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

This study was performed to examine the relationship between the abstinence results of alcohol dependents after discharge and the level of insight at the time of discharge. 117 male Korean alcohol dependents discharged from a community-based alcohol treatment center were followed up to determine the initial months of abstinence on a successive basis (IMA), total months of abstinence during 12-month period (TMA), and complete abstinence for one full year after discharge. Analyses of abstinence results with adjustment for the differences in baseline characteristics were performed for subjects' insight levels (poor, fair and good). The mean IMA of patients with good insight was significantly (p<0.01) longer than that of patients with poor insight and TMA of patients with good insight was significantly (p<0.001) longer than that of others. Using patients with good insight as the reference, patients with poor insight showed an adjusted odds ratio (OR) of 0.07 (95% confidence interval [CI]=0.01-0.75, p<0.05) for complete abstinence for one full year after discharge and patients with fair insight, adjusted OR of 0.17 (95% CI=0.03-0.81, p<0.05). These results suggest that alcohol dependents' insight could be regarded as a factor related with abstinence.
Temperance/*psychology ; Middle Aged ; Male ; Humans ; Alcoholism/*psychology ; Adult

OBJECTIVES: To study the mechanism of alcohol craving is difficult because it involves both cognitive and emotional processes, which are discordamtly influenced by patients' avoidance and denial. The objective of this study is to examine the mechanism of craving by evaluating responses of emotional component of alcohol-related stimuli, explicitly and implicitly. METHODS: The subject group was composed of 19 patients with alcohol dependence, 25 heavy drinkers, and 20 social drinkers. An implicit association test (IAT) measuring differential association of 2 target concepts (alcohol versus beverage) with 2 attribute dimensions (positive versus negative) was completed. Explicit evaluation of emotional valence and arousal for alcohol-related and control stimuli was also completed. RESULTS: The patient group reported alcohol-related stimuli more negatively on both implicit and explicit evaluation. In explicit arousal evaluation, they evaluated alcohol-related stimuli more arousing than control stimuli, whereos control groups did not. While the strength of alcohol-negativity association was not related to any clinical variables, the strength of alcohol-positivity association was related to the arousal level of alcohol related stimuli, the severity of alcohol dependence, and the mean drinking amount per occasion. CONCLUSION: Alcohol craving can be regarded as negative emotion on both explicit and implicit levels in alcoholics. It seems that craving induced by alcohol-related stimuli may not be recognized by the patients but related to increased arousal or positive implicit evaluation of alcohol.
Alcoholics ; Alcoholism* ; Arousal ; Cues* ; Denial (Psychology) ; Drinking ; Humans

OBJECTIVETo explore the relationships between alcohol expectancy,cultural orientation, self-efficacy and drinking behavior to provide theoretical support for the development of education programs aimed at preventing alcohol abuse among adolescents.

METHODSAn anonymous quantitative survey of 2756 tenth and eleventh grade students in six senior high schools in Zhengzhou and Xinyang city of Henan province was conducted in November 2005 and data was analyzed by SPSS 13.0 software.

RESULTSThe overall rate of drinking alcohol among participants was 56.5%. The median score of cultural orientation was 3.25 (3.09, 3.42); of alcohol expectancy was 3.02 (2.81, 3.23); and 79.64 (60.36, 93.21) of alcohol self-efficacy. Direct or indirect relationships were found between Chinese traditional cultural orientation, western cultural orientation, alcohol positive expectancy, alcohol negative expectancy, alcohol self-efficacy and alcohol drinking behavior. Lower monthly drinking habit was directly associated with higher self-efficacy and higher negative expectancies,lower positive expectancies and lower western cultural orientation (coefficients = -0.346, -0.282, 0.234 and 0.162 respectively), but not with Chinese cultural orientation variables.

CONCLUSIONThe current situation of alcohol drinking among the participants was critical. Drinking behavior seemed most affected by drinking beliefs and cultural orientation, suggesting that the development of education programs should focus on students' beliefs.

Adolescent ; Alcohol Drinking ; psychology ; Alcoholism ; prevention & control ; China ; Culture ; Female ; Health Education ; Humans ; Male ; Self Efficacy ; Students ; psychology

PURPOSE: The purpose of this study was to analyze addiction prevention related content shown in middle school text books. METHODS: Using a combination of the terms “addiction”, “drug”, “medicine”, “personal preference”, “smoking”, “drinking”, “sex”, “misuse” or “abuse” as key words, the researchers screened the table of contents of 23 randomly selected middle school textbooks from the 2009 curriculum. Finally 13 textbooks (physical education=10, health=3) were selected for this study, and analyzed using Krippendorff's contents analysis. RESULTS: Through indepth discussion and investigation of the relevant textbooks, content related to addiction prevention included material addiction (77.8%) and behavioral addiction (22.2%). The construction of addiction prevention in middle school textbooks included understanding addiction, rejection of peer temptation, and empowerment of self-control. CONCLUSION: When developing an intervention for addiction prevention that targets middle school students, education with accurate addiction information must be considered so that the students have the correct knowledge about addiction and addiction prevention. Additionally, the ability to reject peer temptation when invited to act upon related addiction behaviors should be treated seriously. The empowerment of self-control is also important, and can be promoted through strengthening self-regulation competence.
Adolescent ; Alcoholism ; Curriculum ; Education ; Humans ; Mental Competency ; Power (Psychology) ; Self-Control ; Substance-Related Disorders

