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Objectives: This study aimed to investigate solitary drinkers’ psychological problems such as perceived stress and depression, as well as their drinking motives and expectancies. Methods: The sample included 521 Korean adults who had experienced solitary drinking. They completed questionnaires measuring perceived stress level, depression, suicidal thinking, alcohol consumption in different contexts, and drinking motives and expectancies. Results: This study showed that people who engage in solitary heavy drinking only or both solitary and social heavy drinking are more likely to experience stress, depression, and suicidal thinking. While the enhancement motive was associated with amount of drinking in both solitary and social drinking groups, the coping motive was associated with amount of drinking only in the solitary drinking group. Conclusion: These findings suggest that people may drink alone to cope with their mental health problems such as stress and depression.

보건복지부의 조사에 따르면 18세에서 64세 사이 성인 중 알코올 남용과 의존을 포함한 알코올 사용 장애를 경험하는 인구는 전체인구의 6.8% 수준인 221만 명으로 추정되고 있다(보건복지부, 2002). 음주와 관련한 다양한 건강관련 질병발생도 심각한 수준이며 그에 따른 사회경제적 비용은 2조 7,917억 원으로 추산되고 있다(송현종, 2005). 음주와 관련된 사고 및 범죄발생률도 매년 증가하는 추세이며 2003년도의 통계에 의하면 음주로 인한 교통사고 발생 건수는 2002년에 비해 13.0% 증가하고 그로인한 부상자수도 14.7% 증가하였으며 사망자는 무려 22.7% 증가하였다고 보고하고 있다(도로교통안전관리공단, 2004). 음주 단일요인에 의한 사망자는 약 2만2천명으로 전체 사망자의 약 8.7%인 것으로 보고되고 있다(김광기, 2001). 가정폭력과 관련한 보고도 문제성 음주가 가정 내 폭력과 깊은 관련이 있음을 나타내 주고 있다(권구영, 1998; 박병강, 김종성, 2001; 배영란, 2003; 손영균, 1994; 이경래, 김경빈, 1994; 황인순, 2005). 이러한 알코올과 관련한 문제의 증가는 알코올 소비행태의 변화와 무관하지 않다. 우리나라의 성인 및 여성 음주율은 지속적으로 증가하고 있으며 청소년의 음주율 또한 대단히 높다. 특히 외국과 비교하여 우리나라 청소년들의 음주율은 대단히 높은 편이다. 영국의 경우 11세에서 15세 사이의 음주율은 24.0%인데 반하여 우리나라는 1세에서 19세 사이의 음주율이 32.3%로 보고되고 있다(보건복지부, 2006). 평균 음주시작연령도 98년도에 15.1세였던 것이 2006년에 17.1세(국민일보, 2006, 8.11)로 보고되었다가 다시 13.1세로 낮아졌음이 보고되고 있다(보건복지부, 2005)

Substantial increases in the relative number of people with alcohol problems in our society put a challenge for strategies to help them change their addiction behavior. It has been evidenced that Motivational Interviewing is one of the effective ones for addiction behaviors. The uniqueness of the strategy is to have clients elicit change talks, which in turn provoke their motivation to change. This article describes a brief summary of the Motivational Interviewing including it's definition, assumption, principle and the basic techniques to elicit change talk from clients.

Depression is often assumed to be a heterogeneous condition that varies in symptom presentation. For instance, dual-diagnosed patients are more likely to experience changes in sleep and appetites along with apathy and anxious mood than those without substance use disorder (SUD) symptoms. If a substance worsens or relieves specific symptoms, symptom profiles may differ depending on the alcohol use status. The high prevalence of alcohol use disorders in the Korean population may greatly improve our understanding of its etiology. It is both timely and necessary to evaluate the BDI-II as a severity-rating tool across this population. This study compared the symptomatic presentation between patients with major depressive disorder (MDD) patients and comorbid alcohol abuse, and those without. However, the factor structure in a clinical sample of diagnosed patients has not yet been reported. Clinical interviews were conducted to screen for depression and other comorbid disorders. Measurement invariance was tested in Beck et al. (1996)’s SA-C model and Buckley et al. (2001)’s C-A-S model. Both models indicated a reasonable fit to the data; however, a two-factor model was selected for parsimony. The results indicated strict measurement invariance across groups, implying that the BDI-II could provide a consistent structure across patients with MDD regardless of alcohol use problems.

