문제음주와 고통 감내력의 관계: 경험적 연구 개관 = The Relationship between Problematic Alcohol Use and Distress Tolerance: A Review of Empirical Literature

다국어 초록 (Multilingual Abstract)

Distress tolerance(DT) has been considered as an important factor that contributes to manifestations, maintenance, relapses, and treatment compliances of alcohol use problems. Although many studies examined the roles and mechanisms of DT in problematic alcohol use, they proposed different ideas about its roles or reported inconsistent results. Thus systematic and critical reviews are needed for this literature. The present study aimed to review researches that had examined the relationship between DT and problematic alochol use and understand the roles of DT in the development of alcohol use problems clearly. It was found that DT has close relationship with alcohol use motives and moderates the links between negative experience related to negative life events and alcohol uses. Additionally, the inhibitory control function was found to be closely associated with DT. A comprehensive model depicting the relationships between DT and problematic alcohol use was developed and some specific directions about future researches were suggested.

국문 초록 (Abstract)

고통 감내력은 문제음주의 발현 및 유지, 재발, 치료예후에 중요한 영향을 미치는 요인으로 주목받고 있으며, 그 역할과 기제를 규명하기 위한 연구들도 꾸준히 이어져 왔다. 그러나 연구들마다 서로 다른 역할을 제안하거나 불일치하는 결과들을 보고하고 있어 체계적인 비교 분석이 필요한 실정이다. 따라서 본 연구에서는 문제음주와 고통 감내력의 관계를 다룬 연구들을 체계적으로 개관하면서 고통 감내력의 주요 역할을 탐색하였다. 연구결과 고통 감내력은 음주동기와 밀접한 관련이 있으며 생활사건으로 인한 부정적 경험과 음주행동의 관계를 조절하는 것으로 확인되었다. 또한 억제통제능력의 저하가 고통 감내력에 중요한 영향을 미치는 것으로 확인되었다. 분석된 내용을 토대로 문제음주에서 고통 감내력의 역할을 제시하는 통합적 모델을 구성하였으며 향후 연구방향을 제안하였다.

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