본문 바로가기
KERD
논문KCI 등재

알코올 사용장애의 동기강화치료와 인지행동치료

Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Alcohol Use Disorders

2

조회

0

다운로드

7

인용

0

참고문헌

주제분류정신과학

초록

Alcohol use disorder (AUD) has the highest prevalence and lowest treatment rate of all mental disorders in Korea. Over the last 30 years, there has been significant progress in the development and validation of cognitive behavioral treatments and motivational enhancement approaches for AUD. The goal of psychosocial treatment is to help patients control their urges to use alcohol and remain abstinent by preventing relapse. This review explored first, motivation enhancement therapy, which is an approach to help people with alcohol problems and improve their motivation for change, and second, cognitive behavioral theories for AUD, including practical therapeutic effects, treatment principles, and various treatment methods and techniques. These treatment modalities are particularly useful for patients with AUDs with insufficient or poor compliance. In addition, these treatment models, which enhance the motivation of patients with chronic psychiatric illness, including AUDs and improve the efficacy and effectiveness through a clear intervention approach to the targeted problems, have been transformed into various other forms. Recently, there have been many studies on various online platforms, such as web-based and virtual reality, which are easy to access, and these treatment models are likely to become more important in the psychiatric field in the future.

Abstract

Alcohol use disorder (AUD) has the highest prevalence and lowest treatment rate of all mental disorders in Korea. Over the last 30 years, there has been significant progress in the development and validation of cognitive behavioral treatments and motivational enhancement approaches for AUD. The goal of psychosocial treatment is to help patients control their urges to use alcohol and remain abstinent by preventing relapse. This review explored first, motivation enhancement therapy, which is an approach to help people with alcohol problems and improve their motivation for change, and second, cognitive behavioral theories for AUD, including practical therapeutic effects, treatment principles, and various treatment methods and techniques. These treatment modalities are particularly useful for patients with AUDs with insufficient or poor compliance. In addition, these treatment models, which enhance the motivation of patients with chronic psychiatric illness, including AUDs and improve the efficacy and effectiveness through a clear intervention approach to the targeted problems, have been transformed into various other forms. Recently, there have been many studies on various online platforms, such as web-based and virtual reality, which are easy to access, and these treatment models are likely to become more important in the psychiatric field in the future.

참고문헌 (29)

  1. Miller WR, "Motivational enhancement therapy manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence", pp.1~9 (1995), DIANE Publishing
  2. 기선완, "알코올 의존에 대한 최근 정신사회 치료적 접근", 신경정신의학, 43(6), pp.646~651 (2004), 대한신경정신의학회
  3. Miller WR, "Motivational interviewing: preparing people to change addictive behavior" (1991), Guilford Press
  4. Prochaska JO, "Treating addictive behaviors:processes of change", pp.3~27 (1986), Springer
  5. Bandura A, "Self-efficacy mechanism in human agency", Am Psychol, 37, pp.122~147 (1982)
  6. McHugh RK, "Cognitive behavioral therapy for substance use disorders", Psychiatr Clin North Am, 33, pp.511~525 (2010)
  7. Carroll KM, "Choosing a behavioral therapy platform for pharmacotherapy of substance users", Drug Alcohol Depend, 75, pp.123~134 (2004)
  8. Magill M, "Cognitive-behavioral treatment with adult alcohol and illicit drug users : a meta-analysis of randomized controlled trials", J Stud Alcohol Drugs, 70, pp.516~527 (2009)
  9. Carroll KM, "Cognitive behavioral interventions for alcohol and drug use disorders : through the stage model and back again", Psychol Addict Behav, 31, pp.847~861 (2017)
  10. Carroll KM, "One-year follow-up of disulfiram and psychotherapy for cocaine-alcohol users : sustained effects of treatment", Addiction, 95, pp.1335~1349 (2000)
  11. Carroll KM, "Efficacy of disulfiram and cognitive behavior therapy in cocainedependent outpatients : a randomized placebo-controlled trial", Arch Gen Psychiatry, 61, pp.264~272 (2004)
  12. Wenzel A, "Cognitive behavioral therapy for depression in veterans and military servicemembers: therapist manual", U.S. Department of Veterans Affairs, 7~ (2011)
  13. DeMarce JM, "Cognitive behavioral therapy for substance use disorders among veterans: therapist manual", U.S. Department of Veterans Affairs, ~ (2014)
  14. Wright FD, "Cognitive therapy of substance abuse : theoretical rationale", NIDA Res Monogr, 137, pp.123~146 (1993)
  15. Dattilio FM, "Collaboration in cognitive-behavioral therapy", J Clin Psychol, 68, pp.146~158 (2012)
  16. Miller WR, "Inpatient alcoholism treatment. Who benefits?", Am Psychol, 41, pp.794~805 (1986)
  17. Otto MW, "Attending to emotional cues for drug abuse : bridging the gap between clinic and home behaviors", Sci Pract Perspect, 3, pp.48~56 (2007)
  18. Bigelow, GE, "Motivating behavior change among illicit-drug abusers: research on contingency management interventions", pp.15~31 (1999), American Psychological Association
  19. Monti PM, "Naltrexone and cue exposure with coping and communication skills training for alcoholics : treatment process and 1-year outcomes", Alcohol Clin Exp Res, 25, pp.1634~1647 (2001)
  20. Rohsenow DJ, "Cue exposure with coping skills training and communication skills training for alcohol dependence : 6-and 12-month outcomes", Addiction, 96, pp.1161~1174 (2001)
  21. Otto MW, "Internal cue exposure and the treatment of substance use disorders : lessons from the treatment of panic disorder", J Anxiety Disord, 18, pp.69~87 (2004)
  22. Zvolensky MJ, "Interoceptive exposure-based cessation intervention for smokers high in anxiety sensitivity : a case series", J Cogn Psychother, 22, pp.346~365 (2008)
  23. Reynolds B, "A review of delay-discounting research with humans : relations to drug use and gambling", Behav Pharmacol, 17, pp.651~667 (2006)
  24. Hayes SC, "Process based CBT: the science and core clinical competencies of cognitive behavioral therapy" (2018), Context Press
  25. Hayes SC, "A practical guide to acceptance and commitment therapy" (2004), Springer
  26. Hayes SC, "Acceptance and commitment therapy: the process and practice of mindful change" (2011), Guilford Press
  27. Byrne SP, "Systematic reviews of mindfulness and acceptance and commitment therapy for alcohol use disorder : should we be using third wave therapies", Alcohol Alcohol, 54, pp.159~166 (2019)
  28. Na E, "Acceptance and commitment therapy", J Med Life Sci, 15, pp.51~55 (2018)
  29. The survey of mental disorders in Korea, "The Ministry of Health and Welfare", The Ministry of Health and Welfare, ~ (2017)

관련 논문AI추천

이 간행물의 다른 논문 (13건)