• 한국산학기술학회논문지
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• 제16권12호
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• pp.8472-8478
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• 2015

알코올 중독의 패러다임이 최근에는 단주에서 회복으로 옮겨지고 있다. 본 연구는 알코올 중독자의 단주의지, 적응유연성, 회복간의 관계에 대한 모형을 가정하고 검증하기 위한 연구로, 205명의 조사 자료를 분석하였다. 단주의지를 독립변수, 적응유연성을 매개변수, 회복을 종속변수로 하여 모형을 구성하였으며, 가설분석을 위해 AMOS 7.0을 활용하였다. 분석 결과 첫째, 단주의지와 회복사이에 적응유연성의 매개효과에 대해 독립변수의 직접경로가 포함된 부분매개모형의 적합도가 높은 것으로 나타났다. 둘째, 단주의지와 적응유연성의 회복에 대한 직접 효과가 검증되었다. 본 연구 결과는 향후 알코올 중독자의 회복을 위한 프로그램 구성에 적응유연성을 강조하는 근거로 활용될 것으로 기대된다.

• 한국식품영양과학회지
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• 제27권6호
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• pp.1244-1252
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• 1998

The purpose of this study is to evaluate the nutritional status of vitamin and minerals in the patients with alcoholic liver disease and to obtain the materials for nutritional education for alcoholics. The subjects consist of 80 patients with alcoholic liver cirrhosis(ALC) and 12 patients with alcoholic fatty liver(AFL). The control group included 57 alcoholics without liver disease(A), 32 patients with viral liver cirrhosis(VLC) and 194 normal men(NL). Biochemical evaluation of nutritional status was investigated by the analysis of blood samples. The frequency of vitamin B1 deficiency in the ALC, AFL and A groups as indicated by the erythrocyte transketolase activity coefficient were 46.0%, 66.7% and 57.9% respectively. The frequency of vitamin B2 deficiency in the ALC, AFL and A groups as indicated by the erythrocyte glutathione reductase activity coefficient were 9.8%, 8.3% and 38.6% respectively. Vitamin A deficiency was not detected in the alcoholic subjects. The frequency of vi tamin E deficiency in ALC, AFL and A were 96.3%, 66.7% and 86.0% respectively. The levels of plasma lipid peroxidation products were significantly higher in the alcoholic subjects than in the normal subjects. The frequency of subjects below normal range of hemoglobin were 85.0% in ALC, 50.0% in AFL and 31.6% in A. The frequency of copper deficiency in the ALC, AFL and A groups were 48.4%, 16.7% and 17.5% respectively. The frequency of zinc deficiency in the ALC, AFL and A groups were 83.8%, 41.7% and 66.7% respectively. Overall, the vitamin and minerals status of the alcoholic subjects in this study was evaluated to be very poor on the basis of biochemical assessments. The results suggest that alcohol abuse and poor dietary intake could cause malnutrition and may be important risk factors in causing alcoholic liver disease in alcoholics. In addition, vitamin B1, vitamin B2, Cu, Fe and antioxidant supplementation may be effective in nutritional therapy for chronic alcoholics.

• 한국콘텐츠학회논문지
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• 제13권4호
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• pp.230-238
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• 2013

본 연구는 신체적, 성적 학대의 외상경험이 있는 여성알코올중독자들의 외상경험과 외상 후 스트레스 증상에 초점을 맞추어 알코올중독 재발위험성에 영향을 미치는 매개변인을 파악하여 여성알코올중독자들을 재발에 이르게 하는 스트레스대처와 음주기대의 심리적 요인을 이해하고, 알코올중독 사회복지 실천현장의 실천적 방안을 모색하는데 그 목적을 두고자 하였다. 분석결과 첫째, 연구대상자의 신체적, 성적 외상경험관련 특성은 18세 이전 지인에 의한 신체적 성적 학대경험이 18세 이후의 경험보다 많았다. 둘째, 연구모형의 분석에서 총 10개의 직접경로 중 8개의 경로가 통계적으로 유의하였고, 셋째, 매개변수를 통한 간접영향에 대한 검증결과 외상 후 스트레스 증상, 문제 중심 대처, 정서 중심 대처, 음주기대를 매개로 하는 6개의 간접경로 중 4개의 경로가 유의하였다. 이와 같은 연구결과를 바탕으로 여성 알코올중독자의 재발을 예방하기 위한 구체적인 실천적 방안과 함의를 제시하였다.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.576-589
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• 2019

본 연구의 목적은 여성배우자들이 남편인 알코올중독자와의 공동의존관계에서 벗어나 자아주체성을 어떻게 회복하는가를 탐구하는 것이다. 연구의 목적 달성을 위해 알코올중독자 여성배우자 5인과 1:1 심층면접을 실시했다. 면담을 통해 수집한 자료는 Giorgi[1]가 제안한 현상학적 연구방법으로 분석하였다. 주요 연구결과는 다음과 같다. 첫째, 자료분석과정에서 연구자들은 '공동의존(자아주체성 상실)', '피폐한 삶', '자아의 버팀목', '자아에 대한 자각', '자아주체성 회복'을 포함하는 총5개의 주제를 추출했다. 둘째, 연구자들은 모든 주제들을 통합하여 '알코올중독자 여성배우자의 자아에 대한 자각을 통한 자아주체성 회복'이라는 본질적 주제를 뽑아냈다. 연구자들은 연구결과를 바탕으로 알코올중독자 여성배우자들에 대한 다양한 심리치료 시스템의 적용과 상담, 가족 및 신앙의 힘을 바탕으로 하는 자아버팀목에 관한 실천적 대안들을 제시했다.

