• Title/Summary/Keyword: Alcoholics

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Effect of Abstinence efficacy on Recovery Among Alcoholics -Focused on the Mediating Effect of Resilience- (알코올중독자의 단주의지와 회복에 관한 연구 -적응유연성의 매개효과 검증-)

  • Rhee, Young-Sun;Kim, Soo-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8472-8478
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    • 2015
  • In recent years, paradigm of alcoholism has been taken to recover from abstinence. This study intends to investigate the main and mediating effects of abstinence efficacy on recovery of alcoholics considering the relationship with resilience. The survey was conducted upon 205 alcoholics. Collected data were analyzed by SEM (structural equation modeling) method using AMOS 7.0. The summary of the result is as follows. First, the model fit of partial mediation model which is including direct path of abstinence efficacy to recovery is better than full mediation model. Second, direct effects of abstinence efficacy and resilience on recovery are statistically significant. In conclusion, we could confirm the necessity of the program about resilience with program for enhancing abstinence efficacy to alcoholics.

Biochemical Evaluation of Nutritional Status of Vitamins and Minerals in Patients with Alcoholic Liver Disease (생화학적 지표로 본 알코올성 간질환 환자의 비타민 및 무기질 영양상태)

  • 구보경;정준모;이혜성
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.27 no.6
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    • pp.1244-1252
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    • 1998
  • The purpose of this study is to evaluate the nutritional status of vitamin and minerals in the patients with alcoholic liver disease and to obtain the materials for nutritional education for alcoholics. The subjects consist of 80 patients with alcoholic liver cirrhosis(ALC) and 12 patients with alcoholic fatty liver(AFL). The control group included 57 alcoholics without liver disease(A), 32 patients with viral liver cirrhosis(VLC) and 194 normal men(NL). Biochemical evaluation of nutritional status was investigated by the analysis of blood samples. The frequency of vitamin B1 deficiency in the ALC, AFL and A groups as indicated by the erythrocyte transketolase activity coefficient were 46.0%, 66.7% and 57.9% respectively. The frequency of vitamin B2 deficiency in the ALC, AFL and A groups as indicated by the erythrocyte glutathione reductase activity coefficient were 9.8%, 8.3% and 38.6% respectively. Vitamin A deficiency was not detected in the alcoholic subjects. The frequency of vi tamin E deficiency in ALC, AFL and A were 96.3%, 66.7% and 86.0% respectively. The levels of plasma lipid peroxidation products were significantly higher in the alcoholic subjects than in the normal subjects. The frequency of subjects below normal range of hemoglobin were 85.0% in ALC, 50.0% in AFL and 31.6% in A. The frequency of copper deficiency in the ALC, AFL and A groups were 48.4%, 16.7% and 17.5% respectively. The frequency of zinc deficiency in the ALC, AFL and A groups were 83.8%, 41.7% and 66.7% respectively. Overall, the vitamin and minerals status of the alcoholic subjects in this study was evaluated to be very poor on the basis of biochemical assessments. The results suggest that alcohol abuse and poor dietary intake could cause malnutrition and may be important risk factors in causing alcoholic liver disease in alcoholics. In addition, vitamin B1, vitamin B2, Cu, Fe and antioxidant supplementation may be effective in nutritional therapy for chronic alcoholics.

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Mediating Effects of Problem Focused and Emotion Focused Coping, Drinking Anticipation Between the Female Alcoholics Traumatic Experienced and Their Warning of Relapse (여성알코올중독자의 외상경험과 재발위험성의 관계에서 문제중심대처, 정서중심대처, 음주기대의 매개효과)

  • Woo, Jea-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.4
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    • pp.230-238
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    • 2013
  • This research purposes to investigate parameters which effect on the relapse of alcoholism, to understand psychological factors for stress control and drinking anticipation which lead to the relapse of female alcoholism and to seek practical ways in social welfare for alcoholism, focusing on the traumatic experiences and post traumatic stress symptoms of female alcoholics experienced physical, sexual abuses. The main results of this research can be summarized as follows. First, the characteristic related with physical, sexual traumatic experiences of subjects is that physical, sexual abuses by acquaintances under 18 is more common than that experiences over 18. Second, the 8 pathes among 10 direct pathes are statistically significant. Third, as the result of verification of indirect effects through parameters, in the model, 4 out of 6 indirect pathes parameterized as post traumatic stress symptoms, problem focused coping, and drinking anticipation are significant. Based on these results, the practical implications for the warning of relapse of female alcoholics had been discussed.

