본문 바로가기
KERD
논문KCI 등재

정신건강의학과 외래에서 알코올사용장애 환자 치료

Treatment of the Alcohol Use Disorder at Outpatient Psychiatric Clinic

2

조회

0

다운로드

7

인용

0

참고문헌

주제분류정신과학

초록

Alcohol use disorder is a kind of chronic illness that is difficult to treat. The disorder often recurs easily and patients visit the outpatient clinic while intoxicated. Therefore, is often too difficult to treat all people of concern, i.e., the caregiver, patient, and doctor, due to the frequent helpless and hopeless relapse. If the patient has severe withdrawal symptoms or poor physical condition, it is very difficult to maintain treatment at an outpatient clinic. On the other hand, many patients abstain or reduce drinking and go on to live a sober life by outpatient-based management. In addition, psychosocial treatment techniques and efficient medications are available at the level of a psychiatric outpatient clinic. Under the scope and limitations of outpatient-based approaches, patients with alcohol use disorder can develop a new life called ‘recovery’ with the help of psychiatrists, by the way of motivating changes, correcting cognitive errors, establishing effective coping skills, utilizing external resources actively, and facilitating healthy roles with their families.

Abstract

Alcohol use disorder is a kind of chronic illness that is difficult to treat. The disorder often recurs easily and patients visit the outpatient clinic while intoxicated. Therefore, is often too difficult to treat all people of concern, i.e., the caregiver, patient, and doctor, due to the frequent helpless and hopeless relapse. If the patient has severe withdrawal symptoms or poor physical condition, it is very difficult to maintain treatment at an outpatient clinic. On the other hand, many patients abstain or reduce drinking and go on to live a sober life by outpatient-based management. In addition, psychosocial treatment techniques and efficient medications are available at the level of a psychiatric outpatient clinic. Under the scope and limitations of outpatient-based approaches, patients with alcohol use disorder can develop a new life called ‘recovery’ with the help of psychiatrists, by the way of motivating changes, correcting cognitive errors, establishing effective coping skills, utilizing external resources actively, and facilitating healthy roles with their families.

참고문헌 (41)

