Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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The Study on Effect of Alcoholics Anonymous for Anxiety and Depression

익명의 알코올 중독자 모임의 불안, 우울에 대한 효과 연구

  • Kim, Hoi-Young (Department of Internal Medicine, Kwang-Dong Oriental Medicine Hospital) ;
  • Son, Hyun-Soo (Department of Internal Medicine, Kwang-Dong Oriental Medicine Hospital) ;
  • Kang, Ji-Hong (Department of Internal Medicine, Kwang-Dong Oriental Medicine Hospital) ;
  • Shim, So-Ra (Department of Internal Medicine, Kwang-Dong Oriental Medicine Hospital) ;
  • Park, Bo-Ra (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Ji-Hwon (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Tae-Heon (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University)
  • 김회영 (광동한방병원 내과) ;
  • 손현수 (광동한방병원 내과) ;
  • 강지홍 (광동한방병원 내과) ;
  • 심소라 (광동한방병원 내과) ;
  • 박보라 (원광대학교 한의과대학 신경정신과 교실) ;
  • 김지훤 (원광대학교 한의과대학 신경정신과 교실) ;
  • 김태헌 (원광대학교 한의과대학 신경정신과 교실)
  • Published : 2009.06.30
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Abstract

Objectives : This study was performed to assess the benefits of Alcoholics anonymous program for anxiety and depression of alcoholics. And we investigate Sasang constitution in Alcoholics Anonymous(A.A.) members to study relation between alcoholic and constitution. Methods : 21 members of A.A. groups in korea who agreed to the purpose of this study were selected. We evaluated anxiety by BAl, depression by BDI-II and sasang constitution by QSCCII+. Results : The research result is as follows. 1. Eighteens of 21 A.A. members are men and the rest are women. First alcohol drinking age(mean) is 15. Getting alcohol drunk age(mean) is 20.9. 2. The duration of alcohol drinking before A.A. participation(mean) is 20.2 years. The duration of giving up drinking after A.A. participation(mean) is 26.5 months. 3. A.A. program significantly reduced anxiety of A.A. members from 10.43${\pm}$1.37(mean${\pm}$S.E.)(light anxiety) to 6.86${\pm}$1.24(normal). 4. A.A. program significantly reduced depression of A.A. members from 4.14${\pm}$1.14(mean${\pm}$S.E)(normal) to 2.33${\pm}$0.75(normal) in the statistics, but it does not have the meaning clinically. 5. Sasang constitution classification result was Taeum group 10 people(47.6%), Soyang group 9 people(42.9%), Soeum group 2peopleC9.5%), Taeyang group 0 people(0%), Taeum group and Soyang group were relatively more than Soeum group. Conclusions : Participation in the A.A. program reduce anxiety and depression of A.A. members. This research provide data on positive effect of A.A. program and may prove that the self-help program(A.A.) can help to maintain long term sobriety and improve the quality of life of its members.

