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International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962
Volume- 9, Issue- 1, (February 2019)
www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18
183 This work is licensed under Creative Commons Attribution 4.0 International License.
The Impact of Spirituality on Alcoholics in Select De-Addiction Centres in
Tiruchirappalli District, Tamilnadu
Prof. Vinothkumar. J1
and Dr. Andrew. F2
1
Assistant Professor, Department of Commerce, St. Joseph’s College (Autonomous), Tiruchirappalli, INDIA
2
Associate Professor, Department of Commerce, Loyola College (Autonomous), Chennai, INDIA
1
Correspondence Author: vinothkumarjohn@yahoo.com
ABSTRACT
Aim: The aim of the study was to examine the
individual prayer involvement, church/temple and mosque
attendance and involvement in pilgrimage among the in-
patients of alcohol de-addiction centre.
Method: The sample consisted of 118 patients. The
age range of the sample between 23 and 64 years. The tools
used in the study were personal information data sheet,
individual prayer involvement, church/temple and mosque
attendance and involvement in pilgrimage questionnaire. The
data were analysed using percentage analysis independent,
cross tabulation and one-way ANOVA through IBM SPSS 20.
Results: From the output of Reliability Statistics
obtained Cronbach's Alpha value of 0.707 > 0.600. On the
basis of decision-making in the reliability test, we could be
found that this research questionnaire is reliable, where as it is
a high level of reliability. 87 of the respondents are married,
30 percent of the respondents are drink 465 ml of alcohol per
day and 23 percent drink 750 ml of alcohol per day. In overall
out of 118 respondents 57.6% of the respondents are worship
their gods, 14.4% are spent more time with their family
members, 11% are doing yoga and meditation, 7.6% are spent
more time with nonalcoholic friends and 4.2% are admit
themselves into hospital/de addiction centres to get rid of
alcoholism. From the one way ANOVA table it can be
observed that the mean value on the study dimensions are
Christian respondents (M=2.7586), the Muslim respondents
(M=2.7368) and the Hindus (M=2.2571).
Conclusion: The results were revealed the majority
of the respondents first drinking age below twenty years.
Nearly half of the respondents are already taken the treatment
and now relapsed. There is a significance difference between
Age and Individual prayer, Church involvement and
involvement in pilgrimage of the respondents. There is no
significant difference between the Individual Prayer between
the Prefer to Drink Alcohol, involvement in church / temple /
mosque between the Prefer to Drink Alcohol and the time of
pilgrimage between the Prefer to Drink Alcohol.
Keywords-- Alcoholism, Spirituality, Alcoholics, Pattern of
Drinking, Addiction
I. INTRODUCTION
Every society has its own value system, by which
its members live. This is usually dictated by religion. Thus,
religion becomes the backbone of the society. Lifecycle
events, social calendars and even personal behaviour are
controlled through religion.
Burkhardt and Solari-Twadell (2001) define
spirituality as “the experience and integration of meaning
and purpose in life through connectedness with self, others,
art, music, literature, nature, or a power greater than
oneself” and religiousness as “an understanding of a
particular faith-based system or belief, and participation in
the rituals and services offered by a faith community”.
Increasingly the relationship between spirituality,
religion and addiction is being acknowledged in the
addiction field. Empirical studies have shown an inverse
relationship to exist between religious involvement and
drug use, suggesting that spiritual and religious
involvement and drug use, suggesting that spiritual and
religious involvement may act as a protective mechanism
against developing addictions (Gorsuch and Butler, 1976;
Miller, 1997; Benson, 1992).
Miller (1998) notes that possible protective
mechanism may include avoidance of drugs, social support
advocating abstinence or moderation, time occupying
activities that are incompatible with drug use, the
promotion of pro-social values by the religious affiliation
that includes leading a drug free life. If religious and
spiritual involvement can act as a protective factor it should
come as no surprise that it could act as a means to rid
oneself of an addiction.
II. OBJECTIVES OF THE STUDY
1. To analyse the relationship between spirituality
and alcohol consumption of the alcoholic
Inpatients.
2. To find the relationship between pattern of alcohol
consumption and alcoholics spiritual involvement.
3. To analyse the frequency of alcohol consumption
amongst alcohol drinkers.
International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962
Volume- 9, Issue- 1, (February 2019)
www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18
184 This work is licensed under Creative Commons Attribution 4.0 International License.
4. To study the effect of demographic variables on
their spiritual and alcohol drinking pattern.
5. To examine the monthly income of the
respondents and their expenditure pattern on
alcohol consumption.
III. REVIEW OF LITERATURE
Chand (1975) Hindu scriptures depict alcohol
consumption as evil, as illustrated by the following passage
from the Mahabharata: "Under the influence of intoxicating
drink, people behave like mad men. Some laugh without
reason, some talk incoherently, some dance, some sing
proper and improper songs, some fight, some falter, some
fall, and some talk nonsense, some losing their head,
become naked. Those who take the enslaving drink are
sinners. Liquor is a destroyer of forbearance, modesty and
intellect and after taking it drinkers become immodest and
indecent. They become evildoers, and are impure as they
eat anything. They treat with disrespect their elders too and
use unbecoming language towards them. They violate the
chastity of women. Thus, there are many evils in drinking
and the drinker goes, without doubt, to purgatory. The wise
people who desire their own welfare must eschew liquor if,
for preservation of chastity or character, drink is not
shunned, then the whole world will become unprincipled
and irresponsible. Therefore, for the preservation of
wisdom, the good people have declared drinking as entirely
forbidden".
Islam as a religion does not permit the use of
alcohol in any form, as their Prophet Mohammad forbade
the use of any intoxicants. The Koran does mention that
wines and other intoxicants have some benefits. However, it
also stresses that their sinfulness is greater than the benefit.
Though never universal, abstention from alcoholic
beverages has been an essential tenet of Islam (Jones 1963).
However, alcoholic beverages were freely consumed in
India during the Moghul Empire and country liquor was
available in plenty during festivals. In fact, during the
regime of Jehangir, many top officials died due to excessive
alcohol consumption. Aurangzeh, who was a teetotaler and
devout Muslim, implemented strict rules to curtail alcohol
consumption. Even though Muslims did not consume
alcohol in public, they consumed large quantities of alcohol
in the privacy of their homes (Mamoria 1991).
