Alcoholism and drunk is serious social and health problem. Which caused physical and psychological diseases. A study on 21 alcoholics found that perception disorder: 52.39%, thinking disorder: 42.86%, withdrawal syndrome: 71.43%, behavioral disorder: 66.67%, hepatomegaly: 17% with high SGOT, SGPT, Electrocardiogram indicated the rapid signal rhythm and myocardial malnutrition.
Psychology ; Alcoholism ; Alcohol-Related Disorders ; diagnosis

The nationwide spreaded institutionalized mental disordered offenders admitted in the several mental hospitals were transfered in one time after opening in November 3, 1987 until the end of 1988. In 1989, new admitted MDOs were 5.8%, 107 among total 1849, 203 MDOs(11%) were admitted newly in 1997. The new admitted MDOs were increased every year. The diagnosis of total 1849 mental disordered offenders to be admitted during 11 years from November 3, 1987 to December 31, 1997.Schizophrenia is 69.8%, Epilepsy 0%, Personality disorders 4.0%, Mental Retardation 4.0%, Alcohol-related disorder 3.0%, Substance-related disorder(other than alcohol) 2.0%. The crimes of total 1849 MDOs for 11 years are as follows; Homicide 33.2%, Violence 19.2%, Manslaughter 12.5%, Stealing 8.1%, Arson 6.4%, Robbery 2.5%, Rape 2.2%,II-legal Substance Abuse 1.6%. Year average recidivism of MDOs for 11 years are as follows:1st crime 70.6%, 2nd crime 12.3%, 3rd crime 4.9%, 4th crime 3.7%, 5th crime 8.5%. The number 77(6.8%) among 1141 total discharged MDOs are admitted again after discharge from the Forensic Psychiatric Hospital. The readmitted 77 MDOs for 11 years according to crimes are as follows: Stealing 30(38.9%), Substance Abuse 14(18.2%), Violence 11(14.3%), Arson 5(7.8%), Robbery 5(6.5%), Rape 5(6.5%), Homicide 4(5.2%). The readmitted 77 MDOs for 11 years according to crimes are as follows:Stealing 30(38.9%), Substance Abuse 14(18.2%), Violence 11(14.3%), Arson 6(7.8%), Robbery 5(6.5%), Rape 5(6.5%), Homicide 4(5.2%). The readmitted 77 MDOs for 11 years according to diagnosis are as follows: Schizophrenia 36(46.7%), Substance Abuse 15(19.5%), Kleptomaina 6(7.8%), Mental Retardation 4(5.2%), Personality disorders 4(5.2%), Epilesy 1(1.3%), Delusional disorder 2(2.6%), Bipolar Disorder 2(2.6%), Alcohol dependency 1(1.3%). II. Mental evaluation for Criminal Responsibility The diagnostic classification of total 1422 Mental Evaluation for 11 years are as follows: Schizophenia 431(30.3%), Alcohol-related disorder 205(14.4%), Mood disorder 188(13.2%), Personality disorders 124(8.7%), Mental retardation 108(7.6%), Delusional disorder 67(4.7%), and mental disorder due to general medical condition 42(3.0%). The number sentenced to insanity are 597(44.9%) among total 1331, diminished capacity 546(41%), and 'normal' 188(14.1%).
Alcohol-Related Disorders ; Bipolar Disorder ; Classification ; Crime ; Criminals* ; Diagnosis ; Epilepsy ; Firesetting Behavior ; Homicide ; Hospitals, Psychiatric* ; Humans ; Intellectual Disability ; Korea* ; Mental Disorders ; Mood Disorders ; Personality Disorders ; Rape ; Schizophrenia ; Schizophrenia, Paranoid ; Substance-Related Disorders ; Theft ; Violence

We evaluated alcohol consumption and alcohol-related problems in Korean adults by evaluating alcohol consumption and responses to the CAGE questionnaire obtained from the second Korea National Health and Nutrition Examination Survey. The age-adjusted prevalence of males who consumed 0, 0.1-20, 20.1-40, or >40 g/day of alcohol were 28.0, 51.5, 12.5, and 8.0%, respectively; 26.9% of male drinkers were CAGE-positive (> or =2 affirmative responses to the CAGE). The age-adjusted prevalence of females who consumed 0, 0.1-10, 10.1-20, or >20 g/day of alcohol were 67.7, 26.6, 3.9, and 1.8%; 11.9% of female drinkers were CAGE-positive. The risk factors for high alcohol consumption were old age, low education level, smoking, and drinking onset at young ages in male drinkers, whereas low education level and smoking in female drinkers. The risk factors for a positive CAGE were young age, marriage, low education level, smoking, high amount of alcohol consumed on a single occasion, and high drinking frequency in male drinkers, whereas high household income, ex-smoking, high amount of alcohol consumed on a single occasion, and high drinking frequency in female drinkers. Our results suggest that high alcohol consumption and alcohol-related problems in Korean adults are not negligible and require intervention.
Adult ; Aged ; *Alcohol Drinking ; Alcohol-Related Disorders/*diagnosis/epidemiology ; Alcoholism ; Female ; *Health Surveys ; Humans ; Korea ; Male ; Middle Aged ; Questionnaires ; Risk Factors ; State Medicine ; Treatment Outcome

