• Journal of Preventive Medicine and Public Health
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• v.34 no.1
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• pp.73-79
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• 2001

Objectives : To examine predictors of successful control for selfishness, dishonesty, resentment, and fear(SDRF) among Korean Alcoholics Anonymous(AA) members. Methods : This study was a cross-sectional study. The study group included members from 18 different AA groups which were enrolled in the Korean AA Association in 1998. 207 Out of 300 self administered questionnaires were completed by AA members (response rate 69.0%). Alcoholics who attended AA meetings were divided into two groups according to their self reported level of success in SDRF control; one with very successful experience after AA participation and the other with little or no success. In this study, the general characteristics, AA activities, relapse experience, and degree of effort exerted for SDRF control were compared between two groups. In order to study predictors of successful SDRF control after joining AA, 4 logistic regression analyses were performed for each of the 4 SDRF indices. Results : The proportion of those reporting a 'very successful' experience was 19.9% for selfishness, 20.7% for dishonesty, 25.5% for resentment, and 24.7% for fear. After control for the effect of general characteristics, the practice of the 12th step(taking alcoholics to an AA meeting after conveying messages) was found to be a significant predictor for the successful control of both selfishness(OR=6.04) and the dishonesty(OR=7.77). And individuals making every effort for SDRF control showed more successful control of selfishness(OR=4.10), dishonesty(OR=4.01, and fear(OR=34.89). Conclusions : Bivariate and multivariate analyses demonstrated that especially practicing the 12th step and making every effort themselves, may help alcoholics to control SDRF successfully after joining AA.

• Health Policy and Management
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• v.10 no.3
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• pp.88-107
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• 2000

The Alcoholics Anonymous(AA) program has been known to be effective in many countries in helping alcoholics to stop drinking and to change their attitudes, beliefs, and behaviors. In this study, we examined AA activities among Korean AA members and measured the self-evaluated physical, social, and mental changes following the entry into the AA program. Out of identified 300 AA members who were attending 18 different AA group meetings at the time of the survey, 207 completed the self-administered questionnaire(response rate of 69.0%). T-test and ANOVA were used to compare the scores of physica(4-items), social(4-items), and menta(10-items) changes according to the level of AA activities. The proportion of the respondents who practiced the 11th step (meditation) or the 12th step (take alcoholics to a meeting after carrying messages) on the regular basis was 66.6% and 37.2%, respectively. The average time spent in meditation per week was $4.8{\pm}5.47$ hours. The length of participation in AA meetings has significantly positive impact on the average score of changes in all the 3 health states; physical(p<.01), social(p<.05), and mental states(p<.01). Also, practicing the 11th step was significantly associated with improvement of social(p<.01) and mental(p<.05), while practicing the 12th step improved only mental states(p<.01). Our findings demonstrated that not only the length of participation in AA meetings but also the practice of regular meditation(11th step) and taking alcoholics to an AA meeting after carrying messages(12th step) are very important for AA members, and lead to great positive changes in physical, social, and mental states following entry into the AA program.

• Journal of Korean Academy of Psychiatric and Mental Health Nursing
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• v.28 no.2
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• pp.114-123
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• 2019

Purpose: The aim of the study was to investigate associations of spiritual well-being, attitude toward death, and quality of life among Alcoholics Anonymous (AA). Methods: This study was cross-sectional and descriptive in design. The data was collected from August to September 2018 with 133 AA members drawn from two provinces of South Korea. The data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Turkey tests, Pearson's correlation coefficients, and hierarchical multiple linear regression analyses using SPSS/WIN 20.0 program. Results: The existential spiritual well-being (β=.52, p<.001), attitude toward death (β=.24, p<.001), dual diagnosis (β=-.17, p=.003), occupation (β=.12, p=.035) of the participants were significant factors, which explained 63.7% of the variance of quality of life. Conclusion: The study findings highlight the need to develop psychological nursing strategies to enhance the spiritual well-being and improve a positive attitude toward death based on the job and dual diagnosis among AA members to improve their better quality of life.

• Journal of Korean Academy of Nursing
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• v.46 no.2
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• pp.305-314
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• 2016

Purpose: The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model. Methods: A cross sectional survey was conducted with participants (N=203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0). Results: Of the educational diagnostic variables, self-esteem (${\beta}=.23$), family functioning (${\beta}=.12$), abstinence self-efficacy (${\beta}=.12$) and social capital (${\beta}=.11$) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (${\beta}=-.44$) and perceived health status (${\beta}=.35$) were the main factors in QOL. Also, physical health status and practice (${\beta}=.106$), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001). Conclusion: The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.

• Proceedings of the Korea Contents Association Conference
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• 2019.05a
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• pp.467-468
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• 2019

Alcoholics Anonymous(AA)/Narcotic Anonymous(NA)의 12 단계 중독 회복 프로그램과 선배 회복자의 지지는 중독 치료 모델에서 성공적인 회복에 기여하는 주요한 역할을 한다. 12단계 중독회복 프로그램의 특징은 특정 종교를 기반으로 하지 않지만 자신의 무력감과 영적 존재에 대한 인정을 바탕으로 한다. 어떤 이들에게는 성공의 요인으로 작용하는 이 특징이 일부 참여자에게 거부하게 하는 요인으로 작용한다. 또한 AA/NA의 오프라인 모임에서 발생하는 다양한 부작용으로 인해 사회적 지지가 필요하지만 사회적 지지를 포기하는 이탈이 발생하여 참석자의 회복에 지장을 주기도 한다. 이에 서구 여러 나라에서 AA/NA와 유사하지만 오프라인뿐만 아니라 온라인 모임이 가능하고, 외부의 존재에 대한 의존이 아닌 중독자 스스로가 중독을 극복하게 도와주며 다양한 형태의 중독의 문제를 다루도록 돕는 SMART(Self Management and Recovery Training) Recovery가 대안으로 부상하였다. 따라서 본 연구에서는 중독회복에 상호자조집단의 도움이 필요하지만 12단계 프로그램이나 오프라인 모임 외에 다른 대안이 없는 국내 상황에 대한 새로운 대안으로 SMART Recovery에 대한 정보와 접근방법들을 심도 있게 탐색하고자 한다.

• Korean Journal of Culture and Social Issue
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• v.21 no.3
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• pp.481-496
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• 2015

The purpose of this study was to search for empirical evidence between internalized shame with self-control, aggression, and addiction potential. Also examine the differences between clinical group and normal group. The data was collected from 100 AA participants and 380 Non-AA participants. For measuring each variable, internalizes shame scale(ISS), self-control rating scale(SCRS), Buss-Durkee Hostility inventory(BDH), addiction potential scale(APS) were used. The survey result was analyzed with Pearson Correlation, Partial correlation and t-test. The results shows: Frist, the internalized shame and the aggression, the addiction potential shows a positive correlation but the self-control shows negative correlation. Second, after control self-control, internalized shame positively correlate to addiction potential and aggression. Third, clinical group recorded a higher level in internalized shame, aggression and addiction potential than normal group; a lower level in self-control. Based on the finding, the implications of understandings, the interventions, the limitations of this study, and the suggestions were discussed.