The Bible, replete with references to the uses of
wine, refers to it as a means of cheering, nourishing and
stimulating (Lucia 1963 and Steinglass 1987). In fact, the
first miracle attributed to Jesus Christ is the conversion of
water into wine at a wedding in Cana. Mass cannot be
celebrated without wine, as it symbolizes the blood of Jesus
Christ (Morasker 2000). The Church calls this
transformation of wine into the blood of Christ
'transubstantiation'.
Piko et al (2012) reveals his study on “To believe
or not to believe? Religiosity, spirituality, and alcohol use
among Hungarian adolescents”, they found the results from
his study despite a high level of alcohol use and a relatively
low level of religiosity in the sample, we detected a
relationship between the importance of
religiousness/religious wellbeing and alcohol use, although
religious denomination and affiliation were not significant
correlates. Religious attendance and private praying were
associated with lower odds of alcohol use among girls and
boys who reported a belief in traditional religion were less
likely to engage in alcohol use. These exploratory results
provide further details to a growing body of research
showing that despite adolescents' low religious
involvement, religiosity can play an important role in some
youth's lives and may serve as a protective factor against
alcohol use and misuse.
Jon Randolph Haber et al (2015) Alcoholism,
Personality, and Religion/Spirituality: An Integrative
Review A review of the literature on the relationships
between alcoholism, personality, and religion identified
patterns that may help explain the inverse association
between alcoholism and Religion / Spirituality. Personality
plays a central role in two etiological models of alcoholism.
The personality traits of high behavioral under-control (low
Agreeableness and low Conscientiousness) and high
negative affect (high Neuroticism) are both significantly
related to higher alcohol use. Religiosity is also correlated
with these traits, but in the opposite direction (e.g., with low
behavioral under-control and low negative affect). Thus, the
personality profiles associated with alcoholism and religion
are the inverse of one another. In addition, evidence
suggests that R/S moderates genetic variation on both
Neuroticism and Disinhibition (part of behavioral under-
control). Implications are discussed in terms of competing
explanatory models: a basic research model which argues
for genetically determined stability in personality and
alcoholism risk, and a clinical treatment model which
argues for the primacy of environmental interventions in
treatment and the possibility of personality change as a
pathway to recovery.
Dale D. Chitwood (2006) says the association
between religiosity/spirituality and reduced risk of
substance use is well established, but a well defined body of
knowledge on this relationship has been slow to emerge.
The development of more sophisticated instrumentation to
measure religiosity and spirituality, the investigation of
samples that include users of major drugs of abuse, and the
integration of the study of religion and drug use into the
broader literature on religion and health can help field build
upon the considerable work that has been published.
International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962
Volume- 9, Issue- 1, (February 2019)
www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18
185 This work is licensed under Creative Commons Attribution 4.0 International License.
IV. RESEARCH METHODOLOGY
Data
For the present study, the data was collected from
the respondents (alcoholics) spotted in selected alcohol de-
addiction centers in Tiruchirappalli, through a structured
and undisguised questionnaire comprising of forty six open
and closed ended questions.
The sources of secondary data that is referred are
Libraries, websites, various books and journals are some
important sources of data are the sources for gathering
information.
Statistical Tools and Techniques
Primary data was collected using scheduled
method. Descriptive and inferential analysis was done and
Statistical tools such as Cross Tabulation, ANOVA and
Correlation test etc. using SPSS version 21 to analyze the
data.
From the output of Reliability Statistics obtained
Cronbach's Alpha value of 0.707. On the basis of decision-
making in the reliability test, it can be concluded that this
research questionnaire is reliable, where as it is a high level
of reliability. The Cronbach’s Alpha is analyzed for
individual prayer, involvement in church / temple / mosque,
and the time of pilgrimage.
Universe & Sample
The population area of the study were alcohol de-
addiction centers in Tiruchirappalli, Since a majority of
alcohol drinkers across different age groups, educational
background, income etc., were expected to consume alcohol
in these locations.
From the total number of the alcoholics those who are
taking treatment in de-addiction centers in Tiruchirappalli,
118 respondents were selected as sample through Stratified
Proportionate Random Sampling. The sample respondents
have been stratified on the basis of geographical areas in the
Tiruchirappalli City and thereafter selection of sample
respondent are done with the help of simple random
sampling method.
Construction of a Questionnaire
Primary data was collected from respondents using
a self administered questionnaire, this created anonymity
leading to more valid responses as well as allowing
respondents to fill them at their convenience. The
questionnaire was designed according to the objectives and
study variables.
The questionnaire is divided into 3 parts.
Part I consists has seven items which aims at collecting
information about the demographic details of the alcoholic
In-Patients. This included the respondent’s age, sex,
domicile, religion, marital status, monthly income and
information about family members.
Part II dealt with questions framed specifically for
understanding the pattern of drinking. This included prior
use of alcohol, pattern of alcohol use, causes for alcohol
use, and behavior of the respondents when they drunk.
Part III was containing three factors about spiritual
involvement of alcoholics (i.e., Individual prayer,
involvement in church/temple/mosque prayers attendance
and pilgrimage activities).
V. ANALYSIS AND INTERPRETATION
Table 01
Demographic Characteristics of The Respondents (N=118)
Characteristics Sub Categories Number Percentage
Age
Below 30 yrs 22 18.6
31 to 40 yrs 43 36.4
41 to 50 yrs 42 35.6
51 yrs & above 11 9.3
Domicile
Urban 48 40.7
Rural 70 59.3
Religion
Hindu 70 59.3
Christian 29 24.6
Muslim 19 16.1
Marital Status
Unmarried 9 7.6
Married 103 87.3
Separated 6 5.1
International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962
Volume- 9, Issue- 1, (February 2019)
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186 This work is licensed under Creative Commons Attribution 4.0 International License.
Monthly Income
Below Rs.10000 29 24.6
Rs.10001 to 20000 39 33.1
Rs.20001 to 30000 30 25.4
Rs.30001 & above 20 16.9
Source: primary data
From the table 01 indicates that 19 percent of the
respondents are under the age of below 30 years, 36 percent
between 31 to 40 years, 36 percent between 41 to 50 years
and 9 percent under the age group between 51 years and
above.