PURPOSE: The purpose of this study was to examine risk factors for pathological gambling of horse race participants. METHODS: The participants, 508 horse race gamblers, completed the DSM-IV criteria of pathological gambling, Alcohol Use Disorders Identification Test (AUDIT-K) and Symptom Checklist-47-Revision (SCL-47-R). Data were analyzed using t-test, chi2-test, Fisher's exact test, and logistic regression analyses. Behaviors related to horse racing, alcohol abuse, and mental health were analyzed between problem or pathological gamblers compared to recreational gamblers. RESULTS: The prevalence rates of recreational, problem, and pathological gambling were 36.6%, 39.4%, and 24.0%, respectively. Frequency of gambling (> or =4/day), frequency of racetrack visiting (> or =3/month), accompaniment (alone), and mental health (SCL-47-R scores) were all associated with increased risks of problem and pathological gambling. Expenditure on betting (> or =200,000 won/day) and alcohol abuse (AUDIT-K 8-20 scores) group members had higher levels of gambling pathology than recreational gamblers. CONCLUSION: Problem and pathological gambling are highly associated with alcohol abuse and mental health disorders, suggesting that clinicians should carefully evaluate this population.
Adult ; Alcoholism ; Female ; Gambling/*psychology ; Humans ; Logistic Models ; Male ; Mental Health ; Middle Aged ; Risk Factors

The psychological understanding of alcoholism requires understanding of the treatment modalities of alcoholism since the beginning of the last century. With its emphasis on the 12-step recovery principles, the movement of Alcoholic Anonymous (AA) and its relative treatment success in outcomes has maintained an unrivaled position in the treatment of alcoholics. AA has also created an anti-medical and depsychologizing tradition that has left little room today for medicine and psychiatry to intervene. Medical services have provided treatment and care only for the physical and mental complications of alcoholism, leaving addiction itself to the hands of AA. In addiction and recovery processes, however, psychological factors exert significant influences. The addictive personality that comes from typical cognitive, emotional, perceptive, and behavioral addictive changes is a challenging obstacle in every recovery process. It is vitally important for the recovering addicts to receive psychological help for their emotional vulnerabilities from drinking of long duration, and also for various problems in their personal characteristics that had existed before addiction. Relapse, in particular, depends largely on the failure of psychological adjustment. It is time to repsychologize alcoholism and to bring the treatment of alcoholism back to medicine. Psychiatry must develop comprehensive treatment strategies of a biopsychosociospiritual model for alcoholic patients.
Alcoholics ; Alcoholism* ; Anonyms and Pseudonyms ; Drinking ; Emotional Adjustment ; Hand ; Humans ; Psychology ; Recurrence

PURPOSE: The purpose of this study was to examine the effects of a stress management program on mental health and coping behavior for children of alcoholics. METHOD: Data was collected from January to February, 2003. The subjects were 20 adolescents from 13 to 18 years old. Data was analyzed using descriptive statistics, chi-square test, and t-test with the SAS program. RESULT: There were statistically significant differences in mental health, active coping, positive cognitive restructuring, and support-seeking for problem solving between the experimental group and the control group. CONCLUSION: The stress management program helped children of alcoholics by enhancing self-esteem, providing information about alcohol, and improving emotional and problem focused coping abilities. This eventually enhanced mental health.
Stress, Psychological/*therapy ; *Mental Health ; Male ; Humans ; Female ; Child of Impaired Parents/*psychology ; *Alcoholism ; Adolescent ; *Adaptation, Psychological

No abstract available.
Alcoholism ; Depression ; Humans ; Mental Health ; Physicians, Primary Care/psychology ; Republic of Korea ; Suicide/*prevention & control

BACKGROUND: Biochemical markers can provide objective evidence of heavy alcohol drinking. In this study, we investigated the diagnostic usefulness of carbohydrate-deficient transferrin (CDT), a relatively new marker of alcohol consumption. METHODS: We consecutively enrolled 81 participants aged between 28 and 69 years, consisting of 44 alcohol-dependent patients and 37 age-matched controls. Relative values (%) of CDT were determined in their sera with turbidimetric immunoassay (Bio-Rad %CDT assay, Axis-Shield ASA, Oslo, Norway), and were compared with two conventional markers of alcohol consumption, gammaglutamyl transferase (GGT) and mean corpuscular volume (MCV). RESULTS: The distribution patterns of %CDT among alcohol-dependent patients and controls were significantly different from each other (P=0.0000). Of the 44 alcohol-dependent patients, positive results of %CDT (> or =2.6%), GGT (>50 IU/L), and MCV (>98 fL) were observed in 43 (97.7%), 35 (79.5%), and 24 (54.5%) patients, respectively. The areas under the receiver operating characteristic (ROC) curves (95% confidence interval) for %CDT, GGT, and MCV were 0.995 (0.946-1.000), 0.894 (0.805-0.951), and 0.768 (0.661-0.855), respectively. Discrimination between alcohol-dependent patients and controls, as measured by the areas under the ROC curves, was significantly better for %CDT than for GGT and MCV (P=0.000 and P=0.006, respectively). CONCLUSIONS: CDT seems to be the most reliable of the three markers tested for chronic alcohol consumption, and it may provide a useful information to for the objective detection of alcohol-dependent patients.
Alcohol Drinking ; Alcoholism* ; Biomarkers ; Discrimination (Psychology) ; Erythrocyte Indices ; gamma-Glutamyltransferase ; Humans ; Immunoassay ; ROC Curve ; Transferases ; Transferrin*