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Efficacy of Social Problem-Solving Training Program for Alcoholics

Abstract

The main purpose of this study was to develop a program of social problem-solving training and examine its effectiveness for alcoholic inpatients. A differential program of social problem-solving training was developed for each of three types of alcoholic inpatients, based on problem-solving therapy of D'Zurilla and Nezu(1999). In study of Yi Soon Choi & Kwon Saeng Park(2004), three subgroups emerged, which included one group with global deficits(called group 1), another group with mild deficits(group 2), and the other group of focal deficits(group 3). A total of 53 alcoholic inpatients participated in 100 minutes-long programs, twice a week, over 12 sessions. 8 subjects were assigned to group 1 program, 9 to group 2, and 10 to group 3. Each of alcohol educational program and control group consisted of 13 patients. Posttest outcome measures were the same as ones used at the pretest, which includes SPSI-R, AASES (alcohol abstinence self-efficacy scale) and TTDS(temptation to drink scale). The findings revealed that each of groups produced improvement specifically on the deficient parts of its own from the pretest to the posttest. The results also showed that pretest-posttest differences in the three treatment groups were greater than one obtained in either of the alcoholism educational program or control group, which occurred in various areas of abstinence-confidence and drinking temptation. The current findings obtained in this study suggest that the use of social problem-solving training yield better outcomes compared to either of alcohol educational program or nontreatment control group and that benefits from social problem solving training are increased to the substantial amount when the program is customized specifically to patient characteristics by subgroups having different types of problem solving process deficits.

keywords
사회적 문제해결 훈련, 전반적 결함형, 경미한 결함형, 특정영역 결함형, social problem-solving training, global deficits, mild deficits, focal deficits, social problem-solving training, global deficits, mild deficits, focal deficits

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