한국인 알코올사용장애의 의료기관과 지역사회기관 간 전향적 임상경과 비교

• 영문명: A Prospective Clinical Course Comparison of Patients With Alcohol Use Disorder Between Hospital and Community-Based Services in Korea
• 발행기관: 한국중독정신의학회
• 저자명: 장재훈 기선완 서정석 정원미 이수비 박일호
• 간행물 정보: 『중독정신의학』Vol.27, No.1, 8~17쪽, 전체 10쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2023.04.30

영문 초록

Objectives: Although alcohol use disorder (AUD) is a burdening public health problem, medical and community-based services are under-utilized in South Korea. To understand factors affecting the course of AUD, a nation-wide longitudinal follow-up study was conducted. Methods: A 3-year biannual follow-up evaluation of patients with AUD from six areas in South Korea was conducted in 2016-2019. Baseline demographic and clinical data, alcohol-related problems, affective symptoms, insight level, and motivation measures were compared between patients who failed and succeeded in cessation from heavy drinking (CHD) and between patients from medical (hospital) and community-based services. Results: The 6-month CHD rate was 18.3%-48.5%. After six months, follow-up loss and CHD were drastically decreased over time. AUD, alcohol craving, depression, and anxiety scale scores were higher in patients who failed CHD. Hospital patients showed higher AUD severity scores, whereas community patients showed higher depression scores. Failed CHD patients had greater AUD severity in medical setting and greater depression and anxiety severity in community setting. Conclusion: This study performed the first nation-wide prospective survey on the course of patients with AUD in South Korea. Difference in CHD rate and associated factors between medical and community settings in AUD treatment suggest a need for implementing treatment setting-specific programs.

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알코올사용장애 전향적연구 지역사회정신건강 정신병원 회복 Alcohol use disorder Prospective study Community mental health Psychiatric hospitals Recovery