PURPOSE: The purpose of this study was to test the effects of a forgiveness therapy program to improve self-esteem, anger and forgiveness in people who abuse alcohol. METHODS: A non-equivalent control group pre-posttest design was employed. Participants were 38 people who abuse alcohol and who agreed to participate in this study. They were assigned to the experimental group in Alcoholics Anonymous meetings of J hospital(n=19) and the control group in Alcoholics Anonymous meetings of B hospital(n=19). The eight session program was provided once a week for 8 weeks. The data were analyzed using percentage, chi2-test, Kolmogorov - Smirnov test, and t-test with SPSS 21.0 program. RESULTS: The results showed significant decrease in state anger and increase in self-esteem and forgiveness in the experimental group compared to the control group. CONCLUSION: The findings show that forgiveness therapy program has a positive effect on self-esteem, anger, and forgiveness of people who abuse alcohol but further studies will be needed in order to determine the long term effects of an extended integrated program on rehabilitation of these people.
Alcoholics ; Alcoholics Anonymous ; Anger* ; Forgiveness* ; Humans ; Rehabilitation

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 (β=.23), family functioning (β=.12), abstinence self-efficacy (β=.12) and social capital (β=.11) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (β= - .44) and perceived health status (β=.35) were the main factors in QOL. Also, physical health status and practice (β=.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.
Alcoholics Anonymous* ; Alcoholics* ; Causality ; Cross-Sectional Studies ; Depression ; Humans ; Korea* ; Nursing ; Quality of Life*

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.
Alcoholics Anonymous* ; Alcoholics* ; Cross-Sectional Studies ; Humans ; Logistic Models ; Multivariate Analysis ; Questionnaires ; Recurrence ; Self Report

To survey risk factors in coronary heart disease, we compared serum fatty acid composition and lipids for university students in Japan (33 males and 29 females) and in the Netherlands (20 males and 19 females). No significant differences were found between the mean levels of cholesterol (Chol) and triglycerides (TG) between the subjects in the two countries. The mean levels of polyunsaturated fatty acid (PUFA), monounsaturated fatty acid (MUFA) and saturated fatty acid (SFA) of Japanese students were similar to those of the Dutch students. In both countries, the levels of Chol showed a positive correlation with the levels of PUFA, n−6 PUFA, linoleic acid (C18: 2n−6), and arachidonic acid (AA, C20: 4n−6) but no correlation with the percentages of PUFA and the ratio of PUFA/SFA. On the other hand, the TG levels correlated inversely with the percentage of PUFA and the ratios of PUFA/SFA in both countries. When compared to those of Japanese students, low eicosapentaenoic acid (EPA, C20: 5n−3) and high AA were found in the Dutch students (p < 0.001, respectively). The total amounts of n−3 PUFA in the Dutch were significantly lower than those in the Japanese (p < 0.001) but no differences among those of n−6 PUFA. The ratios of EPA/AA and n−3/n−6 PUFA of the Dutch students were lower than those of the Japanese students (p < 0.001, respectively). The ratio of EPA/AA showed a positive correlation with EPA but not with AA in both countries. The levels of Toc which will decrease the risk of coronary vascular disease (CVD) were lower in Japan than those in the Dutch in both sexes (p < 0.01, respectively). These results suggest that the low EPA and high AA levels and the low n−3/n−6 PUFA ratio may lead to greater incidence of CVD.
Fatty Acids, Polyunsaturated ; Lower case en ; Alcoholics Anonymous ; Dutch Language ; lower case pea

PURPOSE: The aim of this study is to investigate and elucidate actual experiences of alcoholics' spouses using familial social gatherings. METHODS: A total of nine women whose alcoholic husbands were attending Al-Anon meetings held in Y Cathedral in S District of Seoul were included in this study. Data collection of this study was conducted through in-depth interviews with participants from September 24 to November 30, 2015. Data analysis was conducted at the same time as the data collection, and analysis was performed according to the method suggested by Colaizzi(1978). RESULTS: We categorized the participants' experiences into five themes including ‘Trapped in a Deep Dark Tunnel’, ‘Life of Walking in an Endless Tunnel’, ‘Reaching a Dead End’, ‘Walking towards a Ray of Light’, ‘Finding Oneself on a Strange Path’. CONCLUSION: The results of this study provide an understanding of the essential structure of the life experiences of alcoholic spouses using familial social gatherings.
Alcoholics ; Alcoholics Anonymous ; Alcoholism ; Data Collection ; Female ; Humans ; Life Change Events ; Methods ; Seoul ; Spouses ; Statistics as Topic ; Walking

PURPOSE: The aim of this study is to identify the factors influencing the existential spiritual well-being in the patients with alcohol dependence. METHODS: The research design was a descriptive survey research with self-report questionnaire about existential spiritual well-being, self-esteem, trait anger, depression, family function, and interpersonal relations scale. Participants in the study were 240 patients with dependence who were collected randomly from 10 mental hospitals and 5 alcoholic centers and 1 alcoholics anonymous in Busan, Deagu city and Gyeongsangbuk-do and Gyeongsangnam-do region. RESULTS: The forecasting regression model of existential spiritual well-bing appeared to be significant, the order of influencing factor was self-esteem (beta=.36, p<.001), depression (beta=-.38, p<.001), interpersonal relations (beta=.18, p=.001), and not being employed for last one year (beta=-.11, p=.007). CONCLUSION: The development of program which vitalizes the vocational rehabilitation and intervention is needed to increase the existential spiritual well-being of the patients with alcohol dependence by increasing the self-esteem and interpersonal relations and decreasing depression which are the major influencing factors.
Alcoholics ; Alcoholics Anonymous ; Alcoholism* ; Anger* ; Busan ; Daegu ; Depression* ; Forecasting ; Gyeongsangbuk-do ; Gyeongsangnam-do ; Hospitals, Psychiatric ; Humans ; Interpersonal Relations* ; Surveys and Questionnaires ; Rehabilitation, Vocational ; Research Design ; Spirituality

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