알코올의존 환자의 단주 관련 요인: 6개월 추적 연구
Factors Correlated with Abstinence in Alcoholics: A Six Month Follow-Up Study
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초록
본 연구의 목적은 전문병원에서 입원치료를 받은 알코올의존 환자의 6개월 단주율에 대해 조사하고, 단주 관련 요인을 찾아내는 것이다. 입원 치료 후 퇴원한 환자 191명을 대상으로 퇴원시 상태에 대해 조사하였으며, 6개월 추적 시점에서 단주 여부 및 단주 관련 요인을 조사하였다. 추적 6개월 시점에서의 단주율은 40.3%(N=77)였다. 퇴원시점에서 단주군과 재발군간에 유의한 집단차를 보인 요인은 퇴원 형태, 변화의 단계, 단주 욕구, 프로그램 완수, 가족의 태도였으며, 신체적 문제와 정신과적 문제는 유의한 집단차를 보이지 않았다. 6개월 추적 시점에서는 AA 및 치료자-개입 단주 모임 참여, 직업, 퇴원 후 가족의 태도, 그리고 퇴원 후 우울 또는 불안에서 유의한 집단차를 보였다. 6개월 단주를 예측하는 로지스틱 회귀분석 결과, 단주욕구, 프로그램 완수, 퇴원 후 가족의 태도, 퇴원 후 우울 또는 불안의 유무 등이 유의한 예측 요인으로 나타났다. 이러한 연구결과는 알코올의존 환자들의 재발 예방 및 회복을 위해 중점적으로 다루어야 할 치료적 접근 및 전략에 대해 시사한다.
Abstract
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.
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