마샬, 험프리, 볼 공저 『음주문제의 치료』

김한오(Hano Kim) 한국중독정신의학회 2012 중독정신의학 Vol.16 No.2

중독의 12단계 영적 치료

김한오(Hano Kim),박선희(Sun-Hee Park) 한국중독정신의학회 2013 중독정신의학 Vol.17 No.2

Objectives : Alcoholics Anonymous began in America 1935 and conceptualized their recovery principles as Twelve Steps. Twelve Step Program (TSP) uses spirituality for addiction treatment, which is a differential aspect to the other major addiction treatment tools such as pharmacotherapy, cognitive behavioral therapy and motivational interview. This study is to establish the concept of TSP as a spiritual treatment. Methods :A spiritual treatment is a treatment by God. Therefore the spiritual treatment must depend on the characteristics of God. God has characteristics of creativity, humility, and omnipresence. Thus, I tried to consider and explain TSP in the light of God’s three aspects. Results : First, TSP is ‘a treatment of God’s Power’ based on God’s creativity so that all the processes during treatment are guided under the trust in God. Second, TSP is ‘a treatment of resemblance to God’s humility’, where addicts reach humility from arrogance with the help of ‘the Reversed 12 Steps’. Third, TSP is ‘a holistic treatment’ based on God’s omnipresence, therefore, addicts can possibly restore all aspects of life. Conclusion : TSP is a spiritual treatment led by God and could be a useful treatment tool for addicts.

12단계 촉진치료 개괄

김한오(Hano Kim) 한국중독정신의학회 2016 중독정신의학 Vol.20 No.2

Since the emergence of Alcoholics Anonymous (A.A.) in 1935 and 12-step program in 1939, many addicts have been helped by attending the program. Some addicts, however, have resis-tance against attending A.A. meetings. Twelve Step Facilitation Therapy (TSF), developed through the Project MATCH Re-search in 1989, has helped the addicts overcome barriers to at-tend the meetings. Considering the effectiveness and worldwide use of TSF in treating addicts, several aspects of TSF were re-viewed in this study : 1) differences between TSF and A.A. 12-step program, 2) the effectiveness of TSF, 3) the roles and desired characteristics of TSF therapists, 4) the structure and contents of TSF, 5) a case of TSF group therapy, and 6) complementary re-lationship among 12-step program, Motivational Interviewing (Five Stages of Change), and Cognitive Behavioral Therapy. Clinicians are recommended to understand the importance and effectiveness of TSF and use it for treating addicts.

소아기 주의력결핍 과잉행동장애 양상이 성인기 알코올 사용장애에 미치는 영향

은태경(Tae-Kyung Eun),김한오(Hano Kim),박선희(Sunhee Park),임재영(Jae-Young Lim),정재경(Jae-Kyung Chung),김의중(Eui-Joong Kim),이규영(Kyu Young Lee),방수영(Soo-Young Bhang),이진경(Jin-Kyung Lee),주은정(Eun-Jeong Joo) 한국중독정신의학회 2017 중독정신의학 Vol.21 No.1

Objectives : To find a possible association between childhood Attention Deficit Hyperactivity Disorder (ADHD) features and adulthood alcohol use disorder, we investigated the scores of the Wender-Utah Rating Scale (WURS) in Korean male patients with alcohol use disorder. Methods : Seventy-one adult male patients with alcohol use disorder and 71 normal adult male controls were included in the study. The ADHD features of childhood were determined using the WURS. The total score and three Factor Sum Scores (Impulsivity score, Inattention score, Mood instability score) were analyzed. In addition, we investigated the scores of the Adult ADHD Self-Report Scale-V1.1 (ASRS) and clinical characteristics in association with childhood ADHD features. Results : Childhood ADHD and adulthood ADHD features were found 28.2% and 14.1% in the patient group, respectively. The WURS scores were significant-ly higher in the patient group, as compared to the control group. Familial loading of alcohol use disorder and depression, ASRS, education, occupational status, and previous suicidal attempts were associated with one or more Factor Sum Scores. Higher inattention score was associated with previous suicidal attempts in the patients group (p=0.038, OR=1.16). Conclusion : The study results indicated that childhood ADHD features are the risk factors of adulthood alcohol use disorder in the Korean male population. Especially, childhood inattention could be a significant risk factor for suicidal behavior in patients with alcohol use disorder.