Alcohol and Alcohol Problem Perception Questionnaire(AAPPQ)는 음주문제를 가진 클라이언트와의 실천에 대한 사회복지사의 태도를 측정하는 유용한 도구이다. 본 연구는 한국어판 AAPPQ의 신뢰도와 타당도를 객관적으로 평가하여 음주문제를 가진 클라이언트와의 실천에 대한 사회복지사의 태도를 파악하는데 적합한 도구인지 밝히는 것을 목적으로 한다. 본 연구는 사회복지 분야에서 근무하는 사회복지사 243명이 조사에 참여하였다. AAPPQ 원척도는 역할적절성, 역할정당성, 역할지지, 의지 및 동기, 업무특수적 자아존중감, 업무만족의 6요인 30문항으로 구성되어 있으나 분석 결과 역할적절성, 역할지지, 업무만족, 역할정당성의 4요인 16문항이 도출되었다. 한국어판 AAPPQ의 하위요인별 신뢰도는 .74에서 .93으로 양호하였다. 한국어판 AAPPQ와 이론적 상관관계가 있는 것으로 예상한 치료낙관 척도와 음주 관련 직접서비스 업무 비율과도 정적 상관관계가 있는 것으로 나타나 수렴타당도가 확보되었다. 한국어판 AAPPQ의 개발로 음주문제 클라이언트와의 실천에 관한 태도 연구가 활성화되기를 바란다.

Alcohol and Alcohol Problem Perception Questionnaire (AAPPQ) is an instrument measuring professionals’ attitude toward working with clients who have alcohol problems. The purpose of this study is to evaluate if a Korean version of the AAPPQ is an appropriate instrument to measure the attitude of social workers in South Korea. A total of 243 social workers participated in the study. The original version of the AAPPQ has 6 factors and 30 items, but the results of a series of exploratory factor analyses showed that the Korean version has 4 factors and 16 items. Its reliability was satisfactory. Results also showed its satisfactory validity manifesting the expected significant relationships with theoretical variables. With the development of the Korean version of the AAPPQ, it is expected that more research on social workers’ attitudes toward practice with clients having alcohol problem will be conducted.

The field of alcohol intervention is relatively young and continually evolving. The purpose of this study is to explore how public health centers and the alcohol counseling centers play its role and contribute in implementing alcohol prevention. We employ content analysis of reports from the Ministry of Health and Welfare as well as other related literature to analyze alcohol prevention. We follow a six-domain model in analysing alcohol prevention; target goals, level of prevention, intervention strategies, outcomes of intervention, and intervention theory. Implications for policy and practice were discussed.

본 연구는 대학생의 문제성 음주 정도를 알아보고 금주자기효능감과 마음챙김이 음주 문제에 미치는 영향을 살펴보기 위한 것이다. 728명의 대학생을 대상으로 AUDIT와 금주자기효능감, 마음챙김 척도 등을 실시하였다. AUDIT를 사용하여 문제성 음주 정도를 알아본 결과, 문제성 음주자(AUDIT 12점 이상)는 전체의 24.2%(177명)로 나타났다. 문제성 음주 대학생을 대상으로 금주자기효능감과 마음챙김이 음주문제에 미치는 관계를 중다회귀분석을 통해 알아보았다. 그 결과 금주자기효능감은 문제성 음주에 정적으로 영향을 미치는 것으로 나타났다. 즉 문제성 음주 대학생의 경우는 금주자기효능감이 높을수록 음주문제가 심각하였다. 마음챙김은 음주 문제에 유의한 영향을 미치지 못하였다. 다음으로 마음챙김이 금주자기효능감에 미치는 영향이 어떤지를 단순회귀분석을 통해 알아보았다. 그 결과 마음챙김은 문제성 음주 대학생의 금주자기효능감에 유의한 영향을 미치고 있었다. 끝으로 본 연구결과에 대한 제한점 및 시사점에 대하여 논의하였다.

