본문 바로가기
KERD
논문KCI 등재

마약중독의 근거기반치료

Evidence-Based Treatments of Drug Addiction

김주은
한국임상심리학회 (Korean Clinical Psychology Association)|2020.05|Korean Journal of Clinical Psychology|제39권 제2호|pp. 186-201|DOI http://doi.org/10.15842/KJCP.PUB.39.2.186

0

조회

0

다운로드

16

인용

0

참고문헌

키워드

근거기반치료evidence-based treatment마약중독drugaddiction
주제분류심리과학

초록

한국에서의 불법 마약사용이 점점 더 심각한 문제로 대두되고 있기에, 마약중독 심리치료법에 대한 효과성을 검증할 필요가 있다. 이 연구의 목적은 국외와 국내의 근거기반 마약중독치료를 개관하는데 있다. 미국에서 시행된 메타분석 연구와, 한국에서 시행된 메타분석 연구가 없는 관계로 한국에서의 개별연구들을 개관하였다. 메타분석 연구들은 인지행동치료, 동기강화상담, 공동체 강화접근, 유관관리가 마약중독에 효과가 있다고 보고하고 있다. 효과성은 마약의 종류별로 상이한데, 대마사용장애에는 인지행동치료와 동기강화상담이, 자극제 사용장애에는 인지행동치료, 공동체 강화접근, 유관관리가 효과가 있는 것으로 나타났다. 국내에서는 주로 명상, 자기초월, 치료공동체등의문화적특성을고려한프로그램이시행되었다. 마지막으로 현재 연구들의 제한점 및 앞으로의 연구들에 대한 권고를 제시하였다.

Abstract

Illegal drug addiction is more pervasive than has been recognized in Korea, and the efficacy of psychological treatments needs to be examined. The aim of this study was to review evidence-based treatments of drug addiction in the United States and Korea. Meta-analyses conducted in the United States and individual studies conducted in Korea (where a meta-analysis has not been conducted) were reviewed. The results of meta-analyses showed that cognitive behavior therapy (CBT), motiva￾tional interviewing (MI), community reinforcement approach (CRA), and contingency management (CM) were effective in treating drug addiction. The efficacy differed depending on the respective substances: CBT and MI were effective for canna￾bis use disorder, while CBT, CRA, and CM were effective for stimulant use disorder. In Korean studies, culture-bound and diverse programs, including meditation, self-transcendence, and therapeutic community programs, have been conducted. The limitations of the current studies and recommendations for future studies are discussed.

참고문헌 (59)

