Korean Addiction Treatment Guidelines (III) : Psychosocial Treatment of Alcohol Use Disorder

Seung-Heon Oh; Chang-Woo Han; Jeong-Seok Seo; Keun-Ho Joe; Hae-Kook Lee; Hong-Gyun Yoon; Sam-Wook Choi; Hyun-Soo Kim; Bo-Hye Lee; Kye-Seong Lee

doi:10.4306/jknpa.2014.53.4.221

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Oh, Han, Seo, Joe, Lee, Yoon, Choi, Kim, Lee, and Lee: Korean Addiction Treatment Guidelines (III) : Psychosocial Treatment of Alcohol Use Disorder

Original Article

Journal of Korean Neuropsychiatric Association 2014; 53(4): 221-227.

Published online: 29 July 2014

DOI: https://doi.org/10.4306/jknpa.2014.53.4.221

Korean Addiction Treatment Guidelines (III) : Psychosocial Treatment of Alcohol Use Disorder

Seung-Heon Oh, MD¹, Chang-Woo Han, MD², Jeong-Seok Seo, MD, PhD³, Keun-Ho Joe, MD, PhD⁴, Hae-Kook Lee, MD, PhD⁵, Hong-Gyun Yoon, MD⁶, Sam-Wook Choi, MD⁷, Hyun-Soo Kim, MD⁸, Bo-Hye Lee, MPH⁹, Kye-Seong Lee, MD¹

¹Department of Psychiatry, Seoul National Hospital, Seoul, Korea.

²Keyo Medical Foundation Keyo Hospital, Uiwang, Korea.

³Department of Psychiatry, Konkuk University Chungju Hospital, School of Medicine, Konkuk University, Chungju, Korea.

⁴Dasarang Central Hospital, Uiwang, Korea.

⁵Department of Psychiatry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

⁶Yoon Psychiatric Clinic, Seoul, Korea.

⁷Department of Psychiatry, Gangnam Eulji Hospital, Eulji University, Seoul, Korea.

⁸Department of Psychiatry, Myongji Hospital, Goyang, Korea.

⁹Department of Health Science, Korea University Graduate School, Seoul, Korea.

Address for correspondence: Kye-Seong Lee, MD. Department of Psychiatry, Seoul National Hospital, 398 Neungdong-ro, Gwangjin-gu, Seoul 143-711, Korea. Tel +82-2-2204-0114, Fax +82-2-452-0162, drkslee@hotmail.com

Received 21 April 2014 Revised 16 May 2014 Accepted 4 July 2014

Abstract

Objectives

The aim of this study is to develop guidelines for psychosocial treatment of alcohol use disorder.

Methods

According to the ADAPTE manual, the Korean alcohol use disorder treatment guidelines were developed by the guideline development committee. Recommendations from foreign guidelines were evaluated regarding the applicability and acceptability to domestic circumstances. In addition, a survey from experts was conducted, along with a review of Korean literature. By these means, recommendations of psychosocial treatment for alcohol use disorder were established.

Results

The main findings of the survey were as follows : 1) Although Group therapy was not recommended by foreign clinical guidelines, it was considered as a first-line treatment by Korean experts. 2) Among many psychosocial treatment programs, cognitive behavior therapy (CBT), coping skills training, 12-step facilitation, and Group therapy were commonly used programs in Korea. Finally, the following treatment methods were selected for recommendations : Group therapy, motivational enhancement treatment, CBT, behavioral self-management, alcoholic anonymous, 12-step facilitation, psychodynamic psychotherapy, psychoeducational intervention, continuous case management, and community residential rehabilitation program.

Conclusion

Just as in treatment of chronic diseases such as hypertension, continuity is important for management of alcohol use disorder. Therefore, not only pharmacological treatment but also psychosocial treatment should be provided comprehensively after treatment of acute withdrawal symptoms.

Keywords: Addiction, Alcohol use disorder, Guidelines, Psychosocial treatment

Figures and Tables

Table 1

Categories of evidence and strength of recommendation

Table 2

Appropriateness of psychosocial treatments for alcohol use disorder

CI : Confidential interval, DF : Degree of freedom

Table 3

Psychosocial treatments currently used by Korean alcohol treatment expert

^*: 1 missing case ; 33 valid cases

Notes

The authors have no financial conflicts of interest.

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