• 제목/요약/키워드: substance abuse

검색결과 81건 처리시간 0.036초

남성가구주의 음주가 배우자 음주에 미치는 영향 -배우자 폭력의 매개효과- (A Study of Husband's Problem Drinking on the Wife's Problem Drinking -Focused on the mediating Effect of Spouse Abuse-)

  • 윤명숙;조혜정
    • 한국사회복지학
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    • 제64권2호
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    • pp.111-131
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    • 2012
  • 본 연구의 목적은 성인 남성가구주의 문제음주가 배우자 음주에 미치는 영향을 가정폭력이 매개하는 가를 검증하는 것이다. 연구를 위해 한국복지패널(Korea Welfare Panel Study)의 1차년도 자료를 활용하였으며, 만19세-65세 미만의 성인기에 해당하는 남성가구주와 그 배우자에 대한 자료를 추출하여 총 3,284가구를 대상으로 구조방정식 모형을 사용하여 분석하였다. 연구결과 첫째, 남성가구주의 문제음주수준이 증가할수록 배우자의 문제음주수준이 증가하는 것으로 나타났다. 둘째, 남성가구주의 문제음주수준이 증가할수록 배우자 폭력이 증가하는 것으로 나타났다. 셋째, 남성가구주의 문제음주는 배우자폭력을 매개로 여성배우자의 문제음주에 영향을 미치는 것으로 나타났다. 즉, 남성가구주의 문제음주수준이 증가할수록 배우자에 대한 폭력이 증가하였고 이는 여성배우자의 문제음주 수준을 증가시키는 것으로 나타났다. 이러한 연구결과들을 토대로 사회복지실천현장에서 음주와 가정폭력의 이중 문제에 대한 통합적인 개입이 필요하며, 특히 배우자폭력 피해자들이 나타내는 음주문제를 감소시킬 수 있는 포괄적이고 전문적인 프로그램 개발을 제언하였다.

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Smokeless Tobacco (Shammah) in Saudi Arabia: A Review of its Pattern of Use, Prevalence, and Potential Role in Oral Cancer

  • Alsanosy, Rashad Mohammed
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권16호
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    • pp.6477-6483
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    • 2014
  • Background: Shammah is a traditional form of chewing tobacco [smokeless tobacco, (ST)] that is commonly used in the Middle East especially in Saudi Arabia (KSA), Yemen and Sudan. The Substance Abuse Research Centre (SARC) at Jazan University noted that no adequate research and information on the prevalence of shammah use in the province of Jazan, and KSA as well, has been provided in the scientific literature. Materials and Methods: An intensive systematic review of online databases was performed, including AMED (The Allied and Complementary Medicine Database), Biological Abstracts, Cochrane Collection Plus, Dentistry and Oral Sciences Source, E-Journals Database, EBSCO Discovery Service, MEDLINE, PEMSoft, PEP Archive, PsycARTICLES, scopus, Sciencedirect and Google Scholar. Results: Shammah is a mixture of powdered tobacco, lime, ash, black pepper, oils and flavorings. ST in KSA is placed in the buccal or lower labial vestibule of the mouth. The user (or dipper) spits out insoluble debris. The importation of ST products is prohibited in KSA. Accessible information on legislative action to control the use of ST in KSA appeared in 1990. The actual percentage use may be higher, than reported since shammah is illegal in KSA and there may be some reluctance to admit to its use. Conclusions: This review paper is an initial step in a funded research project by SARC to understand the pattern of use of shammah and provide adequate epidemiological data. One goal of this review is to generate further data for public health education.

청소년의 학교주변 유해환경 이용과 건강위험형태 분석 (Adolescents' Use of Harmful Environment and Correlates of Risk Health Behaviors)

