TLFB) every month after discharge. Other measures included the Alcohol Use Disorder Identification Test (AUDIT), Rosenberg Self-esteem Scale, Alcohol Craving Control (ACC), Severity of Alcohol Dependence Questionnaire (SADQ), and demographic questionnaires.

Results: 618 participants present with a mean age of 43.28 (SD=10.01) years, 94.2% male, 216 (35%) reported that family members are drinkers, and 400 (70.7%) continue to exhibit heavy drinking behaviour. The logistic regression model revealed that age at onset of alcohol use was correlated with heavy drinking after hospital discharge within 6 months (p<.01).

Conclusions/Importance: Many socio-demographic factors were analysed as potential correlates of a return to heavy-drinking. The only relevant factor was the age at onset of drinking. This finding suggests that the development of adolescent alcohol prevention intervention is a priority of Thailand alcohol policy.

Keywords: alcohol dependence, heavy drinking, socio-demographic

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How to cite this article:
Soontaree Srikosai, Sirisak Thitidilokrat, Hathaichonnee Booncharoen, Doungdaen Chainoy, Apisak Wittayanookulluk, Napatsorn Rungsiwaroj, Lasita Srithammachart. Socio-demographic correlates of heavy drinking after hospital discharge among Thai alcohol-dependent patients: 6-month follow-up.International Journal of Addiction Research and Therapy, 2020, 3:18


1. Antai, D., Lopez, G. B. (2014). Alcohol drinking patterns and differences in alcohol-related harm: A population-based study of the United States. BioMed Research International, 2014, 1-11.
2. Anton, R. E., Moak, D. H., & Latham, P. (1995). The Obsessive Compulsive Drinking Scale: a self-rated instrument for the quantification of thoughts about alcohol and drinking behavior.
3. Alcoholism: Clinical and Experimental Research, 19(1), 92-99.
4. Assanangkornchai, S., Sam-Angsri, N., Rerngpongpan, S., & Lertnakorn, A. (2010). Patterns of alcohol consumption in the Thai population: results of the National Household Survey of 2007. Alcohol and Alcoholism, 45(3), 278-85. doi: 10.1093/alcalc/agq018.
5. Assanangkornchai, S., Arunpongpaisarn, S., Srisurapanont, M., & Saengchanchai, P. (2007).
6. Treatment for alcohol consumption in Thailand. In Center for Alcohol Studies (Ed.), the Third National Alcohol Conference (pp.55-57). 21-22 November 2007, Richmond Hotel, Nonthaburi, Thailand.
7. Assanangkornchai, S., A. Muekthong, and T. Indhanon, eds. (2008). A surveillance of
8. drinking behaviors and other health-risk behaviours among high school students in Thailand. 2008: Bangkok.
9. Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteriro, M. G. (2001). Brief intervention
10. for hazardous and harmful drinking: A manual for use in primary care. World Health Organization,
11. Department of Mental Health and Substance Dependence.
12. Berridge, K. C., & Robinson, T. E. (2016). Liking, wanting, and the incentive-sensitization theory of addiction. American Psychologist, 71(8), 670-679.
13. Brunborg GS. (2016). Positive and negative affectivity as risk factors for heavy drinking in the second half of life: a prospective cohort study.Addiction. 2016 Dec 9. doi: 10.1111/add.13718.
14. Chen, J., Johnson, B. A., Wang, X-Q., O’Quigley, J., Isaac, M., Zhang, D., & et al. (2012). Trajectory analyses in alcohol treatment research. Alcohol Clin Exp Res, 36(8), 1442-1448. Doi:10.1111/j.1530-0277-2012.01748.x.
15. Daeppen, J-B., Faouzi1, M., Sanglier, T., Sanchez1, N., Coste, F. & Bertholet, N. (2013).
16. Drinking patterns and their predictive factors in control: a 12-month prospective study in a sample of alcohol-dependent patients initiating treatment. Alcohol and Alcoholism, 48(2), 189–195. doi: 10.1093/alcalc/ags125
17. Glasheen, C., Pemberton, M. R., Lopari, R., Copello, E. A., & Mattson, M. E. (2015).
18. Binge drinking and the risk of suicidal thoughts, plans, and attempts. Addictive Behaviors, 43, 42-49.
19. Heinz, A., Löber, S., Georgi, A., Wrase, J., Hermann, D., Rey, E.-R., . . . Mann, K. (2003). Reward craving and withdrawal relief craving: Assessment of different motivational pathways to alcohol intake. Alcohol and Alcoholism, 38, 35–39. doi:10.1093/alcalc/agg005.
20. Hingson, R. W., Heeren, T.,& Winter, M. R. (2005). Age at Drinking Onset and Alcohol Dependence Age at Onset, Duration, and Severity. Archives of Pediatrics and Adolescent Medicine, 160(7), 739-746. DOI: 10.1001/archpedi.160.7.739
21. Hingson R. (2004). Advances in measurement and intervention for excessive drinking. American Journal of Preventive medicine, 27, 261-263.
22. Houston R. J., Derrick, J. L., Leonard, K. E., Testa, M., Quigley, B. M., & Kubiak, A. (2014). Effects of heavy drinking on executive cognitive functioning in a community sample. Addictive Behaviors, 39, 345–349.
23. Witkiewitz, K., Vowles, K. E., McCallion, E., Fro-he, T., Kirouac, M., & Maisto, S. A. (2015). Pain as a Predictor of Heavy Drinking and Any Drink-ing Lapses in the COMBINE Study and the Unit-ed Kingdom Alcohol Treatment Trial. Addiction, 110(8), 1262–1271. doi:10.1111/add.12964.
24. Kibitov, A. O., Voskoboeva, E. Y., & Chuprova, N. A. (2015). The 444G/A and -1021 C/T polymorphisms of the dopamine-beta-hydroxylase gene modulate the trajectory of alcohol dependence development. Zh Nevrol Psikhiatr Im S S Korsakova, 115(5), 68-75.
25. Limsoanthikul, C. (2009). Number of In-patient with psychiatric problems classified byThe group of disease and gender, Department of Mental Health, Ministry of Public Health. Journal of Men-tal Health of Thailand, 17(3), 208-210.

