E-ISSN : 2733-4538
This study investigated the rates at which alcoholics who had been discharged from an alcohol-treatment hospital achieved six months of abstinence in an effort to determine, the factors correlating with abstinence in alcoholics. Upon discharge, we investigated the psychosocial states of 191 patients, who had been admitted and treated for alcoholism. We then determined their degree of abstinence and examined various related factors at a six months follow-up. The abstinence rate at follow up was 44% (N=77). At discharge, the abstinence and relapse groups showed significant differences in the type of discharge, steps of change, desire for abstinence, treatment completion, and family attitude. However, there was no significant differences related to physical or psychiatric problems. At the six month follow-up, all groups displayed significant differences related to their attendance at alcoholics anonymous, attendance at therapist-led abstinence treatment, and occupation as well as family attitude, and anxiety and/or depression post-discharge. Our logistic regression analysis demonstrated that the desire for abstinence, treatment completion, and family attitude, and anxiety and/or depression post-discharge significantly predicted abstinence at the six month follow-up. These results indicate therapeutic approaches and strategies that clinicians could emphasize to aide in relapse prevention and recovery in alcoholics.
김종성 (1999). 알코올의존환자들의 퇴원후 1년간의 단주 성적 및 재발에 대한 추적 결과. 충남의대 잡지, 26(2), 159-166.
김철민, 김성곤, 남궁기, 조동환, 이병욱, 최인근, 김민정 (2007). 24주 추적 조사를 통한 한국인 알코올의존 환자의 재발 예측인자 규명 연구. 생물정신의학, 14(4), 249-254.
성상경, 방양원, 함 웅 (1993). 주정중독환자의 퇴원후 경과에 관한 연구. 신경정신의학, 32(5), 698-706.
Beattie, M. C., & Longabaugh, R. (1997). Interpersonal factors and post treatment drinking and subjective well-being. Addiction, 92, 1507-1521.
Brown, S. A., Vik, P. W., Patterson, T. L., Grant, I., & Schuckit, M. A. (1995). Stress, vulnerability and adult alcohol relapse. Journal of Studies on Alcohol, 56, 538-545.
Charney, D. A., Zikos, E., & Gill, K. J. (2010). Early recovery from alcohol dependence: Factors that promote or impede abstinence. Journal of Substance Abuse Treatment, 38, 42-50.
Connors, G. J., Donovan, D. M., & DiClemente, C. C. (2001). Substance Abuse Treatment and the Stages of Change. (pp.12-81). New York: Guilford Press
Donovan, D. E., & Chaney, E. F. (1985). Alcoholic relapse prevention and intervention. In G. A. Marlatt, & J. R. Gordon (Eds.), Relapse prevention: Maintenance strategies in the treatment of addictive behavior (pp. 351-416). New York: Gilford Press.
Driessen, M., Meier, S., Hill, A., Wetterling, T., Lange, W., & Junghanns, K. (2001). The course of anxiety, depression and drinking behaviors after completed detoxification in alcoholics with and without comorbid anxiety and depressive disorders. Alcohol and Alcoholism, 36, 249-255.
Finney, J. W., & Moos, R. H. (1992). The long-term course of treated alcoholism: Predictors and correlate of 10 year functioning and mortality. Journal of Studies on Alcohol, 53, 142-153.
Finney, J. W., Moos, R. H., & Timko, C. (1999). The course of treated and untreated substance use disorder. Remission and resolution, relapse and mortality. In B. S. McCrady, & E. E. Epstein (Eds.), Addictions: A comprehensive guidebook (pp.30-49). New York: Oxford University Press.
Gordon, S. M., Sterling, R., Siatkowski, C., Raively, K., Weinstein, S., & Hill, P. C. (2006). Inpatient desire to drink as a predictor of relapse to alcohol use following treatment. American Journal of Addiction, 15, 242-245.
McNally, E. B. (1989). Lesbian recovering alcoholics in A. A. Doctoral Dissertation of New York University.
Marlatt, G. A., Barrett, K., & Daley, D. C. (1999). Relapse prevention. In M. Galanter, & H. D. Kleber(Eds.), Textbook of substance abuse treatment (pp.354-355). Washington DC: American Psychiatric Press.
Moos, R. H., & Moos, B. S. (2006). Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction, 101, 212-222.
Moos, R. H., Moos, B. S., & Finney, J. W. (2001). Predictors of deterioration among patients with substance-use disorders. Journal of Clinical Psychology, 57, 1403-1419.
Weisner, C., Matzger, H., & Kaskutas, L. A. (2003). How important is treatment? One-year outcomes of treated and untreated alcohol dependent individuals. Addiction, 98, 901-911.