Keywords

References

  1. 전국한의과대학 신경정신과 교과서 편찬위원회. 한의신경정신과학. 경기:집문당. 2007:339-40, 342-4, 580.
  2. J.E.Royce. Alcohol Problems and Alcoholism. The Free Press. 1981:10.
  3. Harrigan JA. Children of Alcoholics. Am Fam Physician. 1987;35(1):139-44.
  4. 보건복지부. 정신질환실태 역학조사. 2006:6.
  5. 홍성원. 김지형, 황의완. 주상의 관찰법에 대한 문헌적 고찰. 대한한의학회지. 1990;11(1):9-23.
  6. 이경우. 黃帝內經素問1. 서울:여강출판사. 2000:13-51.
  7. 洪元植. 精校黃帝內經靈樞. 서울:東洋醫學硏究員. 1985:232-3.
  8. 이경우. 黃帝內經素問3. 서울:여강출판사. 2000:121-44.
  9. 宋南玉, 申東均, 洪聖均, 李吉弘. 韓國人의 알콜 精神病 및 習慣性 飮酒에 관한 臨床的 硏究. 최신의학. 1971;14(11):80.
  10. Weisner C, Greenfield T, Room R. Trends in the treatment of alcohol problems in the US general population, 1979 through 1990. American Journal of Public Health. 1995;85(1):55-60. https://doi.org/10.2105/AJPH.85.1.55
  11. 민성길. 최신정신의학. 서울:일조각. 1990:428-43.
  12. Khantzian EJ, Mack JE. Alcoholics Anonymous and contemporary psychodynamic theory. Recent Dev Alcohol. 1989;7:67-89.
  13. 이영희. 알코올 중독자의 자활단주 참여 효과성에 관한 비교연구. 대구대학교 대학원. 2005:9, 17-8, 50.
  14. 朴鎬湜. 葛花解醒湯이 마우스의 알콜 대사에 미치는 영향. 원광대학교 대학원. 1989.
  15. 문영호, 원진희, 이종범, 윤준철, 배남규, 김태균. 葛花解醒湯의 알콜금단증후군 치험 2례 보고. 대한한방내과학회지. 2001:22(3):295-301.
  16. 김성균, 이승희, 라수연, 김민석, 정희, 이유경, 이태훈, 김경훈. 알코올로 인한 Wernicke disease의 치험 1례. 대한한방내과학회지. 2001:22(4):723-28.
  17. Bassin A. Psychology in action. Red, white, and blue poker chips, an AA behavior modification technique. Am Psychol. 1975;30(6):695-6. https://doi.org/10.1037/h0076890
  18. Blumberg L. The ideology of a therapeutic social movement: Alcoholics anonymous. J Study Alcohol. 1977;38(11):2122-43.
  19. Naifeh S. Archetypal foundations of addiction and recovery. J Anal Psychol. 1995;40(2):133-59. https://doi.org/10.1111/j.1465-5922.1995.00133.x
  20. Kim HJ, Shin ES. Changes in self-evaluated health states after the participation to the AA program. Korean J. of Health Policy & Administration. 2000;10(3):88-107.
  21. 중앙사회복지연구회. 사회사업사전. 서울:이론과 실천. 1996.
  22. 통계청. 사회통계조사.
  23. 이락현. 음주의 경제사회적 비용추계. 연세대학교 석사학위논문. 2006:59.
  24. Royce J. E. Alcohol Problem and Alcoholism: A comprehensive survey. New York: The Free Press A Division of Macmillian Inc. 1981.
  25. WHO. Mannual of the international stastical classfication of disease. Injuries and Causes of Death 1. Gevenva. 1984.
  26. DSM-Ⅳ:Diagnostic and Stastical Mannual of Disorders. American Psychiatric Association. 1994.
  27. 박종현, 김연섭. 酒傷에 관한 문헌적 고찰. 濟韓東醫學術院. 2000;5(1):28.
  28. Nerviano VJ, Gross HW. Personality types of Alcoholics on Objective Inventories. A review. Journal of Studies on Alcohol. 1983;44(5):837-51.
  29. Kolb, L. C. & Brodic, H. K. Morden Clinical Psychiatry, 10th, Philadelphia. Saunders. 1982:616-40.
  30. 남궁기. 주정의존 환자의 충동성 및 스트레스 내인력. 아주대학교 석사학위논문. 1995:3.
  31. Arieti S. American Handbook of Psychiatry. New York: Basic Books. 1963.
  32. 권석만. 우울과 불안의 관계. 심리과학. 1996;5(1):13-8.
  33. Logan SL, McRoy RG, Freeman EM. Current Practice Approaches for Treating the Alcoholic Client. Health Social Work. 1987;12(3):178-86.
  34. Marc Galanter, Douglas Talbott, Karl Gallegos, Elizabeth Rubenstone. Combined Alcoholics Anonymous and Professional Care for Addicted Physicians. American Journal of Psychiatry. 1990;147(1):64-8.
  35. 한미영. 단주자조모임에 참여하는 알코올중독자의 지각된 가족지지와 희망과의 관계연구. 이화여자대학교 석사학위논문. 2003:12-3.
  36. www.aakorea.co.kr/a.a.history.htm
  37. A.A 한국연합. A.A 란 무엇인가?. A. A 한국연합단체 한국지부. 2003.
  38. 이만홍, 이호영. 집단정신치료의 최근 동향 및 문제점에 관한 고찰. 신경정신의학. 1988;27(4):608-9.
  39. 송월수. 알콜중독증 환자가 가족관계에 미치는 영향. 고려대학교 경영정보대학원 석사학위 논문. 1996.
  40. 이정균. 정신의학. 서울:일조각. 1981.
  41. Tonigan JS, Toscova R, Miller WR. Meta-analysis of the literature on Alcoholics Anonymous: sample and study characteristics moderate findings. Journal of Studies on Alcohol. 1996;57(1):65-72.
  42. Nealon-Woods MA, Ferrari JR, Jason LA. Twelve-step program use among Oxford House residents: spirituality or social support in sobrietry?. Journal of Substance Abuse. 1995;7(3):311-8. https://doi.org/10.1016/0899-3289(95)90024-1
  43. Smart RG, Mann RE. Recent liver cirrhosis declines: estimates of the impact of alcohol abuse treatment and Alcoholics Anonymous. Addiction. 1993;88(2):193-8. https://doi.org/10.1111/j.1360-0443.1993.tb00802.x
  44. Kennedy BP, Minami M. The Beech Hill Hospital: Outward Bound Adolescent Chemical Dependency Treatment Program. Journal of Substance Abuse Treatment. 1993;10(4):395-406. https://doi.org/10.1016/0740-5472(93)90025-W
  45. 정윤철. 자활단주(Alcoholics Anonymous)프로그램의 효과 평가에 관한 연구. 연세대학교 박사학위논문. 1998:21, 24, 57, 81, 88.
  46. 신인순, 김한중, 정윤철. 익명의 알콜중독자(AA) 모임 참여군의 심리적 통제에 대한 예측인자. 예방의학회지. 2001;34(1):73-9.
  47. 김종우, 김지혁, 황의완. 알콜리즘 환자의 인격특성에 관한 임상적 고찰. 동의신경정신과학회. 1992;3(2):67, 81.
  48. Snow MG, Prochaska JO, Rossi JS. Processes of change in Alcoholics Anonymous: maintenance factors in long-term sobriety. Journal of Studies on Alcohol. 1994;55(3):362-71.
  49. Perderson W, Skrondal A. Alcohol consumption debut: predictors and consequences. Journal of Studies on Alcohol. 1998;59(1):32-42.
  50. Montgomety HA, Miller WR, Tonigan JS. Differences among A.A. groups: implications for research. Journal of Studies on Alcohol. 1993;54(4):502-4.
  51. 김판준. 사상체질에 따른 식이습관에 관한 연구. 동의대학교 학위논문. 2002:5.