한국노년학

The Korean Gerontological Society (한국노년학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of a problem drinking monitoring program for bereaved older men: A pilot study

사별 남성 노인의 문제성 음주 경감 프로그램 효과성에 관한 파일럿 연구

  • Nam, Ilsung (Department of Social Work, Songkonghoe University) ;
  • Yoon, Hyunwoo (School of Social Work, Portland State University) ;
  • Kim, Taewhan (Department of Social Work, Songkonghoe University)
  • 남일성 (성공회대학교 사회복지학과) ;
  • 윤현우 (포틀랜드주립대학교 사회복지대학) ;
  • 김태환 (성공회대학교 사회복지학과)
  • Received : 2020.04.11
  • Accepted : 2020.04.19
  • Published : 2020.08.30
⟨ Previous Next ⟩

Abstract

Purpose: The aim of this study is to test a brief modified version of intervention for problem drinking monitoring program for bereaved men who lost their loved one. Methods: Inclusion criteria were experiencing the recent loss of a spouse and providing informed consent for participation. Of the 32 referred individuals who met the inclusion criteria, 26 participants were recruited. Study participants were randomly assigned into Alcohol problem monitoring(APM) group (N=13) or comparison group (N=13). Results: Older men receiving APM substantial decreased in problem drinking during three months of intervention. Improvement over time was observed on the outcomes, particularly in the Short Michigan Alcoholism Screening Test-Geriatric Version(SMAST-G). Conclusion: The findings that a modified version of APM for bereavement helped improve complicated grief symptoms and social impairments and reduce levels of problem drinking, provide important insights into the interventions for psychological and alcohol-related difficulties in bereavement.

본 논문은 사별 후 알콜 관련 문제를 겪고 있는 남성 노인을 대상으로 하는 단기프로그램의 알콜 문제와 심리적 문제 경감의 효과성을 검증한 파일럿 연구이다. 연구 참가자는 최근에 배우자를 사별한 남성 노인이고 이들에 대해서는 연구에 관한 정보를 전하고 동의를 구하였다. 총 참가자는 26명으로 무작위로 두 그룹으로 나누었다. 13명은 알콜문제모니터링 프로그램에 나머지 13명은 비교 그룹에 속하였다. 프로그램 집단에 속한 연구 참가자들은 알콜 관련 문제와 복잡성비애를 포함한 심리문제가 비교 집단에 비해 통계적으로 유의한 수준으로 경감되는 결과를 보였다.

Keywords

Acknowledgement

이 논문은 2012년 정부(교육과학기술부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2012S1A6A3A01033504). 이 연구는 2018년도 성공회대학교 교내연구활동지원사업에 의한 연구임.

References

  1. Atkinson, R. M., Misra, S., Ryan, S. C., & Turner, J. A. (2003).Referral paths, patient profiles and treatment adherence of older alcoholic men. Journal of Substance Abuse Treatment, 25(1), 29-35; doi.org/10.1016/S0740-5472(03)00048-5
  2. Boelen, P. A., van den Hout, M. A., & van den Bout, J. (2006). A cognitive behavioral conceptualization of complicated grief. Clinical Psychology Science and Practice, 13(2), 109-128; doi.org/10.1111/j.1468-2850.2006.00013.x
  3. Cheon, J., Oh, B., & Choi, Y. (1999). A preliminary study for the application of Michigan Alcoholism Screening Test-Geriatric version in Korea. Korean Journal of Biological Psychiatry, 6(1), 102-110.
  4. Glantz, M.(1995). Cognitive therapy with elderly alcoholics. Beresford, T. P., Gomberg, E. S., & Gomberg, E. L. (Eds.), Alcohol and aging(pp. 211-229).Oxford University Press, USA.
  5. Heather, N., Richmond, R., Webster, I., Wodak, A., Hardie, M., & Polkinghorne, H.(1989). A guide to healthier drinking. A self-help manual. Sydney: National Drugs and Alcohol Research Centre.
  6. Jang, A. L. (2013). The effects of cognitive behaviors therapy for nursing college students with irritable bowel syndrome (doctoral dissertation, Pusan National University).
  7. Mundt, J.C., Marks, I. M., Shear, M. K., & Greist, J. M. (2002). The Work and Social Adjustment Scale: a simple measure of impairment in functioning. The British Journal of Psychiatry, 180(5), 461-464; doi.org/10.1192/bjp.180.5.461
  8. Naegle, M.A. (2008). Screening for Alcohol Use and Misuse in Older Adults: Using the Short Michigan Alcoholism Screening Test-Geriatric Version. AJN The American Journal of Nursing, 108(11), 50-58; doi.org/10.1097/01.NAJ.0000339100.32362.d9
  9. Nam, I. (2015). Predictors of complicated grief among Korean older people. Journal of the Korean Gerontological Society, 35(1), 35-50.
  10. Nuriddin, T. A. (2007). Weathering the storm: Self-efficacy, social support processes, and health-related coping strategies among the Detroit-area widowed(Doctoral dissertation, Purdue University).
  11. Prigerson, H. G., Maciejewski, P. K., Reynolds III, C. F., Bierhals, A. J., Newsom, J. T., Fasiczka, A., ... & Miller, M. (1995). Inventory of Complicated Grief: a scale to measure maladaptive symptoms of loss. Psychiatry Research, 59(1-2), 65-79; doi.org/10.1016/0165-1781(95)02757-2
  12. Shear, K. S., Frank, E., Houck, P. R., & Reynolds, C. F. (2005). Treatment of complicated grief: A randomized controlled trial. Journal of American Medicine Association, 293(21): 2601-2608; doi.org/10.1001/jama.293.21.2601
  13. Stahl, S.T., & Schulz, R. (2014). Changes in routine health behaviors following late-life bereavement: a systematic review. Journal of behavioral Medicine,37(4), 736-755; doi.org/10.1007/s10865-013-9524-7
  14. Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. The Lancet, 370(9603), 1960-1973; doi.org/10.1016/S0140-6736(07)61816-9
  15. Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197-224; doi.org/10.1080/074811899201046