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범죄 이력 여부에 따른 알코올 사용 장애 환자의 음주 특성, 정서적 특성 및 특성간 상관관계의 비교

A Comparison of Drinking, Emotional Characteristics and Their Correlations between Patients with Alcohol Use Disorder with and without Criminal Record

박현우|김세훈|박영민|정재웅|변원탄|주새한|정현수|김휘곤
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2021.10|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제27권 제3호|pp. 163-172|DOI 10.22802/jksbtp.2021.27.3.163

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참고문헌

키워드

Motivation우울Depression불안Anxiety범죄자Alcoholism알코올 사용 장애변화 동기Criminals
주제분류정신과학

초록

Objectives：In this study, socio-demographic, drinking and emotional characteristics, and their correlations were compared among patients with alcohol use disorder (AUD) according to the presence or absence of any type of criminal record. Methods：Among patients admitted to the hospital with AUD, 27 with and 31 without criminal records were included. Socio-demographic data and drinking characteristics such as first drinking age, average daily alcohol consumption were collected. In addition, the severity of alcohol problems, the degree of change readiness for drinking alcohol, depressive symptoms, anxiety symptoms, and impulsivity were evaluated using scales and statistically analyzed. Pearson’s correlation test was applied to reveal the differences in correlation of the characteristics according to the presence or absence of criminal records. Results：The first drinking age was significantly earlier in the AUD group with criminal records. Interestingly, the degree of change readiness regarding alcohol problem as shown in SOCRATES-K was significantly higher in the AUD group with criminal records. Anxiety symptoms were statistically significantly higher in the AUD group with criminal records. In AUD with criminal records, first drinking age negatively correlated with the degree of change readiness. In AUD without criminal records, first drinking age correlated negatively with the severity of alcohol problem, and the degree of change readiness, and the degree of change readiness negatively with age, and the degree of change readiness positively with the severity of alcohol problem. In Both groups, anxiety symptoms positively correlated with depressive symptoms. Conclusions：This study showed that AUD patients with criminal record had a faster first drinking age and the higher degree of change readiness regarding alcohol problem. Significantly higher symptoms of anxiety were also presented in AUD patients with criminal record than AUD patients who have no criminal records. Some differences were identified in correlations among characteristics between the two groups.

Abstract

Objectives：In this study, socio-demographic, drinking and emotional characteristics, and their correlations were compared among patients with alcohol use disorder (AUD) according to the presence or absence of any type of criminal record. Methods：Among patients admitted to the hospital with AUD, 27 with and 31 without criminal records were included. Socio-demographic data and drinking characteristics such as first drinking age, average daily alcohol consumption were collected. In addition, the severity of alcohol problems, the degree of change readiness for drinking alcohol, depressive symptoms, anxiety symptoms, and impulsivity were evaluated using scales and statistically analyzed. Pearson’s correlation test was applied to reveal the differences in correlation of the characteristics according to the presence or absence of criminal records. Results：The first drinking age was significantly earlier in the AUD group with criminal records. Interestingly, the degree of change readiness regarding alcohol problem as shown in SOCRATES-K was significantly higher in the AUD group with criminal records. Anxiety symptoms were statistically significantly higher in the AUD group with criminal records. In AUD with criminal records, first drinking age negatively correlated with the degree of change readiness. In AUD without criminal records, first drinking age correlated negatively with the severity of alcohol problem, and the degree of change readiness, and the degree of change readiness negatively with age, and the degree of change readiness positively with the severity of alcohol problem. In Both groups, anxiety symptoms positively correlated with depressive symptoms. Conclusions：This study showed that AUD patients with criminal record had a faster first drinking age and the higher degree of change readiness regarding alcohol problem. Significantly higher symptoms of anxiety were also presented in AUD patients with criminal record than AUD patients who have no criminal records. Some differences were identified in correlations among characteristics between the two groups.