  1. "The most frequent mental disorders by age groups" (2018)[URL]
  2. National Mental Health Statistics_pilot study, "National Center for Mental Health", National Center for Mental Health, ~ (2018)
  3. The survey of mental disorders in Korea, "The Ministry of Health and Welfare", The Ministry of Health and Welfare, ~ (2017)
  4. Fiore MC, "Treating tobacco use and dependence: clinical practice guideline" (2000), US Dept of Health and Human Services, Public Health Service
  5. Anderson P, "Managing alcohol use disorder in primary health care", Curr Psychiatry Rep, 19, pp.79~ (2017)
  6. Kim HS, "Study for characteristics of alcohol dependence patients using DrInC scale", J Korean Acad Addict Psychiatry, 4, pp.108~122 (2000)
  7. Korea Health Promotion Institute, "Health promotion statistics year book" (2017), Korea Health Promotion Institute
  8. Babor TF, "The alcohol use disorders identification test: guidelines for use in primary care" (2001), World Health Organization
  9. Willenbring ML, "Helping patients who drink too much : an evidence-based guide for primary care clinicians", Am Fam Physician, 80, pp.44~50 (2009)
  10. Ministry of Health and Welfare, "Guideline development of prevention and brief intervention for 4 major addiction problems", The Catholic University of Korea Industry-Academic Cooperation Foundation, ~ (2013)
  11. Bradley KA, "AUDIT-C as a brief screen for alcohol misuse in primary care", Alcohol Clin Exp Res, 31, pp.1208~1217 (2007)
  12. Sobell LC, "Measuring alcohol consumption", pp.41~72 (1992), Humana Press
  13. Kim JS, "Assessing the insight status using HAIS(Hanil Alcohol Insight Scale), a new devised scale for qualitative and quantitative evaluation of insight in alcohol dependents", J Korean Acad Addict Psychiatry, 2, pp.126~133 (1998)
  14. Marshall EJ, "The treatment of drinking problems: a guide to the helping professions", pp.50~72 (2010), Cambridge University Press
  15. Korean Academy of Addiction Psychiatry, "Alcohol use disorder. In: Addiction treatment guidelines series", Korean Academy of Addiction Psychiatry, ~ (2011)
  16. Emmelkamp PMG, "Evidence-based treatment for alcohol and drug abuse" (2006), Routledge
  17. Bujarski S, "The effects of drinking goal on treatment outcome for alcoholism", J Consult Clin Psychol, 81, pp.13~22 (2013)
  18. Namgung K, "You can treat the patients with alcohol dependence" (2001), Chungnyun Euisa
  19. Mattson M, "Project MATCH : rationale and methods for a multisite clinical trial matching patients to alcoholism treatment", Alcohol Clin Exp Res, 17, pp.1130~1145 (1993)
  20. Miller WR, "Motivational interviewing: Preparing people to change addictive behavior" (1991), Guilford Press
  21. DiClemente CC, "Stages of change profiles in outpatient alcoholism treatment", J Subst Abuse, 2, pp.217~235 (1990)
  22. 오승헌, "한국형 중독 치료지침서(Ⅲ) : 알코올 사용장애의 정신사회 치료", 신경정신의학, 53(4), pp.221~227 (2014), 대한신경정신의학회[DOI]
  23. National Institute for Health and Clinical Excellence, "Alcohol use disorders:the NICE Guideline on the diagnosis, assessment and management of harmful drinking and alcohol dependence (national clinical practice guideline)" (2011), Royal College of Psychiatrists Publications
  24. National Alcohol Strategy. The treatment of alcohol problems: a review of the evidence, , Department of Health and Ageing &National Alcohol Strategy, ~ (2003)
  25. American Psychiatric Association, "Practice guideline for the treatment of patients with substance use disorders: alcohol, cocaine, opioids", Am J Psychiatry, 152, pp.1~59 (1995), American Psychiatric Association
  26. Beck AT, "Cognitive therapy of substance abuse" (1993), Guilford Press
  27. Anton RF, "Combined pharmacotherapies and behavioral interventions for alcohol dependence : the COMBINE study : a randomized controlled trial", JAMA, 295, pp.2003~2017 (2006)
  28. Nowinski J, "Twelve step facilitation therapy manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence", US Department of Health and Human Services, ~ (1992)
  29. American Psychiatric Association, "The American Psychiatric Association practice guideline for the pharmacological treatment of patients with alcohol use disorder" (2018), American Psychiatric Association Publishing
  30. "Alcohol-use disorder" (2018)[URL]
  31. Jonas DE, "Pharmacotherapy for adults with alcohol use disorders in outpatient settings : a systematic review and meta-analysis", JAMA, 311, pp.1889~1900 (2014)
  32. Maisel NC, "Meta-analysis of naltrexone and acamprosate for treating alcohol use disorders : when are these medications most helpful", Addiction, 108, pp.275~293 (2013)
  33. Rösner S, "Acamprosate supports abstinence, naltrexone prevents excessive drinking : evidence from a metaanalysis with unreported outcomes", J Psychopharmacol, 22, pp.11~23 (2008)
  34. Ragia G, "Pharmacogenomics of alcohol addiction : personalizing pharmacologic treatment of alcohol dependence", Hospital Pharmacology, 1, pp.147~167 (2014)
  35. Jeong JY, "Comparisons of naltrexone and acamprosate’s medication compliance for 12 months in patients with alcohol dependence", J Korean Acad Addict Psychiatry, 15, pp.58~64 (2011)
  36. Thase ME, "Comorbid alcoholism and depression : treatment issues", J Clin Psychiatry, 62(Suppl 20), pp.32~41 (2001)
  37. 강철중, "24주간 추적하는 임상 연구에서 한국인 남자 알코올 의존 환자의 비재발률", 신경정신의학, 45(1), pp.42~48 (2006), 대한신경정신의학회
  38. Miller M, "Learning to live again: a guide for recovery from chemical dependency (updated and revised)" (1992), Herald Pub House
  39. Douaihy A, "The ASAM principles of addiction medicine", pp.991~1007 (2014), Wolters Kluwer Health
  40. Yoon MS, "Comprehensive textbook of addiction", pp.259~305 (2011), Hakji Press
  41. Dasarang Addiction Research Institute, "Recovery class for the alcoholics and their family", pp.61~76 (2007), Hana Medical Book

관련 논문AI추천

이 간행물의 다른 논문 (13건)