입원한 남자 알코올 의존 환자에서 8주 금주기간 후 음주갈망의 변화
알콜올 의존 환자 알콜중독;
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Objective It has been suggested that the craving is central to the loss of control over alcohol consumption experienced by people with alcohol dependence. Many aspects of craving for alcohol in the dependent individual are similar to the thought patterns and behaviors of patients with obsessive-compulsive disorder. In this study the author compared the change of craving for alcohol between the patients taken a week of alcohol abstinence and the ones done 8 weeks of alcohol abstinence. And the author evaluated the change of OCDS scores according to the demographic data and behavior patterns in patients with alcohol dependence. Method The subjects were 70 hospitalized male patients with alcohol dependence. The author evaluated them with Obsessive-Compulsive Dinking Scale(OCDS) twice. Each evaluation was done after a week alcohol abstinence period and 8 weeks alcohol abstinence period. Then the author checked over the difference among Obsessive Drinking Scale(ODS), Compulsive Drinking Scale(CDS), and total OCDS scores in each evaluation. Results The ODS, CDS, and OCDS scores, compared with the ones after a week alcohol abstinence, were significantly decreased after 8 weeks abstinence. However, there were no significant difference among the OCDS scores and demographic data and behavior patterns of alcoholics such as age, education level, initial drinking age, and amounts of alcohol consumption. Conclusion In this study the result was that the decrease of the OCDS scores related to the length of alcohol abstinence period in hospitalized male patients with alcohol dependence. Therefore, the decreasing rate of OCDS scores will be useful to evaluate treatment outcome and to predict relapse drinking. Future research is needed to analyze the difference of OCDS in the scope of various therapeutic programs and drugs trial.