Role of gratitude in reducing psychological distress and perceived stigma in persons with alcohol use disorder

ISRCTN ISRCTN21860790
DOI https://doi.org/10.1186/ISRCTN21860790
Submission date
27/03/2024
Registration date
15/04/2024
Last edited
02/04/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Alcohol use disorder is a cluster of behavioral and physical problems that can include withdrawal, tolerance and craving. The health burden associated with the consumption of alcohol both in terms of illness and death is enormous. However, alcohol use is pervasive in many parts of the world and remains a major health as well as social issue.
AUD is often associated with psychological distress, a broad term that describes mental and emotional states involving anxiety and depression. Moreover, AUD is considered to be one of the most stigmatized mental health conditions. Perceived stigma refers to the extent to which individuals with AUD believe that others hold negative stereotypes about the condition. Such perceptions often act as barriers to help-seeking among persons with AUD. It is important to research treatment approaches that will effectively help persons with AUD tackle issues such as psychological distress and perceived stigma.
Gratitude is a positive psychological factor that is increasingly being recommended for the promotion of well-being. Studies using gratitude interventions in alcohol recovery programs are sparse. More specifically, the use of gratitude interventions in reducing perceived stigma and psychological distress among people with AUD is not researched. The study, therefore, examines the role of a gratitude intervention in reducing perceived stigma and psychological distress among people with AUD.

Who can participate?
People with AUD newly admitted into a residential rehabilitation center for treatment

What does the study involve?
The study involves participants responding to standardized psychological scales for the assessment of psychological distress and perceived stigma. Following this, half of the participants in each study center are assigned to the experimental group and are given the gratitude intervention which involves listing things that they are grateful for three times a week for 3 months. The remaining half of the participants in each study center are not given the intervention.

What are the possible benefits and risks of participating?
Because gratitude has been found to have a number of benefits, it is expected that it will reduce psychological distress and perceived stigma which is believed to contribute to the recovery process. The study does not involve the use of any procedure that has any foreseeable risks.

Where is the study run from?
Nagaland University (India)

When is the study starting and how long is it expected to run for?
October 2022 to December 2023

Who is funding the study?
The Indian Council of Social Science Research (India)

Who is the main contact?
Dr Imlisongla Longkumer, imlisongla@nagalanduniversity.ac.in

Contact information

Dr Imlisongla Longkumer
Public, Scientific, Principal Investigator

Department of Psychology
Nagaland University
Kohima Campus
Meriema-797004
Nagaland
Kohima
797004
India

ORCiD logoORCID ID 0009-0006-8606-9368
Phone +91 (0)9402697023
Email imlisongla@nagalanduniversity.ac.in

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titlePsychological distress and perceived stigma in persons with alcohol use disorders: Role of gratitude intervention
Study acronymPDPS:GI
Study objectivesHypothesis 1: Psychological distress in persons with alcohol use disorder will be lesser in the experimental group than in the control group following gratitude intervention.
Hypothesis 2: Perceived stigma in persons with alcohol use disorder will be lesser in the experimental group than in the control group following gratitude intervention.
Ethics approval(s)

Approved 02/03/2023, Department Ethics Committee, Department of Psychology, Nagaland University (Kohima Campus, Meriema, Kohima, 797004, India; +91 (0)9856648055; psychology@nagalanduniversity.ac.in), ref: No.NU/PSY/ETHICS-23/04

Health condition(s) or problem(s) studiedPsychological distress and perceived stigma of persons with alcohol use disorder
InterventionThe study uses an experimental group-control group pre-test post-test design.

Participants are recruited from five rehabilitation centers. At each center, individuals who meet the inclusion criteria are recruited. A baseline measure is obtained. Participants are then randomly assigned to the two treatment conditions at random.
The intervention period is for 3 months.

Participants in the experimental group receive the gratitude intervention. Those in the control group are not given the intervention. The gratitude intervention used in the study involves participants listing things that they are grateful for (any number) three times (days) in a week.
Intervention typeBehavioural
Primary outcome measure1. Psychological distress is measured using the Kessler Psychological Distress Scale (K-10) at baseline (pre-test) and 3 months (post-test)
2. Perceived stigma is measured using the Perceived Stigma of Substance Abuse Scale (PSAS) at baseline (pre-test) and 3 months (post-test)
Secondary outcome measuresDemographic variables assessed using the participant information sheet at baseline:
1. Years of initiation of alcohol use
2. Age
3. Religious activity
4. Marital status
5. Employment status
Overall study start date07/10/2022
Completion date15/12/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit60 Years
SexBoth
Target number of participantsMinimum 30
Total final enrolment37
Key inclusion criteria1. A diagnosis of alcohol use disorder
2. Consents to participate
3. Newly admitted to the facility
Key exclusion criteriaPresence of psychiatric comorbidity
Date of first enrolment01/07/2023
Date of final enrolment31/08/2023

Locations

Countries of recruitment

  • India

Study participating centres

Youth Mission, Kohima
Kohima
Kohima
797001
India
Kripa Foundation
Kohima
Kohima
797001
India
Shalom Rehabilitation Center
Chumukedima
Dimapur
797112
India
Bethesda Center
Dimapur
Dimapur
797112
India
Silas Center
Dimapur
Dimapur
797112
India

Sponsor information

Indian Council of Social Science Research
Research council

JNU Institutional Area
Aruna Asaf Ali Marg
New Delhi
110067
India

Phone +91 (0)8011 26716690
Email rpdivision@icssr.org
Website https://www.icssr.org/
ROR logo "ROR" https://ror.org/009axkg17

Funders

Funder type

Research council

Indian Council of Social Science Research
Government organisation / National government
Alternative name(s)
भारतीय सामाजिक विज्ञान अनुसंधान परिषद, ICSSR
Location
India

Results and Publications

Intention to publish date31/07/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlans for publication in a psychology/medical journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Imlisongla Longkumer (imlisongla@nagalanduniversity.ac.in). A scanned sample copy of a few completed questionnaires (with names hidden) can be shared upon request. The researcher has obtained written consent from all participants. Participants were assured of anonymity and confidentiality.

Editorial Notes

27/03/2024: Study's existence confirmed by the Department Ethics Committee, Department of Psychology, Nagaland University.