Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Abstinence Self-efficacy and Social Support on Relapse Risk in Community-dwelling Adults with Alcohol Use Disorder

지역사회에 있는 알코올 사용 장애자의 금주 자기효능감, 사회적 지지가 재발 위험성에 미치는 영향

  • Kim, Mi Hye (College of Nursing, Ajou University) ;
  • Hyun, Myung Sun (College of Nursing.Research Institute of Nursing Science, Ajou University)
  • 김미혜 (아주대학교 간호대학) ;
  • 현명선 (아주대학교 간호대학.간호과학연구소)
  • Received : 2022.06.28
  • Accepted : 2022.08.04
  • Published : 2022.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study investigated the factors influencing the risk of relapse in community-dwelling adults with alcohol use disorder. Methods: This study included 122 community-dwelling individuals with alcohol use disorder who were receiving outpatient treatment at a mental health treatment hospital or were enrolled in a treatment program at the Community Addition Management Center in Gyeonggi Province. Data were collected using self-administered questionnaires from July to August 2020. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 25.0. Results: Abstinence self-efficacy (𝛽=-.56, p<.001), social support (𝛽=-.35, p=.009), female sex (𝛽=11.29, p=.015), and a family history of alcoholism (𝛽=9.41, p=.026) were significant predictors of relapse risk, accounting for 56% of the variance (F=12.68, p<.001). Conclusion: The findings of this study suggest that abstinence self-efficacy and social support are pivotal in reducing risk of relapse in individuals with alcohol use disorder. Therefore, relevant and effective interventions focusing on enhancing abstinence self-efficacy and social support are required.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 5th edition. Kwon JS, translator. Seoul: Hakjisa; 2015. 1,040 p
  2. Ministry of Health and Welfare. The survey of mental disorders in Korea [Internet]. 2021 [cited 2022 June 15]. Available from: http://ncmh.go.kr/ncmh/main.do
  3. Choi JS, Ha KH, Lee SL. Establishment of an alcoholism prevention and support system for the poor in Gyeonggi-do. Policy Research Report. Suwon: Gyeonggi Welfare Foundation; 2015 Dec. Report No. 2015-13.
  4. Seo S, Mohr J, Beck A, Wustenberg T, Heinz A, Obermayer K. Predicting the future relapse of alcohol-dependent patients from structural and functional brain images. Addiction Biology. 2015;20(6):1042-1055. http://doi.org/10.1111/adb.12302
  5. Shon DG. A Study on the relationship between the factors and frequency of alcoholism relapse focusing on the moderating effect of gender. Mental Health & Social Work. 2014;42(1):61-90.
  6. Witkiewitz K, Marlatt, GA. Relapse prevention for alcohol and drug problems: That was zenm that is tao. American Psychologist. 2004;59(4):224-235. https://doi.org/10.1037/0003-066X.59.4.224
  7. Hendershot CS, Witkiewitz K, George WH, Marlatt GA. Relapse prevention for addictive behaviors. Substance Abuse Treatment, Prevention, and Policy. 2011;6(17):1-17. https://doi.org/10.1186/1747-597X-6-17
  8. Bae EJ, Sung HJ. The Relationship between alcoholics' adult attachment, social support and the risk of relapse. Journal of Social Sciences. 2014;25(4):79-107. https://doi.org/10.16881/jss.2014.10.25.4.79
  9. Shaw MA, DiClemente CC. Temptation minus self-efficacy in alcohol relapse: A project MATCH follow-up. Journal of Studies on Alcohol and Drugs. 2016;77(3):521-525. https://doi.org/10.15288/jsad.2016.77.521
  10. Chavarria J, Stevens EB, Jason LA, Ferrari J. The effects of self-regulation and self-efficacy on substance use abstinence. Alcoholism Treatment Quarterly. 2012;30(4):422-432. https://doi.org/10.1080/07347324.2012.718960
  11. Dixit S, Chauhan VS, Azad S. Social support and treatment outcome in alcohol dependence syndrome in armed forces. Journal of Clinical and Diagnostic Research. 2015;9(11):1-15. https://doi.org/10.7860/JCDR/2015/14142.6739
  12. Jeong JH, Jang SM. A study on the affecting factors of drinking problems among university students in South Korea: Comparison between first and fourth graders. Journal of Critical Social Welfare. 2019;63:275-307. https://doi.org/10.47042/ACSW.2019.05.63.275
  13. Lee JS, Yoon MS, Lee BH, Ji H. Moderating effect of family support on the relapse of alcoholics. Alcohol and Health Behavior Research. 2011;12(2):93-107.
