J Korean Med Sci.  2007 Feb;22(1):132-137. 10.3346/jkms.2007.22.1.132.

The Role of Alcoholics' Insight in Abstinence from Alcohol in Male Korean Alcohol Dependents

• Kim JS
• Park BK
• Kim GJ
• Kim SS
• Jung JG
• Oh MK
• Oh JK

• KMID: 1713252
• DOI: http://doi.org/10.3346/jkms.2007.22.1.132

Abstract

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.

Keyword

Insight; Alcoholism; Alcohol Dependence; Abstinence

MeSH Terms

Temperance/*psychology
Middle Aged
Male
Humans
Alcoholism/*psychology
Adult

Figure

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  Fig. 1 Percentage of patients continuously abstinent at each month after discharge in each insight levels. *Significantly different according to insight level in overall comparison (Wilcoxon test value=9.945, df=2, p=0.0069). The difference between fair and good insight patients was not significant in a pair-wise comparison.

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