  1. Andrews, J., "GRADE guidelines: 14. Going from evidence to recommendations: The significance and presentation of recommendations", Journal of Clinical Epidemiology, 66, pp.719~725 (2013)
  2. Bao, Y., "A meta-analysis of retention in methadone maintenance by dose and dosing strategy", American Journal of Drug & Alcohol Abuse, 35, pp.28~33 (2009)
  3. Benishek, L. A., "Prize-based contingency management for the treatment of substance abusers : A meta-analysis", Addiction, 109, pp.1426~1436 (2014)
  4. Carpenter, K. M., "A preliminary trial : Double-blind comparison of nefazodone, bupropion-SR, and placebo in the treatment of cannabis dependence", American Journal on Addictions, 18, pp.53~64 (2009)
  5. Carroll, K. M., "Efficacy of disulfiram and cognitive behavior therapy in cocaine-dependent outpatients : A randomized placebo-controlled trial", Archives of General Psychiatry, 61, pp.264~272 (2004)
  6. Carroll, K. M., "One-year follow-up of psychotherapy and pharmacotherapy for cocaine dependence : Delayed emergence of psychotherapy effects", Archives of General Psychiatry, 51, pp.989~997 (1994)
  7. Chang, J. K., "A study on effectiveness of the relapse prevention program for adult substances abusers", Journal of Korean Home Management Association, 19, pp.33~52 (2001)
  8. 조중현, "마음챙김 기반 인지치료(MBCT) 프로그램이 마약류 중독자의 우울, 충동성 및 단약 자기효능감에 미치는 효과", Korean Journal of Clinical Psychology, 32(1), pp.13~31 (2013), 한국임상심리학회[DOI]
  9. Cohen, J., "The earth is round (p. 05)", American Psychologist, 49, pp.997~1003 (1994)[DOI]
  10. Compton, D. R., "Pharmacological aspects of drug dependence: Toward an integrated neurobehavioral approach", pp.83~158 (1996), Springer-Verlag
  11. De Crescenzo, F., "Comparative efficacy and acceptability of psychosocial interventions for individuals with cocaine and amphetamine addiction: A systematic review and network meta-analysis", PLoS Medicine, 15, pp.e1002715~ (2018)
  12. Davis, M. L., "Behavioral therapies for treatmentseeking cannabis users : A meta-analysis of randomized controlled trials", Evaluation & The Health Professions, 38, pp.94~114 (2015)
  13. Dutra, L., "A meta-analytic review of psychosocial interventions for substance use disorders", The American Journal of Psychiatry, 165, pp.179~187 (2008)
  14. Fareed, A., "Effect of buprenorphine dose on treatment outcome", Journal of Addictive Diseases, 31, pp.8~18 (2012)
  15. Finney, J. W., "The cost-effectiveness of treatment for alcoholism : A second approximation", Journal of Studies on Alcohol, 57, pp.229~243 (1996)
  16. Gowing, L., "Buprenorphine for the management of opioid withdrawal", Cochrane Database of Systematic Reviews (2009)[DOI]
  17. Higgins, S. T., "Achieving cocaine abstinence with a behavioral approach", American Journal of Psychiatry, 150, pp.763~769 (1993)
  18. Higgins, S. T., "A behavioral approach to achieving initial cocaine abstinence", American Journal of Psychiatry, 148, pp.1218~1224 (1991)
  19. Hjorthoj, C. R., "Intervention efficacy in trials targeting cannabis use disorders in patients with comorbid psychosis systematic review and metaanalysis", Current Pharmaceutical Design, 20, pp.2205~2211 (2014)
  20. Holder, H., "The cost-effectiveness of treatment for alcoholism-A 1st approximation", Journal of Studies on Alcohol, 52, pp.517~540 (1991)
  21. Jones, R. T., "National Institute of Drug Abuse Research Monograph No. 31 Marijuana Research Findings: 1980", pp.54~80 (1980), U.S. Government Printing Office
  22. 강선경, "藥物中毒再活을 위한 프로그램이 마약관련 在所者들에게 미치는 영향에 대한 연구", 교정연구, 21, pp.85~115 (2003), 한국교정학회
  23. 인현정, "약물남용자의 자기노출이 부적 정서와 신체병리 경험 및 약물에 대한 태도에 미치는 효과", 한국심리학회지: 건강, 7(1), pp.111~124 (2002), 한국건강심리학회
  24. 김연실, "약물중독자를 위한 자기초월증진 프로그램의 효과:혼합설계연구 적용", 정신간호학회지, 26(1), pp.1~13 (2017), 한국정신간호학회
  25. Kim, Y. J., "A study on the effectiveness of short-term group activity pro for relapse prevention of substance abusers", Mental Health & Social Work, 9, pp.25~53 (2000)
  27. 이문숙, "치료레크리에이션 활동이 약물남용 감호대상자의 자아존중감에 미치는 영향", 한국체육학회지, 45(6), pp.231~242 (2006), 한국체육학회
  28. Lee, Y. S., "The effect of life skill training program for the drug abusing delinquent adolescents", The Korean Journal of Counseling and Psychotherapy, 13, pp.161~185 (2001)
  29. Li, L., "Effectiveness of motivational interviewing to reduce illicit drug use in adolescents : A systematic review and meta-analysis", Addiction, 111, pp.795~805 (2016)
  30. Ling, W., "Comparison of behavioral treatment conditions in buprenorphine maintenance", Addiction, 108, pp.1788~1798 (2013)
  31. Lundahl, B. W., "A meta-analysis of motivational interviewing : Twenty-five years of empirical studies", Research on Social Work Practice, 20, pp.137~160 (2010)
  32. Lussier, J. P., "A meta-analysis of voucher-based reinforcement therapy for substance use disorders", Addiction, 101, pp.192~203 (2006)
  33. Magill, M., "Cognitive-behavioral treatment with adult alcohol and illicit drug users : A meta-analysis of randomized controlled trials", Journal of Studies on Alcohol and Drugs, 70, pp.516~527 (2009)
  34. Mattick, R. P., "Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence", Cochrane Database of Systematic Reviews (2009)[DOI]
  35. McDonell, M. G., "Randomized controlled trial of contingency management for stimulant use in community mental health patients with serious mental illness", American Journal of Psychiatry, 170, pp.94~101 (2013)
  36. McRae-Clark, A. L., "A placebo-controlled trial of buspirone for the treatment of marijuana dependence", Drug and Alcohol Dependence, 105, pp.132~138 (2009)
  37. Meyers, R. J., "Clinical guide to alcohol treatment:The community reinforcement approach" (1995), Guilford Press
  38. Miller, W. R., "Applied Clinical Psychology. Treating addictive behaviors", pp.203~216 (1998), Plenum Press
  39. Miller, W. R., "Handbook of alcoholism treatment approaches: Effective alternatives", pp.13~63 (2003), Allyn & Bacon
  40. Moore, T. H., "Cannabis use and risk of psychotic or affective mental health outcomes : A systematic review", The Lancet, 370, pp.319~328 (2007)
  41. 박성수, "마약류 등 유해약물의 사회적 비용 분석", 치안정책연구, 32(3), pp.217~254 (2018), 치안정책연구소[DOI]
  42. 박성수, "마약류 범죄의 암수율 측정에 관한 질적 연구", 한국경찰연구, 18(1), pp.151~170 (2019), 한국경찰연구학회[DOI]
  43. 박상규, "마약류 중독자를 위한 자기사랑하기 프로그램의 개발 및 효과", Korean Journal of Clinical Psychology, 21(4), pp.693~703 (2002), 한국임상심리학회
  44. The Queensland drug court: a recidivism study of the first 100 graduates, "Payne, J.", ~, pp.Research and Public Policy Series Report No. 83 (2008)
  45. Perez-Mana, C., "Efficacy of indirect dopamine agonists for psychostimulant dependence : A systematic review and meta-analysis of randomized controlled trials", Journal of Substance Abuse Treatment, 40, pp.109~122 (2011)
  46. Prendergast, M. L., "The effectiveness of drug abuse treatment : A meta-analysis of comparison group studies", Drug and Alcohol Dependence, 67, pp.53~72 (2002)
  47. Prendergast, M., "Contingency management for treatment of substance use disorders : A meta-analysis", Addiction, 101, pp.1546~1560 (2006)
  48. Reif, S., "Residential treatment for individuals with substance use disorders : Assessing the evidence", Psychiatric Services, 65, pp.301~312 (2014)
  49. Roll, J. M., "Contingency management for the treatment of methamphetamine use disorders", American Journal of Psychiatry, 163, pp.1993~1999 (2006)
  50. Roozen, H. G., "Community reinforcement and family training : An effective option to engage treatment-resistant substance-abusing individuals in treatment", Addiction, 105, pp.1729~1738 (2010)
  51. Sayegh, C. S., "Follow-up treatment effects of contingency management and motivational interviewing on substance use : A meta-analysis", Psychology of Addictive Behaviors, 31, pp.403~414 (2017)
  52. Smith, N. T., "A review of the published literature into cannabis withdrawal symptoms in human users", Addiction, 97, pp.621~632 (2002)
  53. Smout, M. F., "Psychosocial treatment for methamphetamine use disorders : A preliminary randomized controlled trial of cognitive behavior therapy and acceptance and commitment therapy", Substance Abuse, 31, pp.98~107 (2010)
  54. 2009 Drug Crime Report, "Supreme Prosecutors’ Office", Prosecution Service, ~, pp.Government Publications Registration No. 11-1280000-000045-10 (2010)
  55. 2018 Drug Crime Report, "Supreme Prosecutors’ Office", Prosecution Service, ~, pp.Government Publications Registration No. 11-1280000-000045-10 (2019)
  56. The current status of drug abuse and policies to solve the problems, "The Korean Academic of Science and Technology (KAST)", KAIST, ~, pp.The Korean Academy of Science and Technology Research Report 126 (2019)
  57. "VA/DOD clinical practice guideline for the management of substance use disorders (guideline version 3.0)" (2015)[URL]
  58. 윤혜진, "집중명상(Samatha) 프로그램이 마약중독자의 갈망, 자아존중감 및 단약자기효능감에 미치는 효과", 불교학보, (75), pp.285~313 (2016), 불교문화연구원[DOI]
  59. Zgierska, A., "Mindfulness meditation for substance use disorders : A systematic review", Substance Abuse, 30, pp.266~294 (2009)