The purpose of this study is to explore the degree of alcohol problems among college students, and examine the effects of self-efficacy of alcoholics as well as mindfulness to alcohol problems. Seven hundred twenty eight college students were subjects of the Alcohol Use Disorder Identification Test (AUDIT). The results show that 24.2% (177) of the subjects had alcohol problems (AUDIT: more than 12). For the study, a multiple regression was utilized for finding the relationship among the degree of alcohol problems, the level of alcohol abstinence self-efficacy and the mindfulness among college students with alcohol problems. Moreover, a stepwise regression was used for finding a relationship between the level of alcohol abstinence self-efficacy and mindfulness among college students with alcohol problems. The result of this study revealed that alcohol abstinence self-efficacy is positively related to the degree of alcohol problems. However, the mindfulness factor had an insignificant effect to the alcohol problem. Also, alcohol abstinence self-efficacy is positively related to mindfulness. Based on these results, the limitations and suggestions for future study are discussed.

본 연구는 농촌지역의 알코올문제 및 자살문제가 증가하면서 사회적 문제가 되고 있지만 아 직 농촌 지역에 대한 이해가 부족하다는 문제의식에서 출발하였다. 이에 농촌 지역의 음주문제 의 특성과 음주관련 요인을 파악하고, 파국이론을 적용한 음주자살모델에 기초하여 음주관련 요 인이 자살생각에 직접적으로 영향을 미치는지 검증하고자 하였다. 연구대상자는 C시 전체 13개 읍면 지역의 20세 이상 성인 381명이고, 설문조사를 하였다. 연구결과 전체 응답자의 16.0%가 문 제음주자, 32.3%가 알코올사용 장애로 음주문제가 매우 심각하였다. 인구사회학적 변수를 통제 한 가운데 음주관련요인이 자살생각에 미치는 영향을 분석한 결과 알코올가족력이 있고, 현재 문제음주정도가 심하고, 여성인 경우 자살생각이 높은 것으로 나타났다. 이러한 결과를 토대로 농촌지역의 자살예방을 위해서는 지역의 정신보건복지서비스를 확충하고 음주문제 대한 개입이 필요함을 논의하였다.

This study was started by the regards of increasing issue on alcohol and suicide problem in rural area. The purpose of this study was analyzing the effect of alcoholic problems on suicidal ideation in rural area based on cusp catastrophe theory. A total of 381 answers were collected from rural area of C city. Collected data were analyzed by Frequency, Kendall's Tau Correlation, Multiple Regression. The major findings of this study were as follows: 16% of total subjects was problem drinkers, 32.3% of total subjects was alcohol abuser. Under the control of demographic variables the multiple regression was run. Major findings were suicidal ideation was affected by problem drinking, alcohol family history and women in rural area. Based on these findings the research discussion reinforced the importance of suicidal prevention with alcohol prevention and suggested effective intervention programs in rural area.