59 percent of the respondents are from rural and
41 percent are urban. 59 percent of the respondents are
Hindu, 25 percent are Christian and 16 percent are Muslim.
8 percent of the respondents are unmarried, 87 are married
and 5 percent are separated.
25 percent of the respondents are earn below
Rs.10000 per month, 33 percent are between Rs. 10001 to
20000, 25 percent are between Rs. 20001 to 30000 and 17
percent are earns more than Rs.30001.
Table 02
Drinking Pattern of The Respondents (N=118)
Characteristics Sub Categories Number Percentage
Type of Alcohol
IMFL/S 117 99.2
Arrack/Spirit 1 0.8
How frequently do you drink alcohol?
Daily 92 78.0
Weekly Twice 5 4.2
Weekly 3 Times 16 13.6
Rarely 5 4.2
How often do you consume alcohol in a
weekdays during last year
One time 25 21.2
Two times 16 13.6
Three times 26 22.0
Four times 21 17.8
Five times & above 30 25.4
How often do you consume alcohol in a
weekend during last year
One time 6 5.1
Two times 15 12.7
Three times 23 19.5
Four times 23 19.5
Five times & above 51 43.2
On and average how much have you spent
for alcohol consumption during last year
Below Rs.10000 53 44.9
Rs.10001 to 20000 58 49.2
Rs.20001 to 30000 4 3.4
Rs.30001 & above 3 2.5
Minimum how much you drink alcohol per
day
180 ml 7 5.9
270 ml 12 10.2
375 ml 20 16.9
465 ml 36 30.5
750 ml 27 22.9
Minimum 1 Beer 7 5.9
More than 1 Beer 9 7.6
First Drinking Age
Below 20yrs 53 44.9
21 to 30yrs 37 31.4
31 to 40yrs 23 19.5
41yrs & above 5 4.2
Drinking Partner at the time of First Drink Father 1 0.8
International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962
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Friends 71 60.2
Relatives 14 11.9
Individually 32 27.1
Source: Primary data
From the Table 02 understood that, majority 99
percent of the respondents drink Indian Made Foreign
Liquor/Spirit from the TASMAC shop, 78 percent drink
alcohol on daily basis, only 4 percent of the respondents are
rarely drink. 25 percent consume alcohol for five times in a
weekday during last year. 43 percent consume alcohol for
five times in a week-end day during last year. On an
average 49 percent of the respondents are spent Rs. 10,001
to 20,000 for alcohol consumption during last year. 30
percent of the respondents are drink 465 ml of alcohol per
day and 23 percent drink 750 ml of alcohol per day. Half of
the respondent’s (50 percent) first alcohol drinking belongs
to the age group of below 20 years and 60 percent of the
respondent’s drunk alcohol along with their friend/s at the
time of first drink.
Table 03
Cross tabulation on age of the respondents and the steps you take to get rid of alcohol
What are the steps you take to get rid of alcohol?
TotalMeditation/
Yoga
Worship
God
Admit/Enroll
myself in a de-
addiction centre
spent more
time with
non alcoholic
friends
spent
more time
with
family
others
Ageofthe
Respondents
Below 30
Years
Count 1 7 3 5 2 4 22
% 4.5% 31.8% 13.6% 22.7% 9.1% 18.2% 100.0%
31 - 40
Years
Count 5 29 2 1 6 0 43
% 11.6% 67.4% 4.7% 2.3% 14.0% 0.0% 100.0%
41 - 50
Years
Count 7 30 0 1 3 1 42
% 16.7% 71.4% 0.0% 2.4% 7.1% 2.4% 100.0%
Above 51
Years
Count 1 2 0 2 6 0 11
% 9.1% 18.2% 0.0% 18.2% 54.5% 0.0% 100.0%
Total
Count 13 68 5 9 17 6 118
% 11.0% 57.6% 4.2% 7.6% 14.4% 5.1% 100.0%
Source: Primary data
The table – 03 indicates that, the cross tabulation
between the age of the respondents and steps taken by the
respondents to get rid of alcohol. In the case of below 30
years of the respondents, 31.8% are worshiping their god,
22.7% are spent more time with nonalcoholic friends and
only 4.5% of the respondents are doing yoga and
meditations to get rid of alcoholism. In between 31 – 40
Years, 67.4% of the respondents are worshiping their gods,
and very few 4.7% of the respondents are admitting into the
hospital or de addiction centres. Like wise in the age group
between 41 -50 years also 71.4% are immediately worship
their gods when they think about to drink alcohol, 16.7%
are doing yoga and meditation to get rid of alcoholism. And
above 51 years category 54.5% of the respondents are spent
more time with their family members, here very few
respondents are doing yoga and meditation and no
respondents are admitting into de addiction centres to get
rid of alcoholism. In overall out of 118 respondents 57.6%
of the respondents are worship their gods, 14.4% are spent
more time with their family members, 11% are doing yoga
and meditation, 7.6% are spent more time with
nonalcoholic friends, 5.1% are doing some other activities
like watching tv and listening music and engage themselves
with other activities and very few 4.2% are admit them
selves into hospital/de addiction centres to get rid of
alcoholism.
Hypothesis 1
H0: There is no significance difference between Religion
and Individual prayer, Church involvement and
involvement in pilgrimage of the respondents
H1: There is a significance difference between Religion
and Individual prayer, Church involvement and
involvement in pilgrimage of the respondents
International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962
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188 This work is licensed under Creative Commons Attribution 4.0 International License.