• 디지털융복합연구
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• 제17권2호
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• pp.423-431
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• 2019

본 연구의 목적은 알코올 중독자의 우울과 자살사고의 관계에서 사회적 지지의 매개역할을 규명하는 것이다. 본 연구의 연구대상자들은 DSM-IV의 기준에 의하여 알코올 의존으로 진단받은 성인들로, 현재 알코올중독치료를 위해 울산, 부산, 포항, 경주지역에 위치한 병원에서 입원 치료중인 사람들이다. 설문조사는 대상자들에게 본 연구의 목적을 설명한 후 설문조사에 동의한 사람들에게 설문지를 배포하여 자기 기입방법으로 실시했다. 이러한 과정을 통해 217부의 설문지가 분석되었다. 조사기간은 2017년 10월 01일부터 11월 01일 사이에 이루어졌다. 알코올 중독자들의 우울이 자살사고에 미치는 영향에서 사회적 지지의 매개효과를 검증하기 위해서는 3단계 매개 회귀분석과 Sobel test를 실시하였다. 연구결과, 알코올 중독자들의 우울이 자살사고에 미치는 영향에서 사회적 지지의 부분 매개효과가 검증되었다. 이러한 연구결과에 근거하여 알코올 중독자들에 대한 사회적 지지 강화를 위한 개입전략을 제안하였다.

• 대한간호학회지
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• 제38권5호
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• pp.758-767
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• 2008

Purpose: The purpose of this study was to explore and describe life-stories and meanings of life in wives of alcoholics by analyzing their autobiographies. Methods: Autobiographies were collected from 20 participants who produced their own autobiographies in the logotherapeutic autobiography program at community alcohol counseling centers in Korea. The data were coded to identify themes of agency and communion using the manual coding system developed by McAdams, and analyzed by the existential approach. Results: There were 214 coded episodes in twenty autobiographies. There were 128 agency themes and 86 communion themes. The most common themes were Love/Friendship. Five themes emerged from the autobiographical episodes on the existential perspective: 1) overcoming the suffering, 2) meaningful people and relationships, 3) spiritual maturation, 4) caring and helping, and 5) finding a meaning of life. Conclusion: These results showed that the wives of alcoholics who participated in the logotherapeutic autobiography program found the meaning of life through their suffering. Furthermore, a study on existential nursing interventions for people who have meaninglessness in life needs to be done.

• Asian Pacific Journal of Cancer Prevention
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• 제15권11호
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• pp.4571-4573
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• 2014

Diabetes, a comprehensive genetic disease, is principally due to the deregulation of glucose levels in the blood. In addition to contemporary epidemiological studies, systematic substantiation suggests that long-term diabetes leads to cancers due to a variety of reasons. In this study, blood samples were collected with informed consent from confirmed type I diabetic (T1DM, n=25) and type II Diabetic patients (T2DM, n=25) with equal numbers of controls. Further depending on the lifestyle habits they were subdivided into smokers/non-smokers and alcoholics/non-alcoholics. Chromosomal assays were performed for these cases and it was found that there was a significant increase in chromosomal aberration frequency in diabetic patient groups who are exposed to smoking and alcohol than that of normal diabetic groups (T1DM and T2DM). On the other hand, patient groups who were non-smoking and non-alcoholics also showed higher chromosomal aberrations when compared to that of controls. While the mechanisms for these increased chromosomal aberrations in diabetic groups are not clear, they may be due to increased oxidative stress leading to oxidative damage and resulting in genomic instability, which in turn may contribute to an increased risk for cancer.

• 대한간호학회지
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• 제41권5호
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• pp.642-651
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• 2011

Purpose: The purpose of this study was to explore the resilience of adult children of alcoholics (ACOA) who are college students, and examine factors contributing to their resilience. Methods: A total of 459 college students from a university in Incheon, participated in this study. Data were collected between April 6 to 30, 2010 using the Korean version of the Children of Alcoholics Screening Test (CAST-K), CAGE, Social Support, Self-Esteem, Family Adaptability and Cohesion, and Resilience measurements. Data were analyzed using the SPSS/WIN 18.0 program. Results: Overall, ACOA group showed lower scores of resilience, social support, self-esteem and family adaptability and cohesion compared to non-ACOA group. Resilience among the ACOA group showed significant relationships with self-esteem (r=.53, p<.001), social support (r=.43, p<.001), and family adaptability and cohesion (r=.25, p<.013). Multiple regression analysis showed that 45% of the variance for resilience in the ACOA group was accounted for by age, gender, social support, self-esteem, and religion. Conclusion: The results of the study show that self-esteem and social support are important determinants of resilience in ACOA, thus it is recommend that further resilience training programs for ACOA be developed to enhance their social support and self-esteem, and ultimately to increase their resilience.

• 생물정신의학
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• 제8권2호
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• pp.246-250
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• 2001

The dopamine D4 receptor gene has a hypervariable segment in the coding region characterized by a varying number of 48bp repeats in exon III of the gene. Varying the numbers of repeated segments may change the length, structure, and function of the receptor, which makes this gene a possible candidate for variations in dopamine-related behaviors, such as alcoholism and drug abuse. We evaluated the dopamine D4 receptor genotype in male alcoholics and normal controls. All alcoholics and controls were unrelated and from the Korean population. Genotype and allele frequencies in 67 alcoholics were compared to 67 controls who were free of alcohol abuse, substance abuse, and major mental illness. No association was found between the dopamine D4 receptor allele and alcoholism. This result indicate that there is no association of the dopamine D4 receptor with alcoholism in Korean. Further systemized investigation to determine the role of dopamine D4 receptor gene in alcoholism with a larger sample size will be required.

• 정신간호학회지
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• 제28권2호
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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.