알코올의존 치료 목표의 대안인 조절음주에 관한 고찰

• 영문명: Controlled Drinking as an Alternative Goal of Treatment of Alcohol Dependence
• 발행기관: 한국중독정신의학회
• 저자명: 최용성(Yong-Sung Choi)
• 간행물 정보: 『중독정신의학』Vol.1, No.1, 55~62쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1997.04.30

영문 초록

Alcohol use disorders have a variable course that is frequently characterized by periods of remission and relapse. Although some individuals with alcohol dependence achieve long-term sobriety without active treatment many need treatment to stop the cycles of remission and relapse. The long-term goals of treatment for patients with alcohol use disorders are abstinence(or reduction in use and effects), relapse prevention, and rehabilitation. There is some controversy in the literature, however, regarding the possible benefits of striving for a eduction in alcohol intake, as opposed to total abstinence. Rosenberg concluded that a lower severity of pretreatment alcohol dependence and the belief that controlled drinking is possible were associated with the achievement of controlled drinking after treatment. Interventions aimed at achieving moderate drinking have also been used with patients in the early stages of alcohol abuse. Controlled drinking may be an acceptable outcome of treatment, for a selected group of patients, when accompanied by substantial improvements in morbidity and psychosocial functioning. For most patients with alcohol dependence or abuse, however, abstinence is the optimal goal. In a context of secondary prevention the behavioral self-management controlled-drinking strategy may help problem drinkers significantly greater improvements in alcohol consumption, mood, and participating in social activities.

목차

서 론

종래의 단주 치료 모델에 대한 절주 옹호론자의 도전(절주 할것인가? 혹은 단주 할것인가?)

조절 음주 기술 훈련의 효과； 만성 알코올중독 환자의 광범위한 행동치료

키워드

Alcohol dependence Controlled drinking Abstinence Behavioral self-management Secondary prevention