본 연구는 사회생태학적인 관점에서 문제음주를 논의하였다. 이론적 논의와 더불어 실증적인 근거를 제시하고자, 2538명의 청년을 대상으로 데이터마이닝 기법을 적용한 탐색적 정책연구를 실시했다. 구체적으로, SAS-Enterprise Miner를 활용하여 의사결정나무, 신경망, 로지스틱회귀 모형을 분석하였다. 이때, 독립변인에 대한 선행적 가정의 설정 없이, 문제음주에 설명력을 가지는 영향요인을 찾고, 정책적 함의를 도출하였다. 의사결정나무모형 분석결과, 흡연여부가 문제음주를 가장 잘 설명하는 것으로 나타났으며, 흡연여부 대비 다른 변인의 중요도는 성별(0.5796), 배우자유무(0.3301), 가구원수(0.2805), 경제활동 참여여부(0.2596) 그리고 교육(0.2167) 순으로 크게 나타났다. 신경망의 최적화 과정은 50회 반복을 통해 추정되었으며, 횟수 3에서 평균제곱오차(ASE: Average Squared Error)가 분석용 데이터는 0.133, 평가용은 0.152 그리고 검증용은 0.170으로 나타났다. 마지막으로 로지스틱회귀분석에서는 성별, 연령, 흡연여부, 배우자유무, 가구원수, 구직여부 그리고 경제활동참여여부가 청년의 문제음주에 유의미한 영향을 미치는 것으로 나타났다. 분석결과를 토대로 본 연구는 청년에게 특화된 중독프로그램 마련 및 청년 구직스트레스 해소방안 등 다양한 정책적 함의를 제언하였다.

Korean Youth are facing diverse problems. For-instance Korean youth are even called ‘7 given-up generation’ which indicates that they gave up marriage, giving birth, social relationship, housing, dream and the hope. From this point, the study concludes that the influential factors of the alcohol problems of youth should be studied based on the eco social perspectives. And it adopted data-mining methods, using SAS-Enterprise Miner for the analysis, targeting 2538 youths. Specifically, the study analyzed and chose the most predictable model using decision tree analysis, artificial neural network and logistic analysis. As the result, the study found that gender, age, smoking, spouse, family-number, job-searching and economic participation are statistically significant determinants of alcohol problems of youth. Precisely, those who are male, younger, have the spouse, have less family number, searching jobs, have more income and have the job were more prone to have the alcohol problems. Based on the result, this study proposed the addiction problems targeting youth and etc. and expect to have the contribution on implementing procedures for the alcohol problems.

Objective: The purpose of this qualitative study was to explore the experience of emergency department nurses regarding the care of patients with alcohol problems in order to identify their recognition and attitudes about alcohol problems and alcoholism prevention strategies suitable in emergency department settings. The study question is ‘What about emergency department nurses’ experience with alcohol problems. Methods: The participants included 10 female nurses who are currently working or have worked in emergency department for more than three years. Individual interviews were conducted for a minimum of 30 minutes to less than an hour, and the collected data was analyzed in accordance with the qualitative content analysis proposed by Elo and Kyngäs. Results: The results revealed 5 categories: ‘Recognition and attitude toward alcohol problem’, ‘Clues to aware alcohol problems’, ‘Medical and surgical problems related to alcohol’, ‘Barriers to practice of alcoholism prevention’and ‘Interventions to prevent alcoholism in emergency department’. We found that emergency department nurses had negative attitudes toward people with alcohol problems. And also they recognized that interventions to prevent alcoholism were outside the scope of emergency care practices. Conclusion: Emergency department nurses had the ability to identify patient with alcohol problems and a high recognition of the needs of preventive approaches to alcohol problems. The results can be used to develop the education program for emergency department nurses and guidelines for prevention of alcoholism.

