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알코올 사용장애 환자의 자녀들에 대한 정신의학적 접근

Psychiatric Approach toward Children of Alcoholics(COAs)

천근아
대한신경정신의학회 (Korean Neuropsychiatric Association)|2004.11|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제43권 제6호|pp. 665-673

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참고문헌

키워드

COAs · 정신병리 · 위험요소 · 보호 요인 · 예방 및 개입.
주제분류정신과학

초록

Abstract

This article reviewed the literature covering the last 30 years on the psychopathology, variable risk factors and protective factors associated with children of alcoholics (COAs). COAs can present with externalizing problems, such as attention deficit hyperactivity (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD), and internalizing problems, such as depression and anxiety. COAs also can show with difficulties in intelligence, learning, language, and temperament. All COAs, however, are not associated with psychopathology and cognitive problems and future alcohol and substance related disorder. Although investigators agree that COAs are at higher risk for developing psychiatric illness and alcohol use disorders than children of non-alcoholics, problems with alcohol and psychopathology are not an inevitable consequence of COAs status. Recent research has identified numerous biological, psychological, and social factors associated with a family history of alcoholism that may play a role in determining COAs’ outcome. The risk factors and protective factors associated with COAs have been used as a foundation for preventive and treatment intervention. Researcher and clinician should understand how COAs cope to parental alcoholism. Program for COAs should include the basic components of information, problem- and emotion-focused coping skills, and social and emotional support. School setting are most common intervention sites, but family and broad-based community programs also have shown promise in COAs prevention. More rigorous studies are needed to understand better the complex ways children with parental alcoholism. (J Korean Neuropsychiatr Assoc 2004;43(6):665-673)

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관련 논문AI추천

알코올 사용 장애의 최신 지견남궁기대한신경정신의학회 · 신경정신의학2004 · 제43권 제6호알코올 중독자 자녀에 대한 개입 방안 고찰: 심리적 문제를 중심으로박미숙한국감성과학회 · 감성과학2022 · 제25권 제2호알코올 의존에 대한 최근 정신사회 치료적 접근기선완대한신경정신의학회 · 신경정신의학2004 · 제43권 제6호문제성음주자 가정에서 성장한 성인자녀의 아동기 역할유형이 ACOA성향에 미치는 영향박현선한국사회복지연구회 · 사회복지연구2003 · 제22권 알코올 사용 장애의 약물 치료남궁기대한신경정신의학회 · 신경정신의학2004 · 제43권 제6호알코올 사용 장애의 최신지견 : 여성 알코올 사용 장애의 특징 및 치료이은대한신경정신의학회 · 신경정신의학2004 · 제43권 제6호

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