The purpose of this study was to evaluate the associations between weight status and mental disorders, including depressive disorder, anxiety disorder and alcohol use disorder. A total of nationally representative 6,510 subjects aged 18-64 yr was interviewed in face-to-face household survey. Response rate was 81.7%. Mental disorders were diagnosed using the Korean version of the Composite International Diagnostic Interview (K-CIDI). The subjects reported their heights and weights. After adjusting for age and gender, the lifetime diagnosis of depressive disorder had a significant association with only the underweight group (odds ratio [OR], 1.68, 95% confidence interval [CI], 1.19-2.38). The association between underweight and depressive disorder was the strongest for subjects with a high education level (OR, 1.75, 95% CI, 1.2-2.56), subjects with a married/cohabiting status (OR, 1.94, 95% CI, 1.17-3.22) and smokers (OR, 2.58, 95% CI, 1.33-4.98). There was no significant association between obesity and depressive disorder in Korea. But there was a significant association between the underweight group and depressive disorder. The relationship between obesity and mental disorder in a Korean population was different from that in a Western population. These results suggest that the differences of traditional cultures and races might have an important effect on the associations between the weight status and mental disorders.
Adolescent ; Adult ; Alcohol-Related Disorders/diagnosis ; Anxiety Disorders/diagnosis ; *Body Weight ; Depressive Disorder/diagnosis ; Female ; Humans ; Interviews as Topic ; Male ; Mental Disorders/diagnosis/*epidemiology ; Middle Aged ; Obesity/diagnosis/epidemiology ; Odds Ratio ; Republic of Korea ; Risk Factors ; Thinness

OBJECTIVES: The purpose of this study is to examine the magnitude of and the factors associated with the downward mobility of first-episode psychiatric patients. METHODS: This study used the claims data from the Korean Health Insurance Review and Assessment Service. The study population included 19 293 first-episode psychiatric inpatients diagnosed with alcohol use disorder (International Classification of Diseases, 10th revision [ICD-10] code F10), schizophrenia and related disorders (ICD-10 codes F20-F29), and mood disorders (ICD-10 codes F30-F33) in the first half of 2005. This study included only National Health Insurance beneficiaries in 2005. The dependent variable was the occurrence of downward mobility, which was defined as a health insurance status change from National Health Insurance to Medical Aid. Logistic regression analysis was used to assess factors associated with downward drift of first-episode psychiatric patients. RESULTS: About 10% of the study population who were National Health Insurance beneficiaries in 2005 became Medical Aid recipients in 2007. The logistic regression analysis showed that age, gender, primary diagnosis, type of hospital at first admission, regular use of outpatient clinic, and long-term hospitalization are significant predictors in determining downward drift in newly diagnosed psychiatric patients. CONCLUSIONS: This research showed that the downward mobility of psychiatric patients is affected by long-term hospitalization and medical care utilization. The findings suggest that early intensive intervention might reduce long-term hospitalization and the downward mobility of psychiatric patients.
Adolescent ; Adult ; Aged ; Alcohol-Related Disorders/diagnosis ; Hospitalization ; Humans ; Length of Stay ; Logistic Models ; Mental Disorders/*diagnosis ; Middle Aged ; Mood Disorders/diagnosis ; National Health Programs ; Republic of Korea ; Schizophrenia/diagnosis ; Social Mobility/*statistics & numerical data ; Young Adult

Alcohol is well-recognized systemic toxin that causes numerous adverse effects, including psychosocial problems, fatal myocardial infarction, stroke and atherosclerosis. The intra-abdominal complications caused by acute alcohol consumption have not been defined. We report an 80-year-old man with sub-acute small bowel and colonic ischemia after heavy alcohol intake in one sitting. We performed a resection of gangrenous bowel segments. Microscopically, there were diffuse infarction, with vasoconstriction of the mesenteric vessels in the ileum and colon without any thrombotic occlusion of the intestinal vessels. The clinicians should always be assured by confirmation of a history of recent substance abuse in patients with unexplained abdominal pain, and mesenteric ischemia should be considered in the differential diagnosis of acute or chronic abdominal pain in consumers of alcohol.
Abdominal Pain ; Aged, 80 and over ; Alcohol Drinking ; Alcohols ; Atherosclerosis ; Colon ; Diagnosis, Differential ; Humans ; Ileum ; Infarction ; Ischemia ; Myocardial Infarction ; Stroke ; Substance-Related Disorders ; Vasoconstriction

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.
Alcohol-Related Disorders ; Alcoholics Anonymous ; Alcoholics ; Attitude to Death ; Diagnosis, Dual (Psychiatry) ; Humans ; Korea ; Linear Models ; Nursing ; Occupations ; Quality of Life ; Spirituality ; Turkey

