알코올 중독자의 예후에 영향을 미치는 변인에 관한 연구

A Study for Variance Infuencing Prognosis of Alcoholics

Object：We attempted to compare between abstinent group and drinking group to find prognostic factors of alcoholics Method：We examined 30 men alcoholics who attend AA and 30 men alcoholics who admitted in alcoholic open ward in our hospital. We performed Structured Clinical Interview for DSM-Ⅲ-R (SCID) and investigated demographic data, alcoholic history, family history, motivation for abstinence, most helpful treatment and most difficult thing in alcohol treatment Result：Results of this study were as follows：1) The abstinence group showed longer education years than drinking group (p＝.048) 2) The abstinence group showed more admission Tx than drinking group in the past (p＝.033) 3) The abstinence group showed earlier Tx initiation than drinking group (p＝.045) 4) Patients of AA group reported that most helpful treatment factors for alcohol abstinence are AA and supporter 5) Alcoholic patients reported that most difficult problems during alcohol treatment are familial problem and then social, medical problem Conclusion：The results suggest that good prognostic indicators of alcoholic abstinence are longer education years, more admission rate and earlier Tx initiation. Further longitudinal study for prognostic factor and role of AA in abstinence is needed.