Association Between Affective Disorder and Post Truamatic Stress Disorders With Severity of Alcohol Use Among Patients Presenting With Relapse Alcohol Use Disorder (Aud) in Rehabilitations Centers of Kiambu County –kenya.

Abstract

Background: The prevalence of co-morbid disorders have been shown to be problematic among people with AUD .These disorders in Kenya have been documented to be highly associated with relapse. Study Objective: The aim of the study was to assess the association between Affective Disorders, PTSD and severity of alcohol use among patients presenting with relapsed AUD in rehabilitation centres of Kiambu County Methodology: This was a cross-sectional descriptive study among 148 participants. Researcher designed sociodemographic questionnaire, AUDIT, PHQ9, mood disorder and PTSD checklist questionnaires were used. Findings: The mean age of the respondents was 24 years. Most were males and were either married or in a domestic partnership. Most had tertiary level education, were Christian and were living in a home setting. Most of them had a family history of alcohol and substance use and were exposed to alcohol by parents. Depression was most prevalent at 80.7%, AUD 75.6%, Bi-polar 56.8% and PTSD 65.4%. Family history of alcohol and substance use was associated with higher AUDIT (p=0.045), PTSD (p=0.030) and PHQ-9scores (p=0.014) .Exposure to alcohol by parents was associated with higher AUDIT (p=0.015) and mood disorder (p=0.0002) scores.Exposure to child abuse was associated with higher PHQ-9 scores (p=0.034). Higher AUDIT scores were highly associated with having no children, having family history of alcohol use and being of older age than the mean age. Conclusion: Unstable family structures and childhood upbringing are a risk factor for relapse on alcohol use. The older one gets the greater the risk for relapses. Depression, Bi-polar mood disorder and PTSD are delibitating co-morbidities of AUD and contribute to relapses. Presence of social support as a protective factor in AUD can also be a cause of relapse when the support system is not ensured to provide active social support to the AUD patient.