Perspectives in Nursing Science

  • 제15권1호
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  • Pages.29-40
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  • 2018
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  • 2288-2898(pISSN)
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  • 2288-7687(eISSN)
서울대학교 간호과학연구소 (The Research Institute of Nursing Science Seoul National University)
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알코올 사용장애 환자를 대상으로 시행된 인지행동치료에 대한 연구의 통합적 문헌고찰

An Integrative Review of Cognitive Behavioral Therapy for Patients with Alcohol Use Disorder

  • 류소임 (서울대학교병원 간호부문) ;
  • 권태균 (서울대학교 간호대학) ;
  • 노은영 (서울대학교병원 간호부문) ;
  • 김유나 (서울대학교병원 간호부문)
  • Ryu, Soim (Department of Nursing, Seoul National University Hospital) ;
  • Gwon, Taekyun (College of Nursing, Seoul National University) ;
  • Noh, Eunyoung (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Yuna (Department of Nursing, Seoul National University Hospital)
  • 투고 : 2018.03.10
  • 심사 : 2018.04.09
  • 발행 : 2018.04.30
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초록

Purpose: The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs. Methods: We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected. Results: Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation. Conclusion: CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

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참고문헌

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