A Phenomenological Study on the Ego-subjectivity Recovery Experience of the Wives of Alcoholics (알코올중독자 남편을 둔 여성배우자의 자아주체성 회복경험에 대한 현상학적 연구)

  • Choi, Mi-Ran;Cho, Hee-Sun
    • The Journal of the Korea Contents Association
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    • v.19 no.3
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    • pp.576-589
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    • 2019
  • The objective of this study was to evaluate how wives of alcoholics could escape from the co-dependency relationship and recover their ego-subjectivity. This study conducted 1:1 in-depth interviews with five wives of alcoholics in order to achieve the study objective. Data collected from the interviews were analyzed by the phenomenological method proposed by Giorgi[1]. First, researchers extracted five subjects, including 'Co-dependency (Loss of ego-identity)', 'Impoverished life', Ego-prop', Ego-awareness', and 'Ego-subjectivity recovery' in the course of the data analysis. Secondly, researchers identified "Ego-subjectivity recovery through Ego-awareness of a wife of an alcoholic", an essential theme, by integrating all subjects. Researchers, based on the analysis results, proposed practical alternatives for various psychological treatment system and ego-prop like as counselling, family member of alcoholic wives and power of faith.

The Effect of Alcoholics' Depression on Suicidal Ideation -The Mediating Effect of Social Support- (알콜중독자의 우울이 자살사고(思考)에 미치는 영향 -사회적 지지의 매개효과-)

  • Lee, Eun-Hee
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.423-431
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    • 2019
  • The purpose of this study is to examine the mediating effect of social support in relations between alcoholics' depression and suicidal ideation. The subjects were diagnosed with alcohol dependence by the DSM-IV, and are currently hospitalized at the hospitals in Busan, Ulsan, etc. for alcohol treatment. After explaining the purpose of this study to the participants, the questionnaires were distributed to those who agreed to the research and survey was self-written. Through this process, 217 questionnaires were analyzed. The Survey was done from October 1 to November 1, 2017. To examine the mediating effect of social support, 3steps' mediated regression analysis and Sobel test were done. The result of mediated regression analysis show halfly mediated effect of social support on alcoholics' suicidal ideation. According to these findings, intervention strategies that focus on increasing the social support on alcoholics are suggested.

Meaning of Life in Wives of Alcoholics: Autobiographical Method (알코올 의존자 부인의 자서전 분석: 삶의 의미찾기)

  • Cho, Sun-Hee
    • Journal of Korean Academy of Nursing
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    • v.38 no.5
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    • pp.758-767
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    • 2008
  • Purpose: The purpose of this study was to explore and describe life-stories and meanings of life in wives of alcoholics by analyzing their autobiographies. Methods: Autobiographies were collected from 20 participants who produced their own autobiographies in the logotherapeutic autobiography program at community alcohol counseling centers in Korea. The data were coded to identify themes of agency and communion using the manual coding system developed by McAdams, and analyzed by the existential approach. Results: There were 214 coded episodes in twenty autobiographies. There were 128 agency themes and 86 communion themes. The most common themes were Love/Friendship. Five themes emerged from the autobiographical episodes on the existential perspective: 1) overcoming the suffering, 2) meaningful people and relationships, 3) spiritual maturation, 4) caring and helping, and 5) finding a meaning of life. Conclusion: These results showed that the wives of alcoholics who participated in the logotherapeutic autobiography program found the meaning of life through their suffering. Furthermore, a study on existential nursing interventions for people who have meaninglessness in life needs to be done.

Diabetes - Increased Risk for Cancers through Chromosomal Aberrations?

  • Anand, Sudhaa;Nath, Badari;Saraswathy, Radha
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.11
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    • pp.4571-4573
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    • 2014
  • Diabetes, a comprehensive genetic disease, is principally due to the deregulation of glucose levels in the blood. In addition to contemporary epidemiological studies, systematic substantiation suggests that long-term diabetes leads to cancers due to a variety of reasons. In this study, blood samples were collected with informed consent from confirmed type I diabetic (T1DM, n=25) and type II Diabetic patients (T2DM, n=25) with equal numbers of controls. Further depending on the lifestyle habits they were subdivided into smokers/non-smokers and alcoholics/non-alcoholics. Chromosomal assays were performed for these cases and it was found that there was a significant increase in chromosomal aberration frequency in diabetic patient groups who are exposed to smoking and alcohol than that of normal diabetic groups (T1DM and T2DM). On the other hand, patient groups who were non-smoking and non-alcoholics also showed higher chromosomal aberrations when compared to that of controls. While the mechanisms for these increased chromosomal aberrations in diabetic groups are not clear, they may be due to increased oxidative stress leading to oxidative damage and resulting in genomic instability, which in turn may contribute to an increased risk for cancer.