26. Malcolm, R., Herron, J. E., Anton, R. F., Roberts, J., & Moore, J. (2000). Recurrent detoxification may elevate alcohol craving as measured by the Obsessive Compulsive Drinking scale. Alcohol, 20, 181–185. doi:10.1016/S0741-8329(99)00073-7.
27. Nagaich, N., Radha, S., Neeraj, G., Sandeep, N., & Subhash, N. (2016). Factors affecting remis-sion and relapse in alcohol dependence can they really predict? Journal of Liver Research, Disor-ders & Therapy, 2(3), 1-5. DOI: 10.15406/jlrdt.2016.02.00028
28. National Statistic Office. (2008). Report of smoking and alcohol consumption survey 2007. Bangkok: Statistical Forecasting Bureau, National Statistical Office.
29. Norasing, D., Srikosai, S., Somboon, S., Hongkam, K., Wongwan, P., & Pintalar, J (2013). Admission criteria and nursing diagnoses for people with mental health problems caused by alcohol use at Suan Prung Psychiatric Hospital. Bulletin of Suanprung, 29(2), 2-15.
30. Srikosai, S., & Taweewattanaprecha, S. (2011). Psychometric evaluation of the Life-Congruence Scale based on the Satir Model: Thai version. Journal of the Psychiatric Association of Thailand, 56(3), 21-30.
31. Suan Prung Psychiatric Hospital. (2015). Statistic report of patients receiving services 2015 at Suan Prung Psychiatric Hospital, Chiang Mai, Thailand.
32. Saunders, J. B., Aasland, O. G., Babor, T. F., DelaFuente, J. R., & Grant, (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88, 617-629.
33. Stockwell, T., Murphy, D. & Hodgson, R. (1983). The severity of alcohol dependence questionnaire: Its use, reliability and validity. British Journal of Addiction, 78(2), 45-156.
34. Srikosai, S., & Taweewattanaprecha, S. (2012). Internal change among alcohol-dependent persons receiving Satir Transformational Systemic Therapy: a case study of inpatients. Suan Prung Psychiatric Hospital, Chiang Mai, Thailand.
35. Thanyarak Chiangmai Hospital. (2015). Statistic report of patients receiving services 2015 at Thanyarak Chiangmai Hospital, Chiang Mai, Thailand.
36. Twyman L, Bonevski, B., Paul, C., Bryant, J., West, R., Siahpush, M., et al. (2016).Factors Associated With Concurrent Tobacco Smoking and Heavy Alcohol Consumption Within a Socioeconomically Disadvantaged Australian Sample. Substance Use & Misuse, 51(4), 459-470.
37. Wongpakaran, T., and Wongpakaran, N. (2011). Confirmatory Factor Analysis of Rosenberg Self Esteem Scale: A Study of Thai Student Sample. Journal of the Psychiatrist Association of Thailand, 56(1), 59-70.
38. Witkiewitz, k., Vowles K. E., McCallion, E., Frohe, T., Kirouac, M., & Maisto, S. A. (2015). Pain as a Predictor of Heavy Drinking and Any Drinking Lapses in the COMBINE Study and the United Kingdom Alcohol Treatment Trial. Addiction, 110(8): 1262–1271. doi:10.1111/add.12964.
39. World Health Organization [WHO]. (2014). Global status report on alcohol and health. WHO Library Cataloguing-in-Publication Data. Luxemburg: np.
40. Yoder, K. K., Albrecht, D. S., Dzemidzic, M., Normandin, M. D., Federici, L. M., Graves, T., et al. (2016). Differences in IV alcohol-induced dopamine release in the ventral striatum of social drinkers and nontreatment-seeking alcoholics. Drug and Alcohol Dependence, 160, 163-169.