  14. Majer JM, Callahan S, Stevick K, Jason LA. Social influences on abstinence self-efficacy among justice-involved persons. Journal of Social Work Practice in the Addictions. 2017;16(3):252-265. https://doi.org/10.1080/1533256X.2016.1200054
  15. McKay JR, Van Horn D, Rennert L, Drapkin M, Ivey M, Koppenhaver J. Factors in sustained recovery from cocaine dependence. Journal of Substance Abuse Treatment. 2014;45(2):163-172. http://doi.org/10.1016/j.jsat.2013.02.007
  16. Wo JH. Mediating effects of problem focused and emotion focused coping, drinking anticipation between the female alcoholics traumatic experienced and their warning. Journal of the Korea Contents Association. 2013;13(4):230-238. https://doi.org/10.5392/JKCA.2013.13.04.230
  17. Miller WR, Harris RJ. A simple scale of Gorski's warning signs for relapse. Journal of Studies on Alcohol. 2000;61:759-765. https://doi.org/10.15288/jsa.2000.61.759
  18. Chai SH. Modeling relapse of alcohol dependence: Psychological risk factors. The Korean Journal of Psychology: General. 2006;25(2):121-142.
  19. DiClemente CC, Carbonari JP, Montgomery RP, Hughes SO. The Alcohol Abstinence Self-efficacy Scale. Journal of Studies on Alcohol. 1994;55:141-148. https://doi.org/10.15288/jsa.1994.55.141
  20. Rho IS, Kim SJ. A study of a relapse prevention program for alcoholics focused on action methods. Journal of East-West Nursing Research. 2004;10(1):27-40.
  21. Park JW. Study to development a scale of social support. [dissertation], Seoul: Yonsei University; 1985. 127 p.
  22. Choi SS. A Study on relapse prevention strategies of alcoholics in Korean society. Journal of Korean National Culture. 2013;48:307-348. https://doi.org/10.15299/jk.2013.08.48.307
  23. Tuithof M, Have M, Brink W, Vollebergh W, Graaf R. Alcohol consumption and symptoms as predictors for relapse of DSM-5 alcohol use disorder. Drug and Alcohol Dependence. 2014;1(140):85-91. https://doi.org/10.1016/j.drugalcdep.2014.03.035
  24. Kim MY, Kim YA, Choi SH. Study on the life satisfaction of patients receiving Treatment for alcohol use disorders. The Journal of the Convergence on Culture Technology. 2019;5(2):13-21. https://doi.org/10.17703/JCCT.2019.5.2.13
  25. Park YW. The Relationship between resilience, social support, and recovery among alcoholics anonymous meeting participants: Focused on the mediating effect of abstinence self-efficacy. Psychological Type & Human Development. 2020;21(2):29-51. https://doi.org/10.52745/KATP.2020.2.1.29
  26. Stevens AK, Littlefield AK, Blanchard BE, Talley AE, Brown JL. Does drinking refusal self-efficacy mediate the impulsivity-problematic alcohol use relation?. Addictive Behaviors. 2016;53:181-186. https://doi.org/10.1016/j.addbeh.2015.10.019
  27. Moak ZB, Agrawal A. The association between perceived interpersonal social support and physical and mental health: Results from the national epidemiological survey on alcohol and related conditions. Journal of Public Health. 2010;32(2):191-201. https://doi.org/10.1093/pubmed/fdp093
  28. Stout RL, Kelly JF, Magill M, Pagano ME. Association between social influences and drinking outcomes across three years. Journal of Studies on Alcohol and Drugs. 2012;73(3):489-497. https://doi.org/10.15288/jsad.2012.73.489
  29. Walitzer KS, Dearing RL. Gender differences in alcohol and substance use relapse. Clinical Psychology Review. 2006;26(2):128-148. https://doi.org/10.1016/j.cpr.2005.11.003
  30. Oh JY. Relationship between relapse and relapse factors by family history of alcoholism. [Master's thesis]. Seoul: The Catholic University of Korea; 2002. 93 p.