알코올 중독자의 사회적 문제해결 훈련 프로그램의 효과 = Efficacy of Social Problem-Solving Training Program for Alcoholics

다국어 초록 (Multilingual Abstract)

The main purpose of this study was to develop a program of social problem-solving training and examine its effectiveness for alcoholic inpatients. A differential program of social problem-solving training was developed for each of three types of alcoholic inpatients, based on problem-solving therapy of D'Zurilla and Nezu(1999). In study of Yi Soon Choi & Kwon Saeng Park(2004), three subgroups emerged, which included one group with global deficits(called group 1), another group with mild deficits(group 2), and the other group of focal deficits(group 3). A total of 53 alcoholic inpatients participated in 100 minutes-long programs, twice a week, over 12 sessions. 8 subjects were assigned to group 1 program, 9 to group 2, and 10 to group 3. Each of alcohol educational program and control group consisted of 13 patients. Posttest outcome measures were the same as ones used at the pretest, which includes SPSI-R, AASES (alcohol abstinence self-efficacy scale) and TTDS(temptation to drink scale). The findings revealed that each of groups produced improvement specifically on the deficient parts of its own from the pretest to the posttest. The results also showed that pretest-posttest differences in the three treatment groups were greater than one obtained in either of the alcoholism educational program or control group, which occurred in various areas of abstinence-confidence and drinking temptation. The current findings obtained in this study suggest that the use of social problem-solving training yield better outcomes compared to either of alcohol educational program or nontreatment control group and that benefits from social problem solving training are increased to the substantial amount when the program is customized specifically to patient characteristics by subgroups having different types of problem solving process deficits.

참고문헌 (Reference)

1 "주정중독의 재발에 대한 임상변인들의 영향" 817-824, 1994

2 "조망적 사회기술훈련이 정신분열별 환자의 사회기술 향상에 미치는 효과" 1999

3 "사회적 문제해결에 따른 알코올 중독자의 유형분류" 339-352, 2004

4 "사회적 문제해결 훈련 프로그램의 개발 및 효과에 관한 연구" 2002

5 "문제 음주대학생에 대한 단기 인지행동 집단훈련의 효과" 1997

6 "개정판 사회적 문제해결 척도의 타당도와 신뢰도" 413-428, 2002

7 "is there more than one type of alcoholism British Journal of Psychiatry" 525-531, 1971

8 "Training social problem solving skill to reduce maladaptive behaviours in intellectual disability groups:The influence of individual difference factors" 10 : 217-237, 1997

9 "The role of self-efficacy in adaptive behaviors" Plenum Press 1995

10 "The development and implications of a personal problem solving inventory" 29 : 66-75, 1982

11 "The assessment of interpersonal problem solving skill Assessment strategies for cognitive- behavioral interventions" Academic Press 1981

12 "Subtypes of alcoholics based on psychometric measures" 20 : 17-32, 1996

13 "Studies in problem-solving thinking of psychiatric patients:Patient-control differences and factorial structure of problem-solving thinking" 8 : 461-462, 1973

14 "Social skill deficit interventions for substance abusers" 3 : 114-133, 1989

15 "Social problem-solving in adults Advances in cognitive-behavioral research and therapy" Academic Press 201-274, 1982

16 "Social competence and effective problem solving in psychiatric patients" 28 : 3-5, 1972

17 "Skill training with alcoholics" 46 : 1092-1104, 1978

18 "Randomized controlled trial comparing problem solving treatment with amitriptyline and placebo for major depression in primary care" my (my): 441-445, 1995

19 "Quality of life as an outcome variable in alcoholism treatment research Journal of Studies on Alcohol" 119-129, 1994

20 "Psychological theories of drinking and alcoholism" Guilford Press 55-89, 1987

21 "Problem solving and behavior modification" 78 : 107-126, 1971

22 "Principles of internal medicine" McGraw-Hill 2146-2151, 1991

23 "Perceived problem solving skills and drinking patterns among college students" 65 : 1235-1244, 1989

24 "Journal of Studies on Alcohol" 141-148, 1994

25 "Increasing the interpersonal problem solving skills of an alcoholic population" 46 : 489-498, 1978

26 "Effects of social stress on operant drinking of alcoholics and social drinkers" 67-72, 1974

27 "Effects of a brief motivational intervention with college student drinkers" 68 : 728-733, 2000

28 "Differential outcomes of cognitive and interactional group therapies" 497-509, 1984

29 "Differences in relapse precipitants and coping behavior between alcohol relapsers and survivors" 89-94, 1984

30 "Development and preliminary evaluation of the social problem-solving inventory psychological assessment" 2 : 156-163, 1990

31 "Determinants of relapse Implications for the maintenance of behavior change" 410-452, 1979

32 "Coping-skills training versus a problem-solving approach with schizophrenic patients" 44 : 1102-1104, 1993

33 "Catastrophic worrying as a function of changes in problem-solving confidence" 333-344, 1996

34 "Assertiveness and problem-solving training for mildly mentally retarded persons with dual diagnosis" 12 : 371-386, 1991

35 "Annual Review of Psychology" 223-252, 1988

36 "Alcoholism" 2 : 362-395, 1993

37 "A social competence to clinical intervention" Springer Publishing Company 1999

38 "A component analysis of problem-solving skills training" 429-441, 1985

39 "A clinical research guide for therapists and individuals with alcohol abuse and dependence National Institute on Alcohol Abuse and Alcoholism" 1992