일 정신병원의 알코올리즘 치료 프로그램의 중도 퇴원 환자들의 특성

• 영문명: The Characteristics of the Dropout Patients from an Alcoholism Treatment Program
• 발행기관: 한국중독정신의학회
• 저자명: 정종일(Jong-Il Jeong) 한우상(Wou-Sang Han) 전미경(Mee-Kyung Jun) 이기원(Gi-Won Lee) 김태우(Tae-Woo Kim) 김진영(Jin-Young Kim) 신경철(Kyung-Chul Shin)
• 간행물 정보: 『중독정신의학』Vol.8, No.2, 99~114쪽, 전체 16쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2004.09.30

영문 초록

Objective：This study was performed to compare the sociodemographic, clinical variables, self-efficacy, drinking motive, personality characteristics such as impulsivity, sensation-seeking, and insight between the completion group and dropout group. Subjects and Methods：Subjects served for the study were 63 Korean alcoholic patients who participated in an alcoholism treatment program. All subjects were assessed using the Seoul National Mental Hospital Alcoholism Screening Test, the alcohol use inventory, the drinking motive questionnaire, the Barratt impulsivity scale, the Zuckerman sensation seeking scale, the self-efficacy scale, and the Hanil Alcohol Insight Scale. Results：In summary, the results of this study were as follows：1) 29 of the 63 subjects were dropped out, so the dropout rate was 46.1.%. 2) The numbers of patients who completed program was significantly higher among patients of semivoluntary admission than among patients of either voluntary or involuntary admission. 3) There was a relative tendency, not so prominent in a statistical sense, that the drinking style is more severe in the dropout group, 4) The incident of alcohol-related medical diseases was significantly higher in the dropout group than in the completion group. 5) The number of patients who completed the program was significantly higher in the ‘fair insight group’ than in either the ‘poor insight’ or ‘good insight group’. 6) In the dropout group, the scores of all drinking motives were higher than in the completion group. It was especially noted that the enhancement and conformity motive scores were significantly higher in the dropout group than in the completion group. 7) In the completion group, there were no correlations among drinking motives, AUI subscales, and HAIS score. However, in the dropout group, each drinking motive correlated with the AUI subscales in a different pattern； additionally, the coping motive correlated with the HAIS score. 8) The most common reasons noted for dropout were psychosocial ones, lack of interest in the program, and difficulties to follow the program. Conclusions：Between the completion group and dropout group, there were some differences in the mode of admission, drinking style, alcohol-related medical diseases, insight level, drinking motives and in their correlation pattern with the AUI subscales and HAIS scores. Considering these characteristics and the reasons of dropout, we can improve future treatment program adherence.

키워드

Alcoholism treatment program Dropout