Table – 04
One Way ANOVA
Variables Religion N Mean Std. Deviation F Value
Statistical
Results
Individual
prayer
Hindu 70 2.2571 .69545
9.395
.001*
Sig
Christian 29 2.7586 .43549
Muslim 19 2.7368 .45241
Total 118 2.4576 .64905
Church
involvement
Hindu 70 2.8714 .33714
1.332
.268
Not Sig
Christian 29 4.2414 7.84973
Muslim 19 2.9474 .22942
Total 118 3.2203 3.89419
Pilgrimage
Hindu 70 2.1579 .49761
4.456
.014*
Sig
Christian 29 1.7241 .92182
Muslim 19 2.1143 .50146
Total 118 2.0254 .64665
Source: Primary data
Individual Prayer Involvement
The above table highlights that, the F value is
9.395. Since the p value has achieved the level of statistical
significance (p<0.05), there is a significance difference
between the religion of the respondents and the Individual
prayer involvement. From the one way ANOVA table it can
be observed that the mean value on the study dimensions
are Christian respondents (M=2.7586), the Muslim
respondents (M=2.7368) and the Hindus (M=2.2571). It can
be identified that the Christians have high level of
involvement in the prayers in comparison with Hindus and
Muslims.
So to conclude that, from the ANOVA table, the
significance value is 0.001which is less than 0.05 the level
of significance. So the null hypothesis is rejected. Hence it
may be inferred that there is a significant difference
between religion of the respondents and the Individual
prayer involvement.
Involvement in Church / Temple / Mosque
The above table highlights that, the F value is
1.332. Since the p value has achieved the level of statistical
significance (p>0.05), there is a significance difference
between the religion of the respondents and the
involvement in church / temple / mosque. From the one
way ANOVA table it can be observed that the mean value
on the study dimensions are Hindus respondents
(M=2.1579), the Muslim respondents (M=2.1579) and the
Hindus (M=2.8714). It can be identified that the Christians
have high level of involvement in church / temple / mosque
in comparison with Hindus and Muslims.
So to conclude that, from the ANOVA table, the
significance value is 0.268 which is higher than 0.05 the
level of significance. So the null hypothesis is accepted.
Hence it may be inferred that there is no significant
difference between religion of the respondents and the
involvement in church / temple / mosque.
Pilgrimage Activities
The above table highlights that, the F value is
4.456. Since the p value has achieved the level of statistical
significance (p>0.05), there is no significance difference
between the religion of the respondents and the Pilgrimage
Activities. From the one way ANOVA table it can be
observed that the mean value on the study dimensions are
Hindus respondents (M=4.2414), the Muslim respondents
(M=2.1143) and the Christians (M=1.7241). It can be
identified that the Hindus have high level of Pilgrimage
Activities in comparison with Christians and Muslims.
So to conclude that, from the ANOVA table, the
significance value is 0.014 which is less than 0.05 the level
of significance. So the null hypothesis is rejected. Hence it
may be inferred that there is a significant difference
between religion and the Pilgrimage Activities of the
respondents.
VI. DISCUSSION
A national study of prisoners and parolees in 1996
found that just under half had taken alcohol or other drugs
just prior to the crime for which they were incarcerated
(Rocha-Silva & Stahmer, 1996). Drinking was especially
linked to rape and housebreaking offences.
Focusing on the Catholic families, the Synod
observed, "Consumerism, sexual permissiveness,
individualism, greed and property disputes, alcoholism,
violence within the family and the generation gap are some
of the major factors that have adversely affected the family"
(Archdiocese of Goa and Daman 2002).
International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962
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The Synod has also recognized, though not
specifically mentioned, the fact that women are the most
affected due to alcoholism and has called for an increase in
women's participation in the church, and that "the
denunciation of evils such as rape, violence against women,
dowry and amniocentesis should be part of our prophetic
mission" (Archdiocese of Goa and Daman 2002). "Violence
against women", mainly domestic violence, is mostly due to
alcoholism.
Among the Hindus, the bhatt (Hindu priest) has a
limited role, normally restricted to religious ceremonies and
guidance, especially when the Hindu seeks divine
intercession. Usually the bhatt advises the person seeking
divine intercession about the ills of alcohol consumption, if
he comes to know about the drinking habits of the person.
Similarly, the Hindu community organizes various
provochonam (sermons) or kirtonam (divine songs) during
festivals like Ganesh and such. Popular Hindu religious
leaders are invited to speak on the occasion. These
occasions provide an opportunity to acquire social
messages, like the ill effects of alcohol consumption.
VII. CONCLUSION
Over the several decades we have learned that
religiosity and religious affiliation are not sufficient to
protect against the development of AUD, but that spiritual
experiences and spiritual practices, including prayer and
mindfulness meditation, may be helpful in reducing
hazardous drinking. In recent years, increasing numbers of
studies have used experimental designs to examine the
effects of spiritual practices on alcohol use and AUD
recovery, demonstrating that engaging in prayer may help
reduce hazardous alcohol use (Lambert et al. 2010) and that
engaging in mindfulness meditation practices reduces risk
for relapse following treatment for AUD (Bowen et al.
2009, 2014Íľ Witkiewitz et al. 2014). Based on the study
results still the people are not aware of the deaddiction
centres so the government should take the necessary steps
to take to give the awareness to the rural people. And the
government should financially support to the NGOs to start
the de addictions in rural areas in Tamil Nadu.
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Misuse, 49(5), 536–546.