알코올중독 입원 치료프로그램의 효과성에 관한 연구(I) - 병식의 변화와 만족도를 중심으로 -

성상경(Sang-Kyung Sung),이제정(Je-Jung Lee):김한오(Hano Kim):이규항(Kyu-Hang Lee) 한국중독정신의학회 2002 중독정신의학 Vol.6 No.1

The purpose of this study is to examine the clinical effectiveness of an inpatient alcohol treatment program by researching changes in patients’ insight throughout the treatment process and patients’ level of satisfaction within the program. 89 patients (81 male and 8 female patients) were chosen for this study, all of whom were diagnosed as alcohol-dependence according to the DSM-IV diagnostic criteria and participating the inpatient alcohol treatment program at the alcohol/drug abuse treatment center in Keyo hospital. The program’s effectiveness was evaluated by:1) assessing how Hanil Alcohol Insight Scale (hereinafter HAIS), National Alcoholism Scale Test (hereinaf- ter NAST), and the level of patients’ self-recognition changed after taking the course and 2) analyzing correlations between NAST and HAIS. The result showed significant difference in the patients’ average HAIS scores before and after the program: 6.4 at the time of admission, and 9.0 after the treatment process (p<0.001). We found that the patients’ NAST and HAIS scores are positively correlated. Also, patients’ satisfactory level with the treatment program’s general circumstance was higher than that with information service about the treatment process and rule application issues, and communication service like telephone use. In conclusion, our inpatient alcohol treatment program was found to be effective in terms of improving patients’ insight, and patients’ level of overall satisfaction with the treatment program was generally high. Further studies on correlations among other variables such as the independent program’s impact on each patient, level of the patient’s insight, and follow-up treatment results may be required.

한글판 ASSIST(Alcohol, Smoking & Substance Involvement Screening Test

신현주(Hyun Joo Shin),조근호(Geunho Cho),박애란(Ae-Ran Park),이상규(Sang-Kyu Lee),이해국(Hae-Kook Lee),김한오(Hano Kim),이계성(Kye-Seong Lee) 한국중독정신의학회 2014 중독정신의학 Vol.18 No.1

Objective : This study was performed to establish the reliability and validity of the Korean version of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Methods : This study included 342 adult male and female patients using alcohol or drug and controls. Through the assessment of the 50 patients who were recruited from alcohol consultation center, the evaluator was blind to the individual’s score each other and these data were used to evaluate interrater reliability. To evaluate the reliability and validity of Korean version ASSIST, we used a Fagerstrom test for nicotine dependence (FTND), a alcohol use disorder identification test (AUDIT), a drug abuse screening test (DAST) and compared the results with the ASSIST. Results : Korean version of ASSIST was calculated as valuable validity and reliability. That it, the construct validity of Korean version of ASSIST SSI score was as follows : smoking (0.81), alcohol (0.84), cannabinoids (0.75), cocaine (0.96), amphetamine (0.95), inhalant (0.96), sedative (0.91), hallucinogen (0.63), opioids (0.60), others (0.39). Reliability and validity were shown in all drugs with statistical significance. The cut-off values for screening substances with ASSIST were as follows : in smoking, the cut-off value to divide low risk and moderate is 22.5 and the value to divide moderate risk to high risk is 25.5. In alcohol, the cut-off value to divide low risk and moderate is 21.5 and the value to divide moderate risk and high risk is 23.5. Other substances also show similar significance. The result of this study was similar to those of previous studies of other countries. Conclusion : The reliability and validity of the Korean ver-sion of ASSIST were shown in all drugs with statistical significance. The Korean version of ASSIST can be a useful tool for investigating problems associated with drug use in primary clinical environment and providing brief intervention.

일 도시지역 위험음주의 유병률과 관련요인에 관한 연구

조중범(Joong-Bum Jo),이정태(Chung-Tai Lee),권용실(Yong-Sil Kweon),이경욱(Kyoung-Uk Lee),이해국(Hae-Kook Lee),조선진(Sun-Jin Jo),김한오(Hano Kim) 한국중독정신의학회 2011 중독정신의학 Vol.15 No.2

Objective : The aim of this study was to estimate the prevalence of hazardous drinking in a representative community sample of Seoul, Korea and to assess the sociodemographic and psycho-logical factors associated with hazardous drinking. Methods : Sociodemographic data, scores for AUDIT-K and other psycho-logical screening instruments were collected from a sample of 798 individuals from one of the municipal areas of Seoul. Recruitment was done based on a stratified-multistage-cluster sampling. Results : The 12-month prevalence of hazardous drinking was 36.6% (60.5% of males and 18.5% of females). Considering the sample as a whole, multiple logistic regression analysis showed that the risk factors of hazardous drinking were male (adjusted OR=7.96, 95% CI 5.36-11.83), young age (18-29 years old, adjusted OR=3.84, 95% CI 1.81-8.17) and high stress level (adjusted OR=1.72, 95% CI 1.19-2.49). Among males, the widowed/separated/divorced (adjusted OR=5.76, 95% CI 1.17-28.27) and high stress level (adjusted OR=1.68, 95% CI 1.03-2.75) were significant risk factors for hazardous drinking. In the case of females, young age (adjusted OR=6.22, 95% CI 2.04-18.94), high stress level (adjusted OR=2.01, 95% CI 1.12-3.61) and low resilience (adjusted OR=2.15, 95% CI 1.19-3.89) were risk factors for hazardous drinking. Conclusion : The prevalence of hazardous drinking in Seoul in this study was demonstrated to be one of the highest in the world. Our results also suggested that hazardous drinking was further associated with sociodemographic factors than with psychological factors. Preventive measures and intervention pro-grams should be tailored to males, young females and people with stressful life events to reduce the hazardous drinking in the community.