원문정보
Effects of Non-pharmacological Interventions for Alcohol Addiction : A Meta-Analysis
초록
영어
Objectives: This study was to analyze the characteristics of published intervention studies and to evaluate the effectiveness of non-pharmacological interventions on alcoholics. Methods: To search for the intervention studies, web databases including RISS, KISS, NDSL, NANET, KMbase and KoreaMed were used. The main search strategy combined terms indicating non-pharmacological intervention and study design. Methodological quality was assessed using Cochrane’s Risk of Bias. Data were analyzed by the RevMan 5.3 program of Cochrane library. Results: A total of 3132 studies were retrieved. From these studies, 40 studies met the inclusion criteria with a total of 1036 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. Forty studies utilized various non-pharmacological interventions: eleven studies on music therapy (27.5%), six studies on cognitive behavior therapy (15%) and meditation (15%), four studies on art therapy (10%) and group therapy (10%), two studies on motivational interviewing (5%) and seven studies used other therapies. Non-pharmacological intervention was conducted for a mean of 6.5 weeks, 10.1 sessions and an average of 70.8 minutes per session. In the forty studies, non-pharmacological interventions had a significant effect on self-esteem (d= –0.76, p<.001, I2=33%), anxiety (d== –0.76, p<.001, I2=0%), positive emotion (d== –0.85, p<.001, I2=25%) and negative emotion (d== –0.68, p<.001, I2=0%). For heterogeneous effect sizes, subgroup analysis was done, and non-pharmacological interventions had a significant effect on interpersonal relationship (d== –0.98, p<.001, I2=0%). Conclusion: This study suggests that non-pharmacological interventions can assist alcoholics in strengthening self-esteem, positive emotion, and relationship and reducing anxiety and negative emotion on alcoholics. Further well-designed non-pharmacological intervention studies will lead to better understanding of the effect of treatments on alcoholics.
목차
A. 연구의 필요성
B. 연구목적
Ⅱ. 연구방법
A. 연구설계
B. 자료의 선정기준
C. 자료 검색 및 자료 선정
D. 자료 분석 방법
Ⅲ. 연구결과
A. 자료선정
B. 비약물적 중재 연구의 방법론적 질평가
C. 알코올 중독자에게 적용한 비약물적 중재연구의 특성
D. 효과크기의 추정
Ⅳ. 논의 및 결론
V. 결론
참고문헌