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The Impact of Spirituality on Alcoholics in Select De-Addiction Centres in Tiruchirappalli District, Tamilnadu

  • 1. International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962 Volume- 9, Issue- 1, (February 2019) www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18 183 This work is licensed under Creative Commons Attribution 4.0 International License. The Impact of Spirituality on Alcoholics in Select De-Addiction Centres in Tiruchirappalli District, Tamilnadu Prof. Vinothkumar. J1 and Dr. Andrew. F2 1 Assistant Professor, Department of Commerce, St. Joseph’s College (Autonomous), Tiruchirappalli, INDIA 2 Associate Professor, Department of Commerce, Loyola College (Autonomous), Chennai, INDIA 1 Correspondence Author: vinothkumarjohn@yahoo.com ABSTRACT Aim: The aim of the study was to examine the individual prayer involvement, church/temple and mosque attendance and involvement in pilgrimage among the in- patients of alcohol de-addiction centre. Method: The sample consisted of 118 patients. The age range of the sample between 23 and 64 years. The tools used in the study were personal information data sheet, individual prayer involvement, church/temple and mosque attendance and involvement in pilgrimage questionnaire. The data were analysed using percentage analysis independent, cross tabulation and one-way ANOVA through IBM SPSS 20. Results: From the output of Reliability Statistics obtained Cronbach's Alpha value of 0.707 > 0.600. On the basis of decision-making in the reliability test, we could be found that this research questionnaire is reliable, where as it is a high level of reliability. 87 of the respondents are married, 30 percent of the respondents are drink 465 ml of alcohol per day and 23 percent drink 750 ml of alcohol per day. In overall out of 118 respondents 57.6% of the respondents are worship their gods, 14.4% are spent more time with their family members, 11% are doing yoga and meditation, 7.6% are spent more time with nonalcoholic friends and 4.2% are admit themselves into hospital/de addiction centres to get rid of alcoholism. From the one way ANOVA table it can be observed that the mean value on the study dimensions are Christian respondents (M=2.7586), the Muslim respondents (M=2.7368) and the Hindus (M=2.2571). Conclusion: The results were revealed the majority of the respondents first drinking age below twenty years. Nearly half of the respondents are already taken the treatment and now relapsed. There is a significance difference between Age and Individual prayer, Church involvement and involvement in pilgrimage of the respondents. There is no significant difference between the Individual Prayer between the Prefer to Drink Alcohol, involvement in church / temple / mosque between the Prefer to Drink Alcohol and the time of pilgrimage between the Prefer to Drink Alcohol. Keywords-- Alcoholism, Spirituality, Alcoholics, Pattern of Drinking, Addiction I. INTRODUCTION Every society has its own value system, by which its members live. This is usually dictated by religion. Thus, religion becomes the backbone of the society. Lifecycle events, social calendars and even personal behaviour are controlled through religion. Burkhardt and Solari-Twadell (2001) define spirituality as “the experience and integration of meaning and purpose in life through connectedness with self, others, art, music, literature, nature, or a power greater than oneself” and religiousness as “an understanding of a particular faith-based system or belief, and participation in the rituals and services offered by a faith community”. Increasingly the relationship between spirituality, religion and addiction is being acknowledged in the addiction field. Empirical studies have shown an inverse relationship to exist between religious involvement and drug use, suggesting that spiritual and religious involvement and drug use, suggesting that spiritual and religious involvement may act as a protective mechanism against developing addictions (Gorsuch and Butler, 1976; Miller, 1997; Benson, 1992). Miller (1998) notes that possible protective mechanism may include avoidance of drugs, social support advocating abstinence or moderation, time occupying activities that are incompatible with drug use, the promotion of pro-social values by the religious affiliation that includes leading a drug free life. If religious and spiritual involvement can act as a protective factor it should come as no surprise that it could act as a means to rid oneself of an addiction. II. OBJECTIVES OF THE STUDY 1. To analyse the relationship between spirituality and alcohol consumption of the alcoholic Inpatients. 2. To find the relationship between pattern of alcohol consumption and alcoholics spiritual involvement. 3. To analyse the frequency of alcohol consumption amongst alcohol drinkers.
  • 2. International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962 Volume- 9, Issue- 1, (February 2019) www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18 184 This work is licensed under Creative Commons Attribution 4.0 International License. 4. To study the effect of demographic variables on their spiritual and alcohol drinking pattern. 5. To examine the monthly income of the respondents and their expenditure pattern on alcohol consumption. III. REVIEW OF LITERATURE Chand (1975) Hindu scriptures depict alcohol consumption as evil, as illustrated by the following passage from the Mahabharata: "Under the influence of intoxicating drink, people behave like mad men. Some laugh without reason, some talk incoherently, some dance, some sing proper and improper songs, some fight, some falter, some fall, and some talk nonsense, some losing their head, become naked. Those who take the enslaving drink are sinners. Liquor is a destroyer of forbearance, modesty and intellect and after taking it drinkers become immodest and indecent. They become evildoers, and are impure as they eat anything. They treat with disrespect their elders too and use unbecoming language towards them. They violate the chastity of women. Thus, there are many evils in drinking and the drinker goes, without doubt, to purgatory. The wise people who desire their own welfare must eschew liquor if, for preservation of chastity or character, drink is not shunned, then the whole world will become unprincipled and irresponsible. Therefore, for the preservation of wisdom, the good people have declared drinking as entirely forbidden". Islam as a religion does not permit the use of alcohol in any form, as their Prophet Mohammad forbade the use of any intoxicants. The Koran does mention that wines and other intoxicants have some benefits. However, it also stresses that their sinfulness is greater than the benefit. Though never universal, abstention from alcoholic beverages has been an essential tenet of Islam (Jones 1963). However, alcoholic beverages were freely consumed in India during the Moghul Empire and country liquor was available in plenty during festivals. In fact, during the regime of Jehangir, many top officials died due to excessive alcohol consumption. Aurangzeh, who was a teetotaler and devout Muslim, implemented strict rules to curtail alcohol consumption. Even though Muslims did not consume alcohol in public, they consumed large quantities of alcohol in the privacy of their homes (Mamoria 1991). The Bible, replete with references to the uses of wine, refers to it as a means of cheering, nourishing and stimulating (Lucia 1963 and Steinglass 1987). In fact, the first miracle attributed to Jesus Christ is the conversion of water into wine at a wedding in Cana. Mass cannot be celebrated without wine, as it symbolizes the blood of Jesus Christ (Morasker 2000). The Church calls this transformation of wine into the blood of Christ 'transubstantiation'. Piko et al (2012) reveals his study on “To believe or not to believe? Religiosity, spirituality, and alcohol use among Hungarian adolescents”, they found the results from his study despite a high level of alcohol use and a relatively low level of religiosity in the sample, we detected a relationship between the importance of religiousness/religious wellbeing and alcohol use, although religious denomination and affiliation were not significant correlates. Religious attendance and private praying were associated with lower odds of alcohol use among girls and boys who reported a belief in traditional religion were less likely to engage in alcohol use. These exploratory results provide further details to a growing body of research showing that despite adolescents' low religious involvement, religiosity can play an important role in some youth's lives and may serve as a protective factor against alcohol use and misuse. Jon Randolph Haber et al (2015) Alcoholism, Personality, and Religion/Spirituality: An Integrative Review A review of the literature on the relationships between alcoholism, personality, and religion identified patterns that may help explain the inverse association between alcoholism and Religion / Spirituality. Personality plays a central role in two etiological models of alcoholism. The personality traits of high behavioral under-control (low Agreeableness and low Conscientiousness) and high negative affect (high Neuroticism) are both significantly related to higher alcohol use. Religiosity is also correlated with these traits, but in the opposite direction (e.g., with low behavioral under-control and low negative affect). Thus, the personality profiles associated with alcoholism and religion are the inverse of one another. In addition, evidence suggests that R/S moderates genetic variation on both Neuroticism and Disinhibition (part of behavioral under- control). Implications are discussed in terms of competing explanatory models: a basic research model which argues for genetically determined stability in personality and alcoholism risk, and a clinical treatment model which argues for the primacy of environmental interventions in treatment and the possibility of personality change as a pathway to recovery. Dale D. Chitwood (2006) says the association between religiosity/spirituality and reduced risk of substance use is well established, but a well defined body of knowledge on this relationship has been slow to emerge. The development of more sophisticated instrumentation to measure religiosity and spirituality, the investigation of samples that include users of major drugs of abuse, and the integration of the study of religion and drug use into the broader literature on religion and health can help field build upon the considerable work that has been published.
