Department of Nursing, College of Medicine, Inha University, 100 Inha-ro, Michuhol-gu, Incheon, 22212, Republic of Korea.
Addict Sci Clin Pract. 2022 Feb 22;17(1):14. doi: 10.1186/s13722-022-00297-3.
The prevalence of alcohol use disorder (AUD) among women in South Korea has been rising, causing public health problems. Yet women's treatment needs are mostly unmet in South Korea due to the lack of women-focused treatment programs. This study evaluated the feasibility, acceptability, and clinical outcomes of a therapeutic community (TC)-oriented day treatment program for Korean women with AUD on alcohol abstinence self-efficacy, forgiveness, and spirituality.
The current study employed a quasi-experimental, non-equivalent control group design with a pretest and posttest. Participants were assigned to 6-month TC-oriented day treatment program (n = 19) or usual treatment (n = 21). Feasibility (treatment completion rate) and acceptability (overall program satisfaction) were assessed. Alcohol abstinence was measured as a clinical outcome at baseline, 3 months, and 6 months. Repeated measures using Alcohol Abstinence Self-Efficacy (AASE), Enright Forgiveness Inventory-Korea (EFI-K), and Spiritual Assessment Scale (SAS) were also obtained from both conditions at those three time points.
Fifteen participants (78.9%) in the intervention group successfully completed the program. The overall program satisfaction ratings were very high (4.9 ± 0.2). Continuous abstinence rates at 6 months were significantly higher in the treatment group (78.9%) than in the control group (9.5%). Results of the two-way repeated measures ANOVA indicated that statistically significant two-way (group × time) interaction effects were found for the intervention group on AASE, EFI-K, and SAS but not for the control group on any of the outcomes.
The current study demonstrated the feasibility and acceptability of implementing a TC-oriented intensive day treatment program to promote recovery in Korean women with AUD. This intervention merits further investigation as a potential strategy to help address alcohol abstinence self-efficacy, forgiveness and spirituality.
KCT0006386 (Cris.nih.go.kr).
韩国女性酗酒障碍（AUD）的患病率不断上升，引发了公共卫生问题。然而，由于缺乏以女性为重点的治疗项目，韩国女性的治疗需求大多未得到满足。本研究评估了以治疗社区（TC）为导向的日间治疗项目对韩国 AUD 女性的可行性、可接受性和临床效果，以评估其对酒精戒断自我效能、宽恕和灵性的影响。
本研究采用准实验、非等效对照组设计，进行了前测和后测。参与者被分配到 6 个月的 TC 导向日间治疗项目（n=19）或常规治疗（n=21）。评估了可行性（治疗完成率）和可接受性（总体方案满意度）。酒精戒断作为临床结果，在基线、3 个月和 6 个月时进行测量。在这三个时间点，还从两个条件下获得了重复测量的酒精戒断自我效能量表（AASE）、恩赖特宽恕量表-韩国版（EFI-K）和精神评估量表（SAS）。
干预组有 15 名参与者（78.9%）成功完成了该项目。总体方案满意度评价非常高（4.9±0.2）。治疗组的 6 个月持续戒断率明显高于对照组（78.9%比 9.5%）。双向重复测量方差分析的结果表明，干预组在 AASE、EFI-K 和 SAS 上的组间时间交互作用具有统计学意义，但对照组在任何结果上均无统计学意义。
本研究表明，实施以 TC 为导向的强化日间治疗方案，促进韩国 AUD 女性康复是可行和可接受的。这种干预措施值得进一步研究，作为一种潜在的策略，有助于提高酒精戒断自我效能、宽恕和灵性。
KCT0006386（Cris.nih.go.kr）。
