Yadav Prateek, Chatterjee Kaushik, Prakash Jyoti, Salhotra Neha, Chauhan Vinay Singh, Srivastava Kalpana
Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India.
HappyMindz, New Delhi, India.
Ind Psychiatry J. 2021 Jul-Dec;30(2):341-345. doi: 10.4103/ipj.ipj_117_21. Epub 2021 Nov 23.
Alcohol abuse is a public health problem and the course of alcohol dependence syndrome (ADS) is known for its relapsing nature. Additional interventions with empirical evidence are worthy of consideration. Breathing and Relaxation Training, like Sudarshan Kriya (SK) is recommended for stress management, and have been shown to positively affect outcomes in stress-related disorders. The aim of this study was to assess the effect of an intervention of Breathing and Relaxation Training, on drinking behavior in patients of ADS.
Eighty in-patients diagnosed with ADS were included after obtaining informed consent, in this prospective study and were randomized into two groups. They were administered Alcohol Use Disorder Identification Test (AUDIT) at admission and 6-months after discharge. The Study group ( = 40) underwent a 6-day intervention of Breathing and relaxation Training (SK) apart from the standard therapy. "WHO-5 Well-Being Index" was administered before and after the training. The Control group was exposed to the standard therapy for ADS. A follow-up on a monthly basis and finally at 6-month interval was done to assess alcohol consumption status.
Socio-demographically both the groups were comparable. The breathing and relaxation training (study) group had a significant rise in "WHO-5 Well-Being Index" ( < 0.001). There was a significant reduction in AUDIT scores after 6 months in both groups. AUDIT scores were significantly lower in the study group (11.20 ± 2.81) than the control group (15.30 ± 4.05) after 6 months ( < 0.001). The study group also reported fewer days of drinking ( = 0.004) and reduced overall drinking in the intervening period ( < 0.001).
The addition of Breathing and Relaxation Training (SK) in the management of ADS provided additional therapeutic benefits in the form of fewer days of drinking and reduced total alcohol consumption.
酒精滥用是一个公共卫生问题，酒精依赖综合征（ADS）病程以复发性为特征。值得考虑采用有实证依据的额外干预措施。呼吸与放松训练，如苏达山克里亚（SK），被推荐用于压力管理，并已被证明对与压力相关的疾病的治疗结果有积极影响。本研究的目的是评估呼吸与放松训练干预对ADS患者饮酒行为的影响。
在获得知情同意后，本前瞻性研究纳入了80例诊断为ADS的住院患者，并随机分为两组。他们在入院时和出院后6个月接受酒精使用障碍识别测试（AUDIT）。研究组（n = 40）除接受标准治疗外，还接受了为期6天的呼吸与放松训练（SK）干预。在训练前后进行“WHO-5幸福指数”测试。对照组接受ADS的标准治疗。每月进行一次随访，最终每6个月进行一次随访，以评估酒精消费状况。
两组在社会人口统计学方面具有可比性。呼吸与放松训练（研究）组的“WHO-5幸福指数”有显著提高（P < 0.001）。两组在6个月后AUDIT评分均显著降低。6个月后，研究组的AUDIT评分（11.20 ± 2.81）显著低于对照组（15.30 ± 4.05）（P < 0.001）。研究组还报告饮酒天数减少（P = 0.004），且在此期间总体饮酒量减少（P < 0.001）。
在ADS管理中增加呼吸与放松训练（SK）可带来额外的治疗益处，表现为饮酒天数减少和总酒精消费量降低。