  • 3. International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962 Volume- 9, Issue- 1, (February 2019) www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18 185 This work is licensed under Creative Commons Attribution 4.0 International License. IV. RESEARCH METHODOLOGY Data For the present study, the data was collected from the respondents (alcoholics) spotted in selected alcohol de- addiction centers in Tiruchirappalli, through a structured and undisguised questionnaire comprising of forty six open and closed ended questions. The sources of secondary data that is referred are Libraries, websites, various books and journals are some important sources of data are the sources for gathering information. Statistical Tools and Techniques Primary data was collected using scheduled method. Descriptive and inferential analysis was done and Statistical tools such as Cross Tabulation, ANOVA and Correlation test etc. using SPSS version 21 to analyze the data. From the output of Reliability Statistics obtained Cronbach's Alpha value of 0.707. On the basis of decision- making in the reliability test, it can be concluded that this research questionnaire is reliable, where as it is a high level of reliability. The Cronbach’s Alpha is analyzed for individual prayer, involvement in church / temple / mosque, and the time of pilgrimage. Universe & Sample The population area of the study were alcohol de- addiction centers in Tiruchirappalli, Since a majority of alcohol drinkers across different age groups, educational background, income etc., were expected to consume alcohol in these locations. From the total number of the alcoholics those who are taking treatment in de-addiction centers in Tiruchirappalli, 118 respondents were selected as sample through Stratified Proportionate Random Sampling. The sample respondents have been stratified on the basis of geographical areas in the Tiruchirappalli City and thereafter selection of sample respondent are done with the help of simple random sampling method. Construction of a Questionnaire Primary data was collected from respondents using a self administered questionnaire, this created anonymity leading to more valid responses as well as allowing respondents to fill them at their convenience. The questionnaire was designed according to the objectives and study variables. The questionnaire is divided into 3 parts. Part I consists has seven items which aims at collecting information about the demographic details of the alcoholic In-Patients. This included the respondent’s age, sex, domicile, religion, marital status, monthly income and information about family members. Part II dealt with questions framed specifically for understanding the pattern of drinking. This included prior use of alcohol, pattern of alcohol use, causes for alcohol use, and behavior of the respondents when they drunk. Part III was containing three factors about spiritual involvement of alcoholics (i.e., Individual prayer, involvement in church/temple/mosque prayers attendance and pilgrimage activities). V. ANALYSIS AND INTERPRETATION Table 01 Demographic Characteristics of The Respondents (N=118) Characteristics Sub Categories Number Percentage Age Below 30 yrs 22 18.6 31 to 40 yrs 43 36.4 41 to 50 yrs 42 35.6 51 yrs & above 11 9.3 Domicile Urban 48 40.7 Rural 70 59.3 Religion Hindu 70 59.3 Christian 29 24.6 Muslim 19 16.1 Marital Status Unmarried 9 7.6 Married 103 87.3 Separated 6 5.1
  • 4. International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962 Volume- 9, Issue- 1, (February 2019) www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18 186 This work is licensed under Creative Commons Attribution 4.0 International License. Monthly Income Below Rs.10000 29 24.6 Rs.10001 to 20000 39 33.1 Rs.20001 to 30000 30 25.4 Rs.30001 & above 20 16.9 Source: primary data From the table 01 indicates that 19 percent of the respondents are under the age of below 30 years, 36 percent between 31 to 40 years, 36 percent between 41 to 50 years and 9 percent under the age group between 51 years and above. 59 percent of the respondents are from rural and 41 percent are urban. 59 percent of the respondents are Hindu, 25 percent are Christian and 16 percent are Muslim. 8 percent of the respondents are unmarried, 87 are married and 5 percent are separated. 25 percent of the respondents are earn below Rs.10000 per month, 33 percent are between Rs. 10001 to 20000, 25 percent are between Rs. 20001 to 30000 and 17 percent are earns more than Rs.30001. Table 02 Drinking Pattern of The Respondents (N=118) Characteristics Sub Categories Number Percentage Type of Alcohol IMFL/S 117 99.2 Arrack/Spirit 1 0.8 How frequently do you drink alcohol? Daily 92 78.0 Weekly Twice 5 4.2 Weekly 3 Times 16 13.6 Rarely 5 4.2 How often do you consume alcohol in a weekdays during last year One time 25 21.2 Two times 16 13.6 Three times 26 22.0 Four times 21 17.8 Five times & above 30 25.4 How often do you consume alcohol in a weekend during last year One time 6 5.1 Two times 15 12.7 Three times 23 19.5 Four times 23 19.5 Five times & above 51 43.2 On and average how much have you spent for alcohol consumption during last year Below Rs.10000 53 44.9 Rs.10001 to 20000 58 49.2 Rs.20001 to 30000 4 3.4 Rs.30001 & above 3 2.5 Minimum how much you drink alcohol per day 180 ml 7 5.9 270 ml 12 10.2 375 ml 20 16.9 465 ml 36 30.5 750 ml 27 22.9 Minimum 1 Beer 7 5.9 More than 1 Beer 9 7.6 First Drinking Age Below 20yrs 53 44.9 21 to 30yrs 37 31.4 31 to 40yrs 23 19.5 41yrs & above 5 4.2 Drinking Partner at the time of First Drink Father 1 0.8
  • 5. International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962 Volume- 9, Issue- 1, (February 2019) www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18 187 This work is licensed under Creative Commons Attribution 4.0 International License. Friends 71 60.2 Relatives 14 11.9 Individually 32 27.1 Source: Primary data From the Table 02 understood that, majority 99 percent of the respondents drink Indian Made Foreign Liquor/Spirit from the TASMAC shop, 78 percent drink alcohol on daily basis, only 4 percent of the respondents are rarely drink. 