범법 알코올 중독 환자의 개인적 특성, 알코올 중독의 정도 및 단주교육이 병식에 미치는 영향에 관한 연구

A Study on the Effect of Individual Characteristics, Severity of Alcoholism and Alcohol Abstinence Education on Insight in Criminal Alcoholic Population

This study investigated the effectiveness of Alcohol Abstinence Education Program in Patient’s insight, and how other factors such as individual characteristics, crime, and severity of alcoholism affected the insight. The subjects were 44 alcoholic patients (43 were males；1 was female), currently admitted for treatment at National Forensic Psychiatric Hospital, who were given either single or dual diagnosis according to DSM-IV. Alcohol Abstinence Education Program was 24-session, semiweekly program, lasting 3 months, including lectures, visual-audio education, autobiography, 12-step, group psychotherapy, and others. MAST was administered to measure severity of alcoholism, and HAIS was given to measure improvement of the insight in general, including both intellectual and emotional insights. The results are as follows：1) Patients who had been holding a job showed higher severity of alcoholism than those without occupation. 2) No significant difference was found in insight in general, intellectual insight, and severity of alcoholism between single-diagnosed and dualdiagnosed alcoholic patients, but single-diagnosed alcoholic patients showed higher emotional insight than the other group. 3) Those with history of previous hospitalization due to alcoholism showed higher insight in general, higher intellectualinsight, and also more severity of alcoholism. 4) Those with more severity of crime showed significant improvement of emotional insight after finishing the program twice, whereas those with less severity of crime showed no significant difference after finishing the program once nor after finising the program twice. In conclusion, there were factors affecting insight and degree of alcoholism among criminal alcoholic population, such as occupation status, diagnosis type, history of previous hospitalization and severity of crime.