Factors Influencing Resilience of Adult Children of Alcoholics among College Students (알코올 중독자 성인 자녀인 대학생의 극복력에 영향을 미치는 요인)

  • Kim, Hee-Kyung;Lee, Mi-Hyoung
    • Journal of Korean Academy of Nursing
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    • v.41 no.5
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    • pp.642-651
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    • 2011
  • Purpose: The purpose of this study was to explore the resilience of adult children of alcoholics (ACOA) who are college students, and examine factors contributing to their resilience. Methods: A total of 459 college students from a university in Incheon, participated in this study. Data were collected between April 6 to 30, 2010 using the Korean version of the Children of Alcoholics Screening Test (CAST-K), CAGE, Social Support, Self-Esteem, Family Adaptability and Cohesion, and Resilience measurements. Data were analyzed using the SPSS/WIN 18.0 program. Results: Overall, ACOA group showed lower scores of resilience, social support, self-esteem and family adaptability and cohesion compared to non-ACOA group. Resilience among the ACOA group showed significant relationships with self-esteem (r=.53, p<.001), social support (r=.43, p<.001), and family adaptability and cohesion (r=.25, p<.013). Multiple regression analysis showed that 45% of the variance for resilience in the ACOA group was accounted for by age, gender, social support, self-esteem, and religion. Conclusion: The results of the study show that self-esteem and social support are important determinants of resilience in ACOA, thus it is recommend that further resilience training programs for ACOA be developed to enhance their social support and self-esteem, and ultimately to increase their resilience.

Allelic Association of the Dopamine D4 Receptor Gene in Korean Alcoholism (한국인 알코올 중독환자에서 도파민 D4 수용체의 대립 유전자 연관성에 대한 연구)

  • Ryu, Seung Ho;Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.8 no.2
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    • pp.246-250
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    • 2001
  • The dopamine D4 receptor gene has a hypervariable segment in the coding region characterized by a varying number of 48bp repeats in exon III of the gene. Varying the numbers of repeated segments may change the length, structure, and function of the receptor, which makes this gene a possible candidate for variations in dopamine-related behaviors, such as alcoholism and drug abuse. We evaluated the dopamine D4 receptor genotype in male alcoholics and normal controls. All alcoholics and controls were unrelated and from the Korean population. Genotype and allele frequencies in 67 alcoholics were compared to 67 controls who were free of alcohol abuse, substance abuse, and major mental illness. No association was found between the dopamine D4 receptor allele and alcoholism. This result indicate that there is no association of the dopamine D4 receptor with alcoholism in Korean. Further systemized investigation to determine the role of dopamine D4 receptor gene in alcoholism with a larger sample size will be required.

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Associations of Spiritual Well-being, Attitude toward Death and Quality of Life among Alcoholics Anonymous (익명의 알코올 중독자의 영적 안녕, 죽음에 대한 태도와 삶의 질의 관련성)

  • Lee, Sangmin;Gang, Moonhee
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.28 no.2
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    • pp.114-123
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    • 2019
  • Purpose: The aim of the study was to investigate associations of spiritual well-being, attitude toward death, and quality of life among Alcoholics Anonymous (AA). Methods: This study was cross-sectional and descriptive in design. The data was collected from August to September 2018 with 133 AA members drawn from two provinces of South Korea. The data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Turkey tests, Pearson's correlation coefficients, and hierarchical multiple linear regression analyses using SPSS/WIN 20.0 program. Results: The existential spiritual well-being (β=.52, p<.001), attitude toward death (β=.24, p<.001), dual diagnosis (β=-.17, p=.003), occupation (β=.12, p=.035) of the participants were significant factors, which explained 63.7% of the variance of quality of life. Conclusion: The study findings highlight the need to develop psychological nursing strategies to enhance the spiritual well-being and improve a positive attitude toward death based on the job and dual diagnosis among AA members to improve their better quality of life.