인지행동치료와 동기강화치료에 기반한 정신건강교육과 마음챙김 명상이 고위험 음주와 변화동기에 미치는 효과
Effect of Cognitive Behavioral and Motivational Enhancement Therapy Based Psychoeducation With Mindfulness Meditation on Hazardous Drinking and Motivation for Change
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Objectives: The aim of this study was to examine the effect of cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET) based psychoeducation with mindfulness meditation (PMM) on hazardous drinking (HD) and motivation for change. Methods: The participants were people who received order of lecture due to drunk driving. A total of 75 subjects participated in 6-session CBT/MET based PMM for 3 weeks as order of lecture program. Age, sex, and alcohol related problems (physical symptoms, occupational problem, economic difficulty, use of mental health service, and family conflict), HD, motivation for change and insight into HD, and depressive symptoms were assessed. Results: Compared with before the order of lecture program, the portion of those with HD significantly decreased (86.7% to 50.7%, p<0.001) whereas the portion of those at action stage of readiness to change significantly increased (18.7% to 40.0%, p=0.002) after its completion. On the other hand, although the severity of depressive symptoms significantly decreased, there were no significant differences in the portion of those with depressive symptoms and insight into HD between pre- and post-order of lecture program. In addition, those with HD reported more economic difficulty due to alcohol use significantly compared to those without HD before the program. Conclusions: This study demonstrated significant effects of CBT/MET based PMM on HD and motivation for change in drunk drivers. Our findings suggest that integrating approaches from CBT, MET, and mindfulness meditation can contribute to preventing and reducing HD.
Abstract
Objectives: The aim of this study was to examine the effect of cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET) based psychoeducation with mindfulness meditation (PMM) on hazardous drinking (HD) and motivation for change. Methods: The participants were people who received order of lecture due to drunk driving. A total of 75 subjects participated in 6-session CBT/MET based PMM for 3 weeks as order of lecture program. Age, sex, and alcohol related problems (physical symptoms, occupational problem, economic difficulty, use of mental health service, and family conflict), HD, motivation for change and insight into HD, and depressive symptoms were assessed. Results: Compared with before the order of lecture program, the portion of those with HD significantly decreased (86.7% to 50.7%, p<0.001) whereas the portion of those at action stage of readiness to change significantly increased (18.7% to 40.0%, p=0.002) after its completion. On the other hand, although the severity of depressive symptoms significantly decreased, there were no significant differences in the portion of those with depressive symptoms and insight into HD between pre- and post-order of lecture program. In addition, those with HD reported more economic difficulty due to alcohol use significantly compared to those without HD before the program. Conclusions: This study demonstrated significant effects of CBT/MET based PMM on HD and motivation for change in drunk drivers. Our findings suggest that integrating approaches from CBT, MET, and mindfulness meditation can contribute to preventing and reducing HD.
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