참고문헌 (45)

  1. Oh S, "Driving Under the Influence of Alcohol:Findings from the NSDUH, 2002-2017", Addict Behav, 108, pp.106439~ (2020)
  2. Fergusson DM, "Alcohol abuse and crime : a fixed-effects regression analysis", Addiction, 95, pp.525~1536 (2000)
  3. Prosecution Service, "A nalytic statistics on c rime", 3~40
  4. Abracen J, "Alcohol and drug abuse in sexual and nonsexual violent offenders", Sex Abuse, 12, pp.263~274 (2000)
  5. 신경백, "국내 성폭력 가해자의 정신의학적, 심리학적 특성", 신경정신의학, 51(4), pp.170~177 (2012), 대한신경정신의학회
  6. 김지선, "보호관찰대상자의 정신건강 및 음주 관련 요인이 재범에 미치는 영향", 정신건강과 사회복지, 43(3), pp.35~57 (2015), 한국정신건강사회복지학회
  7. Molero Y, "Medications for alcohol and opioid use disorders and risk of suicidal behavior, accidental overdoses, and crime", Am J Psychiatry, 175, pp.970~978 (2018)
  8. Kim JS, "Screening criteria of alcoholism by alcohol use disorders identification test(AUDIT)in Korea", Korean J Fam Med, 20, pp.1152~1159 (1999)
  9. Miller WR, "Assessing drinkers’ motivation for change : The Stages of Change Readiness and Treatment Eagerness Scale(SDCRATES)", Psychol Addict Behav, 10, pp.81~89 (1996)
  10. 전영민, "알코올 의존자의 변화동기 평가: 변화단계척도(SOCRATES-K) 개발연구", Korean Journal of Clinical Psychology, 24(1), pp.207~224 (2005), 한국임상심리학회
  11. 전영민, "자발적으로 입원한 알코올 의존자의 변화동기 하위유형", Korean Journal of Clinical Psychology, 24(2), pp.311~326 (2005), 한국임상심리학회
  12. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.53~63 (1961)
  13. Lee M, "A standardization study of beck depression inventory(I) : Korean version(K-BDI) : reliability land factor analysis", Korean J Psychopathol, 4, pp.77~95 (1995)
  14. Beck AT, "An inventory for measuring clinical anxiety", Psychometric Properties, J Consult Clin Psychol, 56, pp.893~897 (1988)
  15. Yook SP, "A clinical study on the Korean version of Beck Anxiety Inventory : comparative study of patient and non-patient", Kor J Clin Psychol, 16, pp.185~197 (1997)
  16. Patton JH, "Factor structure of the Barratt impulsiveness scale", J Clin Psychol, 51, pp.768~774 (1995)
  17. 허심양, "한국판 Barratt 충동성 검사-11의 신뢰도 및 타당도 연구", 한국심리학회지:일반, 31(3), pp.769~782 (2012), 한국심리학회
  18. Lee HS., "Impulsiveness Scale" (1992), Korea Guidance
  19. Lee CT, "Alcohol Dependence and Psychopathologies in Criminals", Journal of Korean Academy of Addiction Psychiatry, 5, pp.120~127 (2001)
  20. Statistics Korea, "Domestic Status, Social Survey", Drinking and Drinking Frequency, ~ (2018)
  21. Lorraine M, "Epidemiology of alcohol consumption", Alcohol Health Res World, 16, pp.183~190 (1992)
  22. 천은진, "알코올 사용 장애 환자에서 알코올 사용의 심각도에 따른 불안 및 우울 증상과의 연관성", 생물치료정신의학, 17(2), pp.275~282 (2011), 대한생물치료정신의학회
  23. Kim SJ, "Association among severity of dependence, attachment style and alexithymia in alcohol dependent patients", J Korean Assoc Soc Psychiatry, 16, pp.74~79 (2011)
  24. Lee CT, "The frequency of alcohol dependence and psychopathologies in drunk drivers", Journal of Korean Academy of Addiction Psychiatry, 5, pp.128~134 (2001)
