한국형 중독 치료지침서(Ⅲ) : 알코올 사용장애의 정신사회 치료

초록

Objectives The aim of this study is to develop guidelines for psychosocial treatment of alcoholuse disorder. Methods According to the ADAPTE manual, the Korean alcohol use disorder treatment guidelineswere developed by the guideline development committee. Recommendations from foreignguidelines 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. Results The main findings of the survey were as follows : 1) Although Group therapy was notrecommended by foreign clinical guidelines, it was considered as a first-line treatment by Koreanexperts. 2) Among many psychosocial treatment programs, cognitive behavior therapy (CBT),coping skills training, 12-step facilitation, and Group therapy were commonly used programs inKorea. Finally, the following treatment methods were selected for recommendations : Grouptherapy, motivational enhancement treatment, CBT, behavioral self-management, alcoholicanonymous, 12-step facilitation, psychodynamic psychotherapy, psychoeducational intervention,continuous case management, and community residential rehabilitation program. Conclusion Just as in treatment of chronic diseases such as hypertension, continuity is importantfor management of alcohol use disorder. Therefore, not only pharmacological treatment butalso psychosocial treatment should be provided comprehensively after treatment of acute withdrawalsymptoms.

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