Major depressive disorder (MDD) is defined as a state of depressed mood, loss of volition and interest, feelings of guilt and worthlessness, sleep problems, poor appetite, loss of energy, and poor concentration, which causes disability in personal and social activities. Lifetime prevalence of MDD is 6.7% (4.8% in men and 9.1% in women), and has increased by 0.2% annually for the last decade. The risk factors for suicide are MDD, severity of the MDD episode, psychotic symptoms, first episode, and being male. The suicide rate was 31.2 per 100,000 persons in the 2010 report on Death and Causes of Death in Korea, which is the seventh highest incidence in men and first in women among 105 nations from the WHO report. The lifetime rate of suicide attempts in Korea is 3.2% according to the Epidemiological Survey of Mental Disorders in Korea 2011, which is higher than the rate of China, Japan, and Western countries. It is estimated that 1,200,000 persons in Korea have attempted suicide at some point within their lifetime. Seasonal variations in suicide indicate the association between suicide and MDD. Both rates of suicide and suicide attempts are the highest in May, when a total of 52.8% of those attempting suicide were diagnosed with MDD. Forty percent of recent suicide attempts are associated with MDD, and 73.7% with MDD or alcohol use disorder in the general population. In conclusion, suicide and suicide attempts are closely associated with MDD. Suicide is a medical condition that is treatable and preventable, and suicide rates can be reduced through early diagnosis and treatment for MDD and alcohol use disorder in Korea.
Alcohol-Related Disorders ; Appetite ; Cause of Death ; China ; Depression ; Depressive Disorder, Major ; Early Diagnosis ; Epidemiologic Studies ; Female ; Guilt ; Humans ; Incidence ; Japan ; Korea ; Male ; Mental Disorders ; Prevalence ; Risk Factors ; Seasons ; Suicide ; Suicide, Attempted ; Volition

BACKGROUND/AIMS: Liver stiffness measurement (LSM) has been proposed as a non-invasive method for estimating the severity of fibrosis and the complications of cirrhosis. Measurement of the hepatic venous pressure gradient (HVPG) is the gold standard for assessing the presence of portal hypertension, but its invasiveness limits its clinical application. In this study we evaluated the relationship between LSM and HVPG, and the predictive value of LSM for clinically significant portal hypertension (CSPH) and severe portal hypertension in cirrhosis. METHODS: LSM was performed with transient elastography in 59 consecutive cirrhotic patients who underwent hemodynamic HVPG investigations. CSPH and severe portal hypertension were defined as HVPG > or =10 and > or =12 mmHg, respectively. Linear regression analysis was performed to evaluate the relationship between LSM and HVPG. Diagnostic values were analyzed based on receiver operating characteristic (ROC) curves. RESULTS: A strong positive correlation between LSM and HVPG was observed in the overall population (r2=0.496, P<0.0001). The area under the ROC curve (AUROC) for the prediction of CSPH (HVPG > or =10 mmHg) was 0.851, and the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for an LSM cutoff value of 21.95 kPa were 82.5%, 73.7%, 86.8%, and 66.7%, respectively. The AUROC at prediction of severe portal hypertension (HVPG > or =12 mmHg) was 0.877, and the sensitivity, specificity, PPV, and NPV at LSM cutoff value of 24.25 kPa were 82.9%, 70.8%, 80.6%, and 73.9%, respectively. CONCLUSIONS: LSM exhibited a significant correlation with HVPG in patients with cirrhosis. LSM could be a non-invasive method for predicting CSPH and severe portal hypertension in Korean patients with liver cirrhosis.
Adult ; Aged ; Alcohol-Related Disorders/complications ; Area Under Curve ; *Elasticity Imaging Techniques ; Female ; Hepatitis B/complications ; Hepatitis C/complications ; Humans ; Hypertension, Portal/*complications/*diagnosis ; Linear Models ; Liver Cirrhosis/*complications/*diagnosis/pathology ; Male ; Middle Aged ; ROC Curve ; Republic of Korea ; Sensitivity and Specificity

PURPOSE: This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder. METHODS: A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, chi2-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise. RESULTS: AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents' alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI: 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI: 8.07-100.69), middle school (OR=6.66, 95% CI: 2.21-20.09), high school (OR=6.31, 95% CI: 2.59-15.36), drinking alone (OR=9.07, 95% CI: 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI: 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI:1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI: 0.72-0.94), which accounted for 53% of the variance. CONCLUSION: Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.
Adult ; Aged ; Alcohol-Related Disorders/diagnosis/*pathology ; Asian Continental Ancestry Group ; Divorce ; Family Relations ; *Hospitalization ; Humans ; Interpersonal Relations ; Logistic Models ; Male ; Middle Aged ; Odds Ratio ; Predictive Value of Tests ; Questionnaires ; Republic of Korea