본 연구는 음주문제가 있는 자활근로사업 참여자의 음주경험의 의미와 본질을 파악하고자 하였다. 이를 위해 현재 지역자활센터에 자활근로사업에 참여중인 문제음주자 7명을 대상으로 심층면접을 실시하여 자료를 수집하고, 현상학적 질적 방법으로 분석하였다. 연구결과 26개의 주제, 7개의 주제모음, 3개의 범주를 도출하였다. 연구참여자의 음주경험의 본질적 의미는 '직업수행에 대한 성취감과 소속감', '직장생활의 연장', '사회적 관계 유지', '자활참여를 위한 주중 조절음주', '작업환경에 피해를 주지 않기 위한 최소한의 노력', '과음에서 비롯된 결근에 대한 자책과 반성', '음주문제에 대한 자각'으로 드러났다. 분석을 통해 참여자는 직업수행에 대한 성취감과 소속감으로 음주를 하였고, 술자리는 직장생활의 연장이자 사회적 관계를 유지하기 위한 것이었다. 동시에 자활근로사업에 참가하는 평일에는 나름대로 절주를 함으로써 숙취 상태에서 작업환경에 방해가 되는 일이 없기 위한 최소한의 노력을 한다. 과음에서 비롯된 결근은 자책과 반성을 하게 되고, 더 나아가 자신의 문제음주를 자각하는 과정에 있음을 확인했다.

This study attempted to understand the meaning and nature of the drinking experience of participants participating in self-sufficiency program with alcohol problems. For this, data were collected by conducting in-depth interviews with seven problem drinkers currently participating in the self-support work project at the local self-support center. It was analyzed by a phenomenological analysis method. As a result of the study, 26 topics, 7 thematic vowels, and 3 categories were derived. The essential meaning of the study participant's drinking experience is as follows. It turned out to be 'a sense of accomplishment and belonging to job performance', 'extension of work life', 'maintaining social relations', 'weekly control drinking for self-support', 'minimum effort not to damage the working environment', 'self-criticism and reflection on absence from work resulting from heavy drinking', 'self-awareness of drinking problems. Through the analysis, the participants drank with a sense of accomplishment and a sense of belonging to job performance, and drinking was considered to extend their work life and maintain social relationships. At the same time, on weekdays when participating in self-support work projects, they we refrain from drinking in their own way and make minimal efforts not to interfere with the working environment under a hangover. The Absent from work due to heavy drinking led to self-reflection and furthermore, it was confirmed that they were aware of their problem drinking.

Objectives: The purpose of this study is to illustrate and analyze the Drinking Problems and Alcohol Use Disorder among Koreans. Method: A random selection of 1,450 households was conducted in 7 metropolitan cities and 9 provinces. Adult family members (aged-19 and above) were interviewed 'face-to-face interview plus sealed envelope' from August 10th to 25th, 2007. Questionnaire was used to collect the alcohol use and associated health problems, tobacco, drug and other substance, lifestyle, demographic and background characteristics. A total of 2,193 cases were used in conducting the analysis. Results: The major findings may be summarized as follows: 1. Soju is the favorite beverage (75%) among Koreans, corresponding 5.1% as homemade beverage and favored purchasing drink when they come back from abroad to Korea during the last year. 2. About 27.7% of the respondents were monthly binge drinkers, and 11.1% have experienced blackout during the last year. 3. Using the Alcohol Use Disorders Identification Test (AUDIT) showed that 25.3% of the respondents were having alcohol use disorders (score of 8 or more); While 15.7% among respondents with alcohol use disorders scored 12 points. 4. Several variables such as gender, age, religion, monthly household income, marital status, smoking, and favorite alcoholic beverage are considered strong predictors of alcohol use disorder (12 point or more of AUDIT score).

Objective: Treating alcohol-dependent patients is not easy. Spirituality received more attention treating alcohol-dependent patients than before. One study found that a Temple Stay Program (TSP) improved spirituality. Therefore, we investigated the effect of the TSP on spirituality in adults with alcohol related problem. We also studied the effects of the TSP on happiness and alcohol abstinence self-efficacy. Methods: The TSP was advertised by calling and facing and through mailing and texts to the attendants in Busan Community Addiction Management Center during 2013–2015. We used the Korean Spirituality Scale, Happiness Index for Koreans, and the Alcohol Abstinence Self-efficacy Scale as assessment tools. Results: A total of 22 clients were included. The TSP increased the total scores on the Korean Spirituality Scale, the Happiness Index for Koreans, and the Alcohol Abstinence Self-efficacy Scale significantly(P=0.007, 0.014, and 0.034). The TSP also increased the Korean Spirituality subscale scores for transcendence, mercy, inner-resource, and interconnectedness significantly (P=0.039, 0.016, 0.008, and 0.018). Conclusion: The TSP improved happiness and alcohol abstinence self-efficacy as well as spirituality in adults with alcohol related problem. Therefore, the Temple Stay Program that improves spirituality would be useful for alcoholism treatment.