  25. Kerr DCR, "Intergenerational influences on early alcohol use, Independence from the problem behavior pathway", Dev Psychopathol, 24, pp.889~906 (2012)
  26. Marshall WL, "Handbook of sexual assault", pp.257~275 (1990), Springer
  27. Jeffrey A, "Alcohol and drug abuse in sexual and nonsexual violent offenders", Sexual Abuse, 12, pp.263~274 (2000)
  28. 정민철, "한국 성인 성범죄자의 개인 수준 심리적 특성 연구", 한국콘텐츠학회 논문지, 15(3), pp.88~100 (2015), 한국콘텐츠학회[DOI]
  29. 김은혜, "중독이 성범죄 재범에 미치는 영향에 관한 탐색연구", 정신건강과 사회복지, 42(1), pp.5~30 (2014), 한국정신건강사회복지학회
  30. Lundin A, "The Use of Alcohol Use Disorders Identification Test(AUDIT)in Detecting Alcohol Use Disorder and Risk Drinking in the General Population : Validation of AUDIT Using Schedules for Clinical Assessment in Neuropsychiatry", Alcohol Clin Exp Res, 39, pp.158~165 (2015)
  31. Sung SK, "A Study of Difference between Insight in Alcoholic Patients and Outpatient Alcoholic Patients", Journal of Korean Academy of Addiction Psychiatry, 7, pp.60~68 (2003)
  32. 원성두, "단주 환자와 입원 중인 알코올 의존 환자에서 단주에 영향을 미치는 요인들의 차이", 중독정신의학, 20(2), pp.88~94 (2016), 한국중독정신의학회
  33. A study on Cross Validation of SOCRATES-K, "Cho SM", Korean Alcohol Research Foundation, ~ (2009)
  34. 주현수, "음주심리와 정서상태가 알코올사용장애에 미치는 영향", 중독정신의학, 23(2), pp.76~81 (2019), 한국중독정신의학회[DOI]
  35. 장민호, "알코올 의존의 Lesch 유형학에 따른 음주 동기 비교", 중독정신의학, 23(2), pp.69~75 (2019), 한국중독정신의학회[DOI]
  36. Shechory M, "Aggression and anxiety in rapists and child molesters", Int J Offender Ther Comp Criminol, 49, pp.652~661 (2005)
  37. Lyn TS, "Attachment, anger and anxiety of male sexual offenders", Journal of Sexual Aggression. Int J Offender Ther Comp Criminol, 11, pp.127~137 (2005)
  38. Shim JO, "The effects of shame-proneness, guiltproneness and event attribution on depression", Korean Journal of Clinical Psychology, 19, pp.485~499 (2000)
  39. Woodruff RA Jr, "Alcoholism and depression", Arch Gen Psychiatry, 28, pp.97~100 (1973)
  40. 최재경, "알코올 의존 환자들의 충동성, 감각추구, 인지기능 및 상호 관련성", 생물치료정신의학, 18(2), pp.137~146 (2012), 대한생물치료정신의학회
  41. Dvorak RD, "Alcohol use and alcohol-related consequences : associations with emotion regulation difficulties", Am J Drug Alcohol Abuse, 40, pp.125~130 (2014)
  42. 이혜경, "알코올의존 입원환자의 사회심리적 스트레스와 충동성 및 불면증", Journal of The Korean Data Analysis Society, 20(3), pp.1551~1564 (2018), 한국자료분석학회[DOI]
  43. Czapla M, "Do alcohol-dependent patients show different neural activation during response inhibition than healthy controls in an alcohol-related fMRI go", no-go-task?, 2017, pp.234, 1001~1015
  44. Baltieri DA, "C omparing s erial a nd nonserial sexual offenders: alcohol and street drug consumption, impulsiveness and history of sexual abuse", Braz J Psychiatry, 30, pp.25~31 (2008)
  45. 조규철, "알코올 의존 환자의 병식 상태에 따른 선별 검사의 민감도", Korean Journal of Family Medicine, 31(7), pp.523~528 (2010), 대한가정의학회

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