  • 이호진;이명선
    • 보건교육건강증진학회지
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    • 제18권2호
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    • pp.129-140
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    • 2001
  • Harmful environment around school area have been increased with socio-economic development in Korea. Those entertainment facilities have caused a negative effect on the learning environment in many schools. As a result of increased entertainment harmful facilities in school area, the numbers of deviant behaviors such as drinking, smoking, substance abuse and sexual activity among junior high school students have been significantly increased. Given this situation, the aim of this study was to describe the distribution of the facilities; to access applied(experience) of the facilities according to students demographic variables; and to identify the relationship between use of the facilities and students risk health behaviors such as smoking, drinking, substance abuse and sexual activity. The field theory was used to study the relationship between the use of the facilities and risk health behaviors among students. A self-administered questionnaire survey was conducted in Korea. 2,114 junior and senior high school students(middle and high school students) were recruited by the method of proportional stratified random sampling from June to July 2000. Results indicated that: 1) The rates of using game centers, PC rooms, Song rooms and comic rooms were 78.3%, 75.6%, 71.6%, and 34.3% respectively. 2) High school students visited the entertainment facilities significantly more than middle school students(p〈0.001). 3) The rates of using facilities near schools were significantly associated with parents job(p〈0.05). 4) The rates of drinking, smoking, drug abuse, and sexual activity were 21.6%, 11.9%, 4.3% and 1.6% respectively. 5) Risk health behaviors such as smoking(p〈0.001) and drinking(p〈0.001), amount of smoking and drinking(p〈0.001) and sexual activity(p〈0.05) were associated with the experience of using the facilities. Those who had drinking experience were more likely to go the facilities than those without drinking experience. Also, those who were smoker had higher probability of going using the facilities than non-smokers.

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대마초 및 메스암페타민 남용자들의 기질 및 성격 특성 (Temperament and Character in Cannabis and Methamphetamine Abusers)

  • 권민;민정아;최지혜;김대진
    • 생물정신의학
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    • 제19권2호
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    • pp.99-105
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    • 2012
  • Objectives : This study aims to identify temperament and characteristics of cannabis and methamphetamine abusers for elucidating psycho-biological variables related to certain substance abuse. Methods : A total of 320 patients who registered in the 'Hepatitis C cohorts study of intravenous drug users' between March 2006 and March 2010 participated in this study. Data on demographic variables were obtained and the Temperament and Character Inventory (TCI) and measures for nicotine dependence, alcohol dependence, depression and anxiety were assessed. After comparing TCI between cannabis, methamphetamine, and co-abusers, correlations between TCI and other clinical variables were examined. Results : The methamphetamine abuser group showed significantly higher scores in Novelty Seeking (NS2) and Harm Avoidance (HA3) in temperament than the cannabis abuser and co-abuser groups, whereas the cannabis abuser group had higher scores in purposefulness (SD2), congruent second nature (SD5), and self-directedness (SD) in character than the methamphetamine abuser group. In addition, temperaments and characters correlated with various psychiatric symptoms. Conclusions : We found the differences in temperament and characters among cannabis abusers, methamphetamine abusers. These findings might contribute to further understanding of mechanisms of cannabis and methamphetamine abuse.

약물 오$\cdot$남용 예방프로그램이 저소득 여성노인의 약물 오$\cdot$남용 예방에 대한 지식, 태도, 예방행위 및 우울에 미치는 효과 (Effects of a Drug Misuse and Abuse Prevention Program on Knowledge, Attitude, and Preventive Behaviors Related to Drug Misuse and Abuse, and Depression in Low-income Elderly Women)

  • 심경림;김정선;김진영;이혜련
    • 대한간호학회지
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    • 제35권5호
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    • pp.763-773
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    • 2005
  • Purpose: This study was conducted to determine the effects of a drug misuse and abuse prevention program on knowledge, attitude, and preventive behaviorsrelated to drug misuse and abuse, and depression in low-income elderly women in the urban area. Method: The design of this study was a nonequivalent control group pretest-posttest design. The subjects consisted of 26 in the experimental group and 23 in the control group. The program was performed for about 1 hour, once a week for 5 weeks. Data was analyzed by the SAS(ver.8.02) computer program, and it included descriptive statistics, Fisher's exact test, Mann-Whitney U test, Wilcoxon signed ranks test, and ANCOVA. Result: There were statistically significant differences in knowledge, attitude, and preventive behaviors related to drug misuse and abuse, and depression between the experimental group and the control group. Conclusion: This study showed that this prevention program of drug misuse and abuse is appropriate for low-income elderly women, Therefore this program is recommended as a nursing intervention strategy for the elderly.