Objectives: This study examined the dual mediating effects of positive alcohol expectancy and the social value of drinking between alcohol advertising exposures and drinking problems. Methods: The survey was conducted on 1,057 adult men and women aged 20 to 65 years, recruited by an online survey Participants for this study were 961 men and women. Results: It is found that Women had higher exposure experience alcohol advertising than men and men had higher positive alcohol expectancy, social value of drinking and drinking problems. In addition, alcohol advertising exposures have positive effects on drinking problems. Also, Positive alcohol expectancy and social value of drinking partially mediate the effects of alcohol advertising exposure, and drinking problems. Conclusions: In order to prevent drinking problems, the social environment that causes drinking problems should be tightened by regulations about alcohol advertising exposures. Based on these results, this study discusses what needs intervention, not only personal perception but also the social environment and regulations about alcohol advertising.

본 연구에서는 국민건강증진법 개정에 의해 주류광고 규제가 강화되었음에도 불구하고 수년간 법률 위반 건은 지속적으로 증가하는 가운데 법적 처벌은 단 한 건도 없이 시정 조치에만 그치고 있다는 사실과 주요 금지 표현 규정의 의미가 모호하다는 점을 기반으로 정부 주도 사후 규제의 실효성에 의문을 제기하였다. 명확한 문제 점 규명과 개선 방안을 제안하기 위해 민간 주도의 자율규제 체계를 갖춘 의료 및 의료기기 등의 광고 규제 체계 와 자율규제가 발달한 미국의 주류광고 규제 체계를 비교 검토하였다. 또한 실제 위반 광고 사례에 대한 질적 내 용 분석을 통해 금지 표현 규정이 비일관적으로 적용되고 있음을 밝혔다. 미국의 규제 모델을 근거로 개선 방안을 제시하였는바, 법적 구성 요건을 갖춘 민간 협회에서 광고 자율규제 코드를 제정 및 운영함으로써 급증하는 SNS 광고를 포함한 모든 매체의 주류광고를 보다 효율적으로 일관성있게 규제할 수 있을 것으로 판단된다.

This study questions the effectiveness of government-led ex post regulation of alcohol advertising in Korea, noting that despite strengthened regulations following amendments to the National Health Promotion Act, violations have continued to increase, enforcement has been limited to corrective measures without legal penalties, and key prohibited expression provisions remain ambiguous. To identify these problems and propose improvement measures, this study conducts a comparative analysis of advertising regulatory systems for medical services and medical devices under private-sector-led self-regulation and the alcohol advertising regulatory framework in the United States, where self-regulation is well established, along with a qualitative content analysis of actual violation cases. Drawing on the U.S. regulatory model, this study proposes the adoption of private-sector-led advertising self-regulatory codes to ensure more efficient and consistent regulation of alcohol advertising across all media, including social media.

