J Korean Acad Community Health Nurs.  2017 Sep;28(3):313-323. 10.12799/jkachn.2017.28.3.313.

Factors Affecting Social Problem-solving Ability of Community-residing Alcohol-dependent Patients: Focused on Gender Differences

• Byun EK
• Kim MY
• Kim JH

• KMID: 2392871
• DOI: http://doi.org/10.12799/jkachn.2017.28.3.313

Abstract

PURPOSE
The purpose of this study is to investigate factors affecting social problem-solving ability of alcohol-dependent patients with a focus on gender differences.
METHODS
Participants were 250 alcohol-dependent people(men 140, women 110) who were living in B, G and Y cities. Data were collected from January 10 to March 31, 2017 using self-report questionnaires. Abstinence self-efficacy, alcohol insight, unconditional self-acceptance, and social problem-solving ability were investigated. For data analysis, t-test, one-way ANOVA, Pearson correlation coefficients and multiple regression were employed.
RESULTS
Factors influencing social problem-solving ability for men were unconditional self-acceptance and age. The explanatory power was 28%. Factors influencing social problem-solving ability for women were unconditional self-acceptance, stress, religiousness, age, occupation and abstinence self-efficacy and the explanatory power was 72%. Unconditional self-acceptance and age were significant variables of social problem-solving ability in both men and women. Stress, occupation, religiousness and abstinence self-efficacy were significantly associated with social problem-solving ability in women but not in men.
CONCLUSION
The results suggest that it is necessary to consider gender characteristics in order to develop effective management programs for social problem-solving ability in alcohol-dependent people.

Keyword

Alcoholics; Problem solving; Sex difference

MeSH Terms

Alcoholics
Female
Humans
Male
Occupations
Problem Solving
Sex Characteristics
Statistics as Topic

Reference

References

1. Ministry of Health and Welfare. The 2011 epidemiological survey of mental disorders among Korean adults [Internet]. Sejong: Ministry of Health and Welfare;2011. [cited 2012 February 15]. Available from:. http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=266858&page=1.

2. Lee SH, Kim HJ, Shin SM. The influences the level of lifestyle has on the rehabilitation of the addiction of the alcoholics who are in a therapeutic community using the DAYTOP model. Korean Journal of Counseling. 2012; 13(1):311–324.

3. Shin WW. A study on effectiveness of therapeutic community program for homeless alcoholics: Focused on psycho-social changes who maintained treatment for 3 months. Social Science Studies. 2011; 35(2):145–179.

4. Ministry of Health and Welfare. Mental health policy and service guidelines 2017. Research Report. Sejong: Ministry of Health and Welfare;2017. February. Report No.: 11-13520000-000954-10.

5. Seo YN, Jeong HJ, Kim SG, Shin SH, Wi SB, Byun WT, et al. 12-month follow-up rates of alcohol dependent patients at a university hospital. Journal of Korean Academy of Addiction Psychiatry. 2010; 14(1):24–28.

6. National Center for Mental Health. National mental health statistics pilot study 2015. Seoul: National Center for Mental Health;2015. p. 437.

7. Choi YS. Deficit of social problem solving for alcoholics. Korean Journal of Clinical Psychology. 2003; 22(4):927–934.

8. Choi YS. A study of the reliability and validity of the social problem solving inventory-revised (SPSI-R). Korean Journal of Clinical Psychology. 2002; 21(20):413–428.

9. McMurran M, Blair M, Egan V. An investigation of the correlations between aggression, impulsiveness, social problem solving, and alcohol use. Aggressive Behavior. 2002; 28(6):439–445. https://doi.org/10.1002/ab.80017.

10. Biscaro M, Broer K, Taylor N. Self efficacy, alcohol expectancy and problem-solving appraisal as predictors of alcohol use in college students. College Student Journal. 2004; 38(4):541–552.

11. Burhanoglu S, Sayar GH, Isik U, Arikan Z. Differences in executive functions and problem solving styles of protracted sober and relapsed alcohol-dependent patients. Brain Disorders and Therapy. 2014; 3(3):123–129. https://doi.org/10.4172/2168-975X.1000123.

12. Nolen-Hoeksema S. Gender differences in risk and protective factors and consequences for alcohol use and problems. Clinical Psychology Review. 2004; 24(8):981–1010. https://doi.org/10.1016/j.cpr.2004.08.003.

13. Nolen-Hoeksema S, Harrell ZA. Rumination, depression, and alcohol use: Tests of gender differences. Journal of Cognitive Psychotherapy. 2002; 16(4):391–403. https://doi.org/10.1891/jcop.16.4.391.52526.

14. Harrell ZAT, Karim NM. Is gender relevant only for problem alcohol behaviors? An examination of correlates of alcohol use among college students. Psychology of Addictive Behaviors. 2008; 33(2):359–365. https://doi.org/10.1016/j.addbeh.2007.09.014.

15. Kim MY, Byun EK. Factors affecting social problem-solving ability in male alcohol dependent patients. Journal of Korean Academy Psychiatric Mental Health Nursing. 2016; 25(4):316–326. https://doi.org/10.12934/jkpmhn.2016.25.4.316.

16. Choi YS. Efficacy of social problem-solving training program for alcoholics. Korean Journal of Clinical Psychology. 2005; 24(3):475–493.

17. DiClemente CC, Carbonari JP, Montgomery RP, Hughes SO. The alcohol abstinence self-efficacy scale. Journal of Studies on Alcohol. 1994; 55(2):141–148. https://doi.org/10.15288/jsa.1994.55.141.

18. Kim SJ. Modeling relapse of alcoholism [dissertation]. [Seoul]: Seoul National University;1996. p. 141.

19. Chamberlain JM, Haaga DAF. Unconditional self-acceptance and psychological health. Journal of Rational-Emotive & Cognitive-Behavior Therapy. 2001; 19(3):163–176. https://doi.org/10.1023/A:1011189416600.

20. Kim SHS. Designing and application of the unconditional self acceptance development program. Journal of Korean Home Management Association. 2005; 23(5):161–170.

21. Maydeu-Olivares A, D'Zurilla TJ. A factor-analytic study of the social problem-solving inventory: An integration of theory and data. Cognitive Therapy and Research. 1996; 20(2):115–133.

22. Ramadan R, Mcmurran M. Alcohol and aggression: Gender differences in their relationships with impulsiveness, sensation seeking and social problem solving. Journal of Substance Use. 2005; 10(4):215–224. https://doi.org/10.1080/14657890412331319454.

23. Blazer DG, Meador KG. The role of spirituality in health aging. Arlington. Depp CA, Jeste DV, editors. Successful cognitive and emotional aging. England: American Psychiatric Publishing;2009. p. 73–86.

24. Ham KA, Kim MO, Choi YO, Cheon SM. Mediation effect of social problem solving ability and job stress in the relationship of teachers' multidimensional perfectionism and happiness. The Korean Journal of School Psychology. 2012; 9(1):111–132.

25. Jung ES, Son CN. Effects of mindfulness-based cognitive therapy on internet addiction level, anxiety and stress in college students with internet addiction. The Korean Journal of Clinical Psychology. 2011; 30(4):825–843.

26. Carney CE, Waters WF. Effects of a structured problem-solving procedure on pre-sleep cognitive arousal in college students with insomnia. Behavioral Sleep Medicine. 2006; 4(1):13–28. https://doi.org/10.1207/s15402010bsm0401_2.