25 percent consume alcohol for five times in a weekday during last year. 43 percent consume alcohol for five times in a week-end day during last year. On an average 49 percent of the respondents are spent Rs. 10,001 to 20,000 for alcohol consumption during last year. 30 percent of the respondents are drink 465 ml of alcohol per day and 23 percent drink 750 ml of alcohol per day. Half of the respondent’s (50 percent) first alcohol drinking belongs to the age group of below 20 years and 60 percent of the respondent’s drunk alcohol along with their friend/s at the time of first drink. Table 03 Cross tabulation on age of the respondents and the steps you take to get rid of alcohol What are the steps you take to get rid of alcohol? TotalMeditation/ Yoga Worship God Admit/Enroll myself in a de- addiction centre spent more time with non alcoholic friends spent more time with family others Ageofthe Respondents Below 30 Years Count 1 7 3 5 2 4 22 % 4.5% 31.8% 13.6% 22.7% 9.1% 18.2% 100.0% 31 - 40 Years Count 5 29 2 1 6 0 43 % 11.6% 67.4% 4.7% 2.3% 14.0% 0.0% 100.0% 41 - 50 Years Count 7 30 0 1 3 1 42 % 16.7% 71.4% 0.0% 2.4% 7.1% 2.4% 100.0% Above 51 Years Count 1 2 0 2 6 0 11 % 9.1% 18.2% 0.0% 18.2% 54.5% 0.0% 100.0% Total Count 13 68 5 9 17 6 118 % 11.0% 57.6% 4.2% 7.6% 14.4% 5.1% 100.0% Source: Primary data The table – 03 indicates that, the cross tabulation between the age of the respondents and steps taken by the respondents to get rid of alcohol. In the case of below 30 years of the respondents, 31.8% are worshiping their god, 22.7% are spent more time with nonalcoholic friends and only 4.5% of the respondents are doing yoga and meditations to get rid of alcoholism. In between 31 – 40 Years, 67.4% of the respondents are worshiping their gods, and very few 4.7% of the respondents are admitting into the hospital or de addiction centres. Like wise in the age group between 41 -50 years also 71.4% are immediately worship their gods when they think about to drink alcohol, 16.7% are doing yoga and meditation to get rid of alcoholism. And above 51 years category 54.5% of the respondents are spent more time with their family members, here very few respondents are doing yoga and meditation and no respondents are admitting into de addiction centres to get rid of alcoholism. In overall out of 118 respondents 57.6% of the respondents are worship their gods, 14.4% are spent more time with their family members, 11% are doing yoga and meditation, 7.6% are spent more time with nonalcoholic friends, 5.1% are doing some other activities like watching tv and listening music and engage themselves with other activities and very few 4.2% are admit them selves into hospital/de addiction centres to get rid of alcoholism. Hypothesis 1 H0: There is no significance difference between Religion and Individual prayer, Church involvement and involvement in pilgrimage of the respondents H1: There is a significance difference between Religion and Individual prayer, Church involvement and involvement in pilgrimage of the respondents
  • 6. International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962 Volume- 9, Issue- 1, (February 2019) www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18 188 This work is licensed under Creative Commons Attribution 4.0 International License. Table – 04 One Way ANOVA Variables Religion N Mean Std. Deviation F Value Statistical Results Individual prayer Hindu 70 2.2571 .69545 9.395 .001* Sig Christian 29 2.7586 .43549 Muslim 19 2.7368 .45241 Total 118 2.4576 .64905 Church involvement Hindu 70 2.8714 .33714 1.332 .268 Not Sig Christian 29 4.2414 7.84973 Muslim 19 2.9474 .22942 Total 118 3.2203 3.89419 Pilgrimage Hindu 70 2.1579 .49761 4.456 .014* Sig Christian 29 1.7241 .92182 Muslim 19 2.1143 .50146 Total 118 2.0254 .64665 Source: Primary data Individual Prayer Involvement The above table highlights that, the F value is 9.395. Since the p value has achieved the level of statistical significance (p<0.05), there is a significance difference between the religion of the respondents and the Individual prayer involvement. From the one way ANOVA table it can be observed that the mean value on the study dimensions are Christian respondents (M=2.7586), the Muslim respondents (M=2.7368) and the Hindus (M=2.2571). It can be identified that the Christians have high level of involvement in the prayers in comparison with Hindus and Muslims. So to conclude that, from the ANOVA table, the significance value is 0.001which is less than 0.05 the level of significance. So the null hypothesis is rejected. Hence it may be inferred that there is a significant difference between religion of the respondents and the Individual prayer involvement. Involvement in Church / Temple / Mosque The above table highlights that, the F value is 1.332. Since the p value has achieved the level of statistical significance (p>0.05), there is a significance difference between the religion of the respondents and the involvement in church / temple / mosque. From the one way ANOVA table it can be observed that the mean value on the study dimensions are Hindus respondents (M=2.1579), the Muslim respondents (M=2.1579) and the Hindus (M=2.8714). It can be identified that the Christians have high level of involvement in church / temple / mosque in comparison with Hindus and Muslims. So to conclude that, from the ANOVA table, the significance value is 0.268 which is higher than 0.05 the level of significance. So the null hypothesis is accepted. Hence it may be inferred that there is no significant difference between religion of the respondents and the involvement in church / temple / mosque. Pilgrimage Activities The above table highlights that, the F value is 4.456. Since the p value has achieved the level of statistical significance (p>0.05), there is no significance difference between the religion of the respondents and the Pilgrimage Activities. From the one way ANOVA table it can be observed that the mean value on the study dimensions are Hindus respondents (M=4.2414), the Muslim respondents (M=2.1143) and the Christians (M=1.7241). It can be identified that the Hindus have high level of Pilgrimage Activities in comparison with Christians and Muslims. So to conclude that, from the ANOVA table, the significance value is 0.014 which is less than 0.05 the level of significance. So the null hypothesis is rejected. Hence it may be inferred that there is a significant difference between religion and the Pilgrimage Activities of the respondents. VI. DISCUSSION A national study of prisoners and parolees in 1996 found that just under half had taken alcohol or other drugs just prior to the crime for which they were incarcerated (Rocha-Silva & Stahmer, 1996). Drinking was especially linked to rape and housebreaking offences. Focusing on the Catholic families, the Synod observed, "Consumerism, sexual permissiveness, individualism, greed and property disputes, alcoholism, violence within the family and the generation gap are some of the major factors that have adversely affected the family" (Archdiocese of Goa and Daman 2002).
