Korean Addiction Treatment Guidelines (III) : Psychosocial Treatment of Alcohol Use Disorder

Abstract

ObjectivesZZThe aim of this study is to develop guidelines for psychosocial treatment of alcohol use disorder. MethodsZZAccording to the ADAPTE manual, the Korean alcohol use disorder treatment guidelines were developed by the guideline development committee. Recommendations from foreign guidelines were evaluated regarding the applicability and acceptability to domestic circumstances. In addition, a survey from experts was conducted, along with a review of Korean literature. By these means, recommendations of psychosocial treatment for alcohol use disorder were established. ResultsZZThe main findings of the survey were as follows : 1) Although Group therapy was not recommended by foreign clinical guidelines, it was considered as a first-line treatment by Korean experts. 2) Among many psychosocial treatment programs, cognitive behavior therapy (CBT), coping skills training, 12-step facilitation, and Group therapy were commonly used programs in Korea. Finally, the following treatment methods were selected for recommendations : Group therapy, motivational enhancement treatment, CBT, behavioral self-management, alcoholic anonymous, 12-step facilitation, psychodynamic psychotherapy, psychoeducational intervention, continuous case management, and community residential rehabilitation program. ConclusionZZJust as in treatment of chronic diseases such as hypertension, continuity is important for management of alcohol use disorder. Therefore, not only pharmacological treatment but also psychosocial treatment should be provided comprehensively after treatment of acute withdrawal symptoms.

Psychosocial interventions for patients with alcohol use disorder: A systematic review

“…이 외에도 음주운전, 폭행, 방화, 주취 상태에서의 범죄 등 지 역사회에 이차적인 피해를 유발한다 [5]. 이와 같이 알코올 사용 장애는 개인의 문제를 넘어서 가족과 사회 전반에 부정적인 영향 을 끼치는 질병으로 치료가 중요하다 [6,7].…”

“…알코올 사용 장애 환자를 위한 치료에는 금단 치료와 재발 예 방 치료, 약물치료와 심리 사회적 치료 등으로 다각적인 관리가 제공되고 있다 [7]. 특히 알코올 사용 장애 환자에게 있는 정신건 강 문제를 치료하기 위해 다양한 심리 사회적 중재가 제공되었다 [8][9][10][11].…”

“…이에 심리 사회 적 중재 프로그램을 적용한 연구를 평가하고 통합하는 포괄적이 고 체계적인 검토가 필요하다. 국내•외에서 알코올 사용 장애 환자를 대상으로 한 심리 사회 적 중재 프로그램의 효과를 분석한 체계적 문헌고찰 및 메타분석 연구가 수행된 바 있다 [7]. 하지만 기존의 연구에서 심리 사회적 중재에 컴퓨터나 모바일 등 정보통신 기술을 적용한 중재를 포함 하지 않아 제한이 있다.…”

Effectiveness of Therapeutic Community Program on Resilience and Change in Lifestyle in People With Alcohol Use Disorder

“…In Korea, therapeutic approaches such as pharmacological therapy, self-help groups, social skill training, and cognitive restructuring have also been used ( Joo, 2009 ), and reports have been published on the effectiveness of motivational counseling and cognitive therapy (S. K. Lee, 2019 ). However, in Korea, AUD has low service utilization and treatment rates (B. H. Lee et al, 2013 ; Oh et al, 2014 ), high relapse rates ( Seo et al, 2010 ), and high outpatient treatment cessation rates (S. K. Lee, 2019 ). In addition, a 12-month follow-up study of people with alcohol dependence or alcohol abuse conducted in the United States found that 61% of men and 63% of women reported at least one recurrence ( Zywiak et al, 2006 ).…”