관련 논문AI추천

근거중심 치료법: 알코올 사용장애와 문제성 도박전영민한국건강심리학회 · 한국심리학회지: 건강2009 · 제14권 제2호마음챙김 기반 인지치료(MBCT) 프로그램이 마약류 중독자의 우울, 충동성 및 단약 자기효능감에 미치는 효과손정락, 조중현한국임상심리학회 · Korean Journal of Clinical Psychology2013 · 제32권 제1호한국형 중독 치료지침서(Ⅲ) : 알코올 사용장애의 정신사회 치료김현수, 서정석, 오승헌, 윤홍균, 이계성, 이보혜, 이해국, 조근호, 최삼욱, 한창우대한신경정신의학회 · 신경정신의학2014 · 제53권 제4호藥物中毒再活을 위한 프로그램이 마약관련 在所者들에게 미치는 영향에 대한 연구강선경, 윤현준한국교정학회 · 교정연구2003 · 제21권 마약류 중독 치료에 있어서의 동양적 수행법의 활용박상규한국건강심리학회 · 한국심리학회지: 건강2007 · 제12권 제4호청소년의 물질 남용 재활을 위한 심리 및 예술집단치료프로그램 연구 동향 분석 : 국내 논문을 중심으로곽민정, 조빛나(사)한국예술치료학회 · 한국예술치료학회지2024 · 제24권 제2호

이 간행물의 다른 논문 (7건)

긍정적 자서전적 기억 회상이 우울집단의 슬픈 기분 개선에 미치는 효과임지혜, 이혜진pp. 87-97우울경향 대학생에 대한 인지적 탈융합 개입의 효과: 주의분산 개입 및 무처치 통제조건과의 비교한아람, 조용래pp. 98-110한국어판 벡자살사고척도의 신뢰도 및 타당도 연구: 일반 성인 집단을 대상으로홍상황, 이은호, 김지혜, 황순택, 최영환pp. 111-123The Effects of Cognitive Load on Craving Triggered by Food Cues in External Eaters김기호, 박미영, 이장한, 백송이pp. 124-133대학생의 아동기 ADHD의 지속 및 감소와 성인기 ADHD의 발현에 따른 유병률과 부적응: 실행기능 결함, 심리적 부적응 및 대인관계 문제를 중심으로김선주, 하은혜pp. 134-147
원문 보기