  • 7. International Journal of Engineering and Management Research e-ISSN: 2250-0758 | p-ISSN: 2394-6962 Volume- 9, Issue- 1, (February 2019) www.ijemr.net https://doi.org/10.31033/ijemr.9.1.18 189 This work is licensed under Creative Commons Attribution 4.0 International License. The Synod has also recognized, though not specifically mentioned, the fact that women are the most affected due to alcoholism and has called for an increase in women's participation in the church, and that "the denunciation of evils such as rape, violence against women, dowry and amniocentesis should be part of our prophetic mission" (Archdiocese of Goa and Daman 2002). "Violence against women", mainly domestic violence, is mostly due to alcoholism. Among the Hindus, the bhatt (Hindu priest) has a limited role, normally restricted to religious ceremonies and guidance, especially when the Hindu seeks divine intercession. Usually the bhatt advises the person seeking divine intercession about the ills of alcohol consumption, if he comes to know about the drinking habits of the person. Similarly, the Hindu community organizes various provochonam (sermons) or kirtonam (divine songs) during festivals like Ganesh and such. Popular Hindu religious leaders are invited to speak on the occasion. These occasions provide an opportunity to acquire social messages, like the ill effects of alcohol consumption. VII. CONCLUSION Over the several decades we have learned that religiosity and religious affiliation are not sufficient to protect against the development of AUD, but that spiritual experiences and spiritual practices, including prayer and mindfulness meditation, may be helpful in reducing hazardous drinking. In recent years, increasing numbers of studies have used experimental designs to examine the effects of spiritual practices on alcohol use and AUD recovery, demonstrating that engaging in prayer may help reduce hazardous alcohol use (Lambert et al. 2010) and that engaging in mindfulness meditation practices reduces risk for relapse following treatment for AUD (Bowen et al. 2009, 2014Íľ Witkiewitz et al. 2014). Based on the study results still the people are not aware of the deaddiction centres so the government should take the necessary steps to take to give the awareness to the rural people. And the government should financially support to the NGOs to start the de addictions in rural areas in Tamil Nadu. REFERENCES [1] Archdiocese of Goa and Daman. (2002). Synodal documents: Statement of the diocesan synod and diocesan pastoral plan 2002 of the archdiocese of Goa and Daman. 17th to 23rd February 2002. Panjim: Archdiocese of Goa and Daman. Available at: http://www.archgoadaman.org/synod. [2] Asesha Morjaria & Jim Orford. (2002). The role of religion and spirituality in recovery from drink problems: A qualitative study of Alcoholics Anonymous members and South Asian men. Alcohol Research and Theory, Brunner Routledge, 10(3), 225-256. [3] Chand, Justice Tek. (1972). Liquor menace in India. New Delhi: Gandhi Peace Foundation. [4] Chand, Justice Tek. (1975). 'Whiskey power versus woman power. Social Welfare, 22(2), 1-3. [5] Cahn, Sidney. (1970). The treatment of alcoholics: An evaluative study. New York: Oxford University Press. [6] Fr. Bogdan Djurdjulov. (2013). It still outranks them all part 4: Spirituality and alcoholism. Available at: http://oca.org/the-hub/the-church-on-current-issues/it-still- outranks-them-all-part-4-spirituality-and-alcoholism. Accessed on 25th January 2019. [7] Jon Randolph Haber, Laura B. Koenig, & Theodore Jacob. (2011). Alcoholism, personality, and religion/spirituality: An integrative review. Available at: http://www.eurekaselect.com/94850/article accessed on 25th January 2019. [8] Lucia, Salvatore P. (1963). The antiquity of alcohol in diet and medicine, in Salvatore Pablo Lucia. (ed.): Alcohol and Civilization. New York: McGraw Hill Book Company, 151-165. [9] Mamoria, C. B. (1991). Social problems and social disorganization. Bombay: Allied Publishers. [10] Morasker, Prakash. (2000). The world of wines. Goa Messenger, 2(4), 29-33. [11] Piko BF, Kovacs E, Kriston P, & Fitzpatrick KM. (2012 July). To believe or not to believe? Religiosity, spirituality, and alcohol use among Hungarian adolescents. Journal of Studies on Alcohol and Drugs, 73(4), 666-674. [12] Rocha-Silva, L & Stahmer, I. (1996). Nature, extent and development of alcohol/drug-related crime. Pretoria: Human Sciences Research Council. [13] Lambert, N.M., Fincham, F.D., Marks, L.D., & Stillman, T.F. (2010). Invocations and intoxication: Does prayer decrease alcohol consumption?. Psychology of Addictive Behaviors, 24(2), 209–219. [14] Bowen, S., Chawla, N., & Collins, S.E.Íľ et al. (2009). Mindfulness based relapse prevention for substance use disorders: A pilot efficacy trial. Substance Abuse, 30(4), 295–305. [15] Witkiewitz, K., Warner, K., & Sully, B. et al. (2014). Randomized trial comparing mindfulness based relapse prevention with relapse prevention for women offenders at a residential addiction treatment center. Substance Use & Misuse, 49(5), 536–546.