Objectives: This study was to analyze the characteristics of published intervention studies and to evaluate the effectiveness of non-pharmacological interventions on alcoholics. Methods: To search for the intervention studies, web databases including RISS, KISS, NDSL, NANET, KMbase and KoreaMed were used. The main search strategy combined terms indicating non-pharmacological intervention and study design. Methodological quality was assessed using Cochrane’s Risk of Bias. Data were analyzed by the RevMan 5.3 program of Cochrane library. Results: A total of 3132 studies were retrieved. From these studies, 40 studies met the inclusion criteria with a total of 1036 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. Forty studies utilized various non-pharmacological interventions: eleven studies on music therapy (27.5%), six studies on cognitive behavior therapy (15%) and meditation (15%), four studies on art therapy (10%) and group therapy (10%), two studies on motivational interviewing (5%) and seven studies used other therapies. Non-pharmacological intervention was conducted for a mean of 6.5 weeks, 10.1 sessions and an average of 70.8 minutes per session. In the forty studies, non-pharmacological interventions had a significant effect on self-esteem (d= –0.76, p<.001, I2=33%), anxiety (d== –0.76, p<.001, I2=0%), positive emotion (d== –0.85, p<.001, I2=25%) and negative emotion (d== –0.68, p<.001, I2=0%). For heterogeneous effect sizes, subgroup analysis was done, and non-pharmacological interventions had a significant effect on interpersonal relationship (d== –0.98, p<.001, I2=0%). Conclusion: This study suggests that non-pharmacological interventions can assist alcoholics in strengthening self-esteem, positive emotion, and relationship and reducing anxiety and negative emotion on alcoholics. Further well-designed non-pharmacological intervention studies will lead to better understanding of the effect of treatments on alcoholics.
목차
Ⅰ. 서론 A. 연구의 필요성 B. 연구목적 Ⅱ. 연구방법 A. 연구설계 B. 자료의 선정기준 C. 자료 검색 및 자료 선정 D. 자료 분석 방법 Ⅲ. 연구결과 A. 자료선정 B. 비약물적 중재 연구의 방법론적 질평가 C. 알코올 중독자에게 적용한 비약물적 중재연구의 특성 D. 효과크기의 추정 Ⅳ. 논의 및 결론 V. 결론 참고문헌
알코올과 건강행동학회 [Korean Society of Alcohol Science and Health Behavior]
설립연도
2000
분야
의약학>예방의학
소개
알코올에 대한 생리적, 임상적, 보건적, 사회적, 문화적 측면에서의 과학적 연구를 통해 학문적 발전을 이룩할뿐 아니라, 알코올로 인한 문제를 예방, 치료하며, 절주에 대한 교육, 홍보를 통해 건전한 음주 문화를 형성케하여 궁극적으로 국민의 건강을 증진시키고자 하는데 창립의 목적인 있음.
[중점적인 연구분야]
1. 알코올관련 식품학 등의 기초과학
2. 알코올 중독 예방, 치료, 재활관련 임상의학
3. 알코올 문제 예방, 치료, 재활, 관리, 정책관련 보건학
4. 음주문화 및 음주행태관련 사회과학
5. 생리, 독성 등 기타 알코올관련 학문분야
간행물
간행물명
알코올과 건강행동연구 [Alcohol and Health Behavior Research]