사회적 문제해결에 따른 알코올 중독자의 유형분류
Subgrouping of Alcoholics by Social Problem Solving Inventory
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본 연구는 알코올 중독자들의 사회적 문제해결 능력 결함의 양상에 따라서 알코올 유형을 분류하고자 하였다. 분류를 위한 도구로 한국판 사회적 문제해결 척도(SPSI-R)을 사용하였으며 SPSI-R을 구성하는 5개의 하위 척도별 점수변화 양상을 기초로 232명의 알코올 중독자를 대상으로 위계적 군집분석이 실시되었다. 연구결과, 전반적 결함형(Type 1), 경미한 결함형(Type 2), 특정영역 결함형(Type 3)으로 분류하였다. 전반적 결함형은 5개의 하위 척도가 모두 떨어지는 형이고, 경미한 결함집단은 합리적 해결기술 척도가 약간 떨어지고, 특정영역 결함형은 긍정적 문제지향, 합리적 해결기술 척도가 떨어지는 형이다. 결론적으로, 알코올 중독자라 할지라도 유사한 특성을 가진 환자 집단이 분류됨을 확인하였고, 이러한 결과는 알코올 중독자들의 음주 문제를 해결하기 위해서 사회적 문제해결 훈련을 실시할 경우 각 유형에 맞추어 개입을 하는 것이 효과를 최대화시킬 수 있음을 암시한다. 그리고 본 연구의 제한점과 후속연구에 대한 시사점이 논의되었다.
Abstract
This study was to classify alcoholics into several subtypes, according to the deficit patterns in social problem-solving process. In study, using five subscale scores of SPSI-R for 232 alcoholic inpatients, the cluster analysis was performed to identify a small number of groups such that within-group differences were minimized with between-group differences maximized. As a result, three subgroups emerged, which included one group with global deficits(called type 1), another group with mild deficits(type 2), and the other group of focal deficits(type 3). The current findings suggest that benefits from social problem solving training are increased to the substantial amount when social problem solving program is customized specifically to patient characteristics by subgroups having different types of problem solving process deficits. The limitations and suggestions for future research were also discussed.
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