알코올과 마약남용 청소년을 위한 외래치료의 결과에 성별, 부모의 참여정도, 치료종류가 미치는 영향에 대한 연구 (Effect of Gender, Parental Support an Treatment Type on the Adolescent's Successful Completion of Substance Abuse Outpatient Treatment Program)

  • 고윤순
    • 한국사회복지학회:학술대회논문집
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    • 한국사회복지학회 2004년도 추계공동학술대회 자료집
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    • pp.461-492
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    • 2004
  • This study examined the effects of gender, parental support and treatment type on the treatment outcome of adolescent substance abusers. Outcome variable was the successful graduation (or drop) from an Intensive Adolescent Outpatient Program. Adolescents with their parents' support were treated in one of three treatment models (2-weeks Inpatient plus 6 week Intensive Croup-Oriented Outpatient, 8-weeks Intensive Croup-Oriented Outpatient, and 8-weeks Individual-Family Therapy) within a private hospital-affiliated treatment center by managed care practice allowing their own choice (non-random natural assignments). Several hypotheses were tested for main effects by the Log-Linear Analyses for a multi-dimensional contingency table with 440 adolescents (284 boys and 156 girls treated during 1992-l997) from middle-class families with private health insurances. The following results were found. Odds of graduating versus dropping out of the treatment program among : (1) girls were 1.7 times higher than those among boys; (2) adolescents with two-parent were 2.2 times higher than those among adolescents with one-parent ; (3) adolescents with Inpatient plus Outpatient was 1.7 times higher than that of those with Outpatient; (4) adolescents with Individual-Family Therapy was 2.3 times higher than that of those with Outpatient Model. There was no statistically significant outcome difference between the Individual-Family Therapy and the Inpatient plus Outpatient. Implications from the results were discussed. Suggestions were made to improve the treatment components in the areas of gender sensitivity, securing more parental support, alternatives for separation from peer group and integrating new peer groups, and flexibility for the unique needs of individual family. Also, some research questions for future studies were suggested.

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

  • 유승호;이민수
    • 생물정신의학
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    • 제8권2호
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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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고용량 졸피뎀 복용 중단 이후 발생한 경련발작 1례 (A Case of Seizures after Zolpidem Withdrawal)

  • 문형준;이정원;유병대
    • 대한임상독성학회지
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    • 제11권2호
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    • pp.127-129
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    • 2013
  • The imidazopyridine, zolpidem, a non-benzodiazepine hypnotic drug, is widely-prescribed for insomnia. It is regarded as a good alternative to benzodiazepine because of the reduced possibility for abuse and development of dependence. However, more recently, due to the reduced possibility for abuse and development of dependence, it is regarded as a good alternative to benzodiazepine. adverse effects of zolpidem have been recognized. The objective of this report is to provide information on the potential for occurrence of benzodiazepine-like withdrawal seizure in patients who chronically take zolpidem continually. We present and discuss a case of seizure after sudden interruption of the protracted use of an abusively high dose of zolpidem. Zolpidem may not be the ideal drug for longterm pharmacotherapeutic management of insomnia. Clinicians should administer zolpidem at a low-dose for a short period of time for prevention of drug abuse and dependence and the potential for occurrence of benzodiazepine- like withdrawal seizure.

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호스피스.완화의료에서의 사별 돌봄 (Bereavement Care in Hospice and Palliative Care)

  • 김창곤
    • Journal of Hospice and Palliative Care
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    • 제10권3호
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    • pp.120-127
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    • 2007
  • Bereavement is the state of loss resulting from death. Grief is the emotional response associated with loss, intense and acute sorrow resulting from loss. Complicated grief represent a pathological outcome involving social, physical, emotional, cognitive, spiritual morbidity. The common psychiatric disorders associated complicated grief or abnormal grief responses include clinical depression, anxiety disorders, alcohol abuse or other substance abuse, and dependence, psychotic disorders, and post-traumatic stress disorder (PTSD). Grief tasks involve a series of stage or phases following an important loss that gradually permit adjustment and recovery. Three phases of grief involve phase 1 (walking the edges), phase 2 (entering the depths), and phase 3 (reconnecting the world). For intervention to be effective they need to be individually tailored to abnormal grief reaction or unresolved grief reaction. Clear understandings of complicated grief, abnormal responses, factors increasing risk after bereavement will often enable us to prevent psychiatric disorders in bereaved patients.

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청소년들의 약물남용 실태와 예방대책(1992) (Drug abuse among adolescence and puevention(1992))

  • 주왕기;서정혜;주진형;김형준
    • 한국임상약학회지
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    • 제3권1호
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    • pp.89-104
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    • 1993
  • The use of drug or substance for altering consciousness among adolescence is a practice in modern society, especially in Korea. The choice and pattern of use are strongly influenced by the user6s personality and expectations. The goverment and society institute must be declared the emergency of Drug abuse, for the purpose of protecting adolescence from pscychotropic agents.

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