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알코올리즘 입원치료프로그램 참가자들의 퇴원 후 경과에 대한 연구
최성빈(Sung-Bin Choi),박병권(Byung-Kwon Park),김한오(Han-O Kim),원민혜(Min-Hye Won),손인기(In-Ki Sohn),함 웅(Woong Hahm) 한국중독정신의학회 2006 중독정신의학 Vol.10 No.1
Objectives:The purpose of this study is to evaluate the outcome of alcoholics who participated in an inpatient alcoholism treatment program of a mental hospital. At the same time, We studied the various clinical variables affecting the recovery of alcoholism. Methods:The 261 subjects who were diagnosed as alcohol dependence took part in the treatment program at the alcohol center in Keyo hospital at least for 2 weeks between January 2004 and December 2004. The subjects were followed up by faceto-face or telephone interview, and medical records were reviewed to obtain data on demographic characteristics, alcohol-related clinical characteristics, treatment process, etc. Results:1) the mean follow-up period was 19.67 months. 2) 141 of the 261 subjects were followed up, so the follow-up rate was 54.02% 3) 43 of the 141 subjects (30.5%) were classified into abstinent group, 23 (16.3%) into controlled drinking group, and 75 (53.2%) into relapse group. Abstinent and controlled drinking groups were called recovery group. So 66 (46.8%) of the 141 subjects were classified into recovery group. 4) By the comparison of relapse and recovery groups, education, socioeconomic status, occupation, and marital status are significantly different between groups. 5) Recovery group had a longer duration of abstinence before admission than relapse group. 6) Completion of alcoholism treatment program during admission and a return to work after discharge from hospital were associated with recovery of alcoholism. 7) In a stepwise regression model, four risk factors were significantly correlated with the recovery:a return to work after discharge from hospital, completion of alcoholism treatment program during admission, marital status, and duration of abstinence before admission. Conclusion:The variables above mentioned were thought to be the points to be duly considered for the better outcome of alcoholism.
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