HAIS(Hanil Alcohol Insight Scale)를 이용한 알코올의존 환자들의 병식 평가

Assessing the Insight Status Using HAIS(Hanil Alcohol Insight Scale), a Newly Devised Scale for Qualitative and Quantitative Evaluation of Insight in Alcohol Dependents

Objective：The successful recovery of alcoholics requires a new “self-identity”, which can be built up by and should be based on the true insight which enables them to admit that they are alcoholic. But practically most patients rarely have any level of insight. This study was designed to analyze the insight status of alcoholics and its related factors, and thus to provide the fundamental data which can be used for rehabiliation. Method：Insight status of 60 alcoholics were analyzed, who were admitted to Hanil Alcohol Treatment Center, Taejon between June 1 and August 31, 1997, using HAIS (Hanil Alcohol Insight Scale). Results：1) The mean HAIS scores of 60 alcoholics were 5.05 (±9.19). Among these, 22 (36.7%) had “poor insight”, 29 (48.3%) “fair insight”, and 9 (15.0%) “good insight”. 2) This study showed the lower HAIS scores, the older the subjects were (p<0.05), while the more educated got the higher HAIS scores (p<0.001). They showed the higher HAIS scores, the higher the frequency of admission was (p<0.05), the higher the MAST scores were (p<0.01). In addition, higher HAIS scores were shown in the groups who have experienced alcohol-related physical illness (p<0.05) and have participated in the educational programs on alcoholism (p<0.01) than in other groups who have not, respectively. By the motives of admission, HAIS scores were the highest in those whose motive was voluntary, followed by semi-voluntary and involuntary in a decreasing order (p<0.01). 3) With the further analyses of many variables shown to be related with HAIS scores using stepwise multiple regression, statistically significant were MAST scores, motives of admission, history of alcohol-related physical illnesses, experience in educational programs on alcoholism (p<0.05), with the R2 value of 58.0%. Conclusion：This study revealed that most alcoholics (85.0%) had impaired insight, and that to increase the alcoholics’ nsight, much emphasis should be put on such therapeutic efforts as to help alcoholics achieve voluntary admission by persuation and confront their own physical and social consequences, to lead them to the participation in the educational programs on alcoholism.