알코올중독자의 재발에 미치는 가족지지의 조절효과

다국어 초록 (Multilingual Abstract)

Objectives: Alcohol dependence is a chronic condition with a high risk of relapse. The purpose of this study was to investigate the moderating effects of family support between relapse related factors and relapse among alcoholics. Methods: A total of 764 answers were collected from alcoholics who admitted to the hospital and a face to face survey by mental health social worker were conducted. Collected data were analyzed by frequency, t-test, one way ANOVA, moderated multiple regression. Results: First, major characteristics of subjects reported male, over 40 years old, no spouse, unemployment, dual-disorder, positive alcohol family history, 16.92 years old drinking onset, 5.84 admission for alcoholism treatment, 4.77 per weekly drinking. Second, younger age, no spouse, unemployment, higher weekly drinking, alcohol family history, family support were significantly related to the relapse. Third, family support moderated between weekly drinking and relapse of alcoholics. Conclusion: Based on these findings, the research discussion reinforced the importance of developing effective relapse prevention program of alcoholics and more practical focus on family recovering process.

목차 (Table of Contents)

• I. 서론
• II. 연구 방법
• III. 연구 결과
• IV. 논의
• V. 결론 및 제언
• 참고문헌
• ABSTRACT

참고문헌 (Reference)

1 윤명숙, "회복중인 알코올중독자의 부부관계증진을 위한집단치료프로그램 효과성 연구" 한국정신보건사회복지학회 16 (16): 119-155, 2003

2 윤명숙, "퇴원한 지역사회 알코올중독자의 음주 및 단주관련 특성과 음주위험상황" 2 (2): 13-25, 2001

3 보건복지부, "정신질환실태역학조사" 2006

4 안길준, "입원치료를 받은 여성 알코올리즘 환자의 퇴원 후 경과에 대한 연구" 4 (4): 163-172, 2000

5 문지영, "인지행동적 음악치료활동이 알코올 중독자의 사회적 문제해결 능력과 단주 자기효능감에 미치는 영향" 한국알코올과학회 10 (10): 107-118, 2009

6 양윤모, "익명의 알코올중독자 모임(AA)의 치료요인과 단주의지의 관계에서 적응유연성의 조절효과" 한국알코올과학회 11 (11): 57-75, 2010

7 윤명숙, "우리나라 중독문제 현황과 통합적 중독 서비스전달체계 구축을 위한 정책과제" 한국정신보건사회복지학회 35 (35): 234-266, 2010

8 임성범, "알코올중독환자의 재발요인에 관한 연구" 대구대학교 2005

9 정자영, "알코올중독자의 재발에 영향을 주는 요인에 관한 질적조사연구" 서울여자대학교 2000

10 장세진, "알코올중독자의 사회관계망 특성에 관한 연구" 대구대학교 2005

11 오정연, "알코올중독의 가족력유무에 따른 재발요인과 재발간의 관계" 가톨릭대학교 2003

12 김종성, "알코올의존 환자들의 퇴원 후 1년간의 단주성적 및 재발에 대한 추적결과" 26 (26): 499-506, 1999

13 채숙희, "알코올의존 재발을 예측하는 심리적 요인" 전남대학교 2005

14 김성재, "알코올리즘의 재발에 관한 이론적 모형 구축: 정신병원에 입원한 남성 알코올리즘 환자를 대상으로" 서울대학교 1996

15 권용실, "알코올리즘 환자들의 퇴원 후 경과에 대한 연구" 6 : 114-119, 2002

16 문요한, "알코올리즘 치료프로그램 입원환자들의 퇴원 후 경과에 대한 연구" 2 : 227-35, 1998

17 성상경, "알코올리즘 입원치료프로그램 참가자들의 퇴원 후 단기경과" 7 (7): 123-133, 2003

18 한일웅, "알코올 중독자의 자의, 타의 입원에 따른 단주여부에 관한 연구" 가톨릭 대학교 2009

19 홍정남, "가족탄력성이 알코올중독자의 회복에 미치는 영향에 관한 연 구" 6 (6): 9-26, 2009

20 Baron, R. M, "The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical consideration" 51 : 1173-1182, 1986

21 Finney, J. W., "The long-term course of treated alcoholism : Mortality, relapse, and remission rates and comparisons with community controls" 52 (52): 44-53, 1991

22 Brown, S, "The alcoholic family in recovery: a developmental model" The guilford press 1999

23 Sacks, S, "Substance Abuse Treatment for Persons With Co-Occurring Disorders" Department of Health and Human Services 2005

24 Tuchfeld, B, "Spontaneous remission in alcoholics-empirical observations and theoretical implications" 42 : 626-641, 1981

25 Weisner, C, "Short-term alcohol and drug treatment outcomes predict long-term outcome" 71 (71): 281-94, 2003

26 Bradizza, C. M., "Relapse to alcohol and drug use among individuals diagnosed with co-occuring mental health and substance use disorders: a review" 26 : 162-178, 2006

27 Witkiewitz, K, "Relapse prevention for alcohol and drug problems" 59 : 224-235, 2004

28 Moos, R. H, "Rates and predictors of relapse after natural and treated remission from alcohol use disorders" 101 : 212-220, 2006

29 Donovan, D., "Quality of life as an outcome measure in alcoholism treatment research" 66 (66): 119-139, 2005

30 Billings, A, "Psychological process of recovery among alcoholics and their families: implications for programme evaluation" 8 : 205-218, 1983

31 Powell, B. J., "Prediction of Drinking outcomes for male alcoholics after 10 to 14 years" 22 (22): 559-566, 1998

32 Bottlender, M, "Outpatient treatment: predictors of outcome after 3 years" 80 : 83-89, 2005

33 Aiken, L.S, "Multiple regression: Testing and interpreting interaction" Sage 1991

34 Javis,T.J, "Implications of gender for alcohol treatment research: A quantitative and qualitative review" 87 : 1249-1261, 1992

35 Walitzer, K. S, "Gender differences in alcohol and substance use relapse" 26 : 128-148, 2006

36 Hodgson,R, "Family interventions for alcohol problems" 39 (39): 86-87, 2004

37 O'Farrell, T. J., "Cost-benefit and cost-effectiveness analyses of behavioral marital therapy as an addiction to outpatient alcoholism treatment" 8 : 145-166, 1996

38 Kranzler, H. R, "Comorbid psychiatric diagnosis predicts three-year outcomes in alcoholics: a posttreatment natural history" 57 : 619-626, 1996

39 William, F. S., "Behavioral couples therapy versus individual-based treatment for male substance-abusing patients, An evaluation of significant individual change and comparison of improvement rates" 18 : 249-254, 2000

40 Cohen, J, "Applied multiple regression/correlation analysis for the behavioral sciences" Erlbaum 2003

41 Miller, W. R, "A simple scale of Gorski's warning signs for relapse" 61 : 759-765, 2000