알코올 의존 환자의 병식과 알코올 의존 선별 검사 위음성과의 연관성에 관한 연구

• 영문명: Association of Insight Level with False-Negative Alcoholism Screening Tests in Alcohol-Dependent Patients
• 발행기관: 한국중독정신의학회
• 저자명: 김종현(Jong-Hyun Kim) 김성곤(ung-Gon Kim) 성상경(Sang-Kyung Sung) 민영기(Young-Ki Min) 김진영(Jin-Yeong Kim) 김성연(Seong-Yeon Kim) 김명정(Myung-Jung Kim)
• 간행물 정보: 『중독정신의학』Vol.8, No.2, 124~128쪽, 전체 5쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2004.09.30

영문 초록

Objectives：We investigated the association of insight level with false-negative alcoholism screening tests in alcoholdependent patients. Methods：The subjects were 89 patients (male 81, female 8) who met DSM-IV criteria for alcohol dependence and were admitted to a psychiatric hospital in Korea. All subjects participated in a 3-month inpatient program of 10-30 hours duration per week, consisting of Alcoholics Anonymous (AA), group therapy, cognitive-behavioral therapy, and other sessions for alcohol dependence. All subjects completed the National Alcoholism Screening Test (NAST) and the Hanil Alcohol Insight Scale (HAIS) twice, just after admission and just before discharge. The results of the NAST were compared among three groups divided by insight level (poor, partial, and good). Results：1) The subject was 43.7±10.9 (mean± S.D.) years old. Among the subjects, 58.4% were married, 40.4% did not have any religion, and 38.4% were unemployed. Seventytwo percent of the subjects received a higher education. The age at the first drinking was 21.3±6.5(mean±S.D.) years, and the amount of alcohol drinking was 2.3±1.0 (mean±S.D.) bottles of soju daily. The number of admission was 1.9±1.9 (mean± S.D.). 2) Among ‘poor insight’ group, false-negative rate on NAST was 39.4% before treatment, and 33.3% after treatment. False-negative rate on NAST was significantly higher in the ‘poor insight’ group than ‘partial’ or ‘good’ insight group before (p= 0.001) and after (p<0.001) treatment. Conclusion：These results suggest that alcohol-dependent patients with poor insight may report false-negative results on an alcoholism screening test like NAST. Therefore, during these the screening test, thorough evaluation on the subject s level of insight is required.

키워드

Insight Screening test NAST HAIS Alcohol dependence