본 연구는 성인의 일반적 특성에 따라 스트레스 반응, 스트레스 대처방식, 음주문제 그리고 도박문제에 대한 관련성을 알아보고자 진행하였다. 연구 대상은 인터넷 URL로 배포된 불특정 다수 191명을 대상으로 실시하였다. 조사 기간은 2017년 08월 10일∼08월 20일까지이고, 조사 도구는 AUDIT-K, Stress Response Inventory, The Way of coping checklist, Canadian Problem Gambling Index, CPGI를 사용하였다. 자료 분석은 기술 통계, t-test, person correlation coefficient, Spearman's rank correlation analysis를 실시하였다. 연구 결과 일반적 특성에 따른 스트레스 반응에서 미혼의 경우 신체화 증상(p<.05)과 좌절증상(p<.05)이 높게 나타났다. 첫 음주는 18세경에 시작을 하였고, 음주상황에서 사회에 모임이있을 때가 117명(68.0%)으로 가장 많았으며, AUDIT 측정 결과 성별(p<.05)과 직업(p<.05)에서 차이가 있는 것으로 나타났다. 도박 양상에서 도박을 알게 된 시기는 초등학교가로 나타났고, 재미로 하는 경우가 많았다. 도박의 종류로는 로또 복권을 가장 선호하였고 일반적 특성에 따른 도박양상에는 차이가없었다(p>.05). 각 변수 간 상관관계에서는 스트레스 반응의 하위변수 간에는 양의 상관관계를 보이고 있고, 스트레스 반응과 스트레스 대처방식의 하위변수 중 능동적 대처 간에는 음의 상관관계를나타내고 있다. AUDIT 결과 스트레스 반응의 공격성, 피로와 스트레스 대처방식에서 능동적인 변수와 음의 상관관계를 보였고, GPGI 결과의 경우 스트레스 반응의 분노와 스트레스대처방식에서의 수동적 신비적변수와 음의 상관관계 보였다. 이상의 연구결과를 통해 미혼과직업이 없을 때가 스트레스 반응에 영향을 주는 것을 알게 되었다. 그리고 음주의 경우 여성의 음주의 증가가 두드러지게 관찰되었다는 점을 통해 여성음주문제에 대한 개입과 도박문제에 있어서는 조기접근에 따른 적극적인 개입과 스트레스 상황을 관리하는 프로그램에서는 능동적인 방식 즉, 문제해결의 적극적인 방식의 전략이 필요함을 알게 되었다.

This study was conducted to investigate the aspects of stress response, stress coping style, drinking problem and gambling problem according to general characteristics of adults. The subjects of this study were 191 unspecified persons distributed through the internet URLs. The survey period was between August 10 and August 20, 2017, and the survey tools used in this study were Stress Response Inventory, the Way of Coping Checklist, Canadian Problem Gambling Index, AUDIT‐K, and CPGI. This study performed data analysis with descriptive statistics, t‐test, person correlation coefficient and Spearman's rank correlation analysis. From the results of this study, In the stress response according to general characteristics, the somatization symptom (p<.05) and frustration symptom (p<.05) were found to be higher in the unmarried group. The first drinking of the respondents began around the age of 18 were the most likely to drink when they were meeting in the community in a drinking situation, and it was found that in the AUDIT-K measurement results, there was a difference in sex (p<.05) and occupation (p<.05). And in the period of recognizing gambling, were found to recognize gambling in the elementary school, and were found to be more likely to play gambling for fun. In terms of the gambling type, Lotto lottery was the most preferred type of gambling and there was no difference in general information in the GPGI test results according to general characteristics (p>.05). In the correlation between variables, there was a positive correlation between the subvariables of the stress response and a negative correlation between the stress response and the active coping style of stress. It was found that there was a negative correlation with active variables in the AUDIT-K results and aggression of the stress response, and the fatigue and stress coping strategies. In the GPGI results, it was shown that there was a negative correlation with anger of stress response, and stress passive, mysterious coping strategies. Through the results of the study, it was found that the cases of unmarried and unemployed affected stress response. And, according to the interpretation guidelines of the AUDIT-K, women's estimates of alcohol use disorders were very high, suggesting that intervention is needed for women's drinking problems in the future. In addition, early access to gambling problems is urgent in the gambling problem. In the case of a program that manages stress situations, searching for active copings, that is to say, positive strategies for solving the stress problems is needed.