J Korean Soc Biol Ther Psychiatry.  2024 Feb;30(1):17-27. 10.22802/jksbtp.2024.30.1.17.

Effect of Cognitive Behavioral and Motivational Enhancement Therapy Based Psychoeducation With Mindfulness Meditation on Hazardous Drinking and Motivation for Change

• Son SB
• Kim SG
• Seo EH
• Yoon HJ

• KMID: 2553655
• DOI: http://doi.org/10.22802/jksbtp.2024.30.1.17

Abstract

Objectives
The aim of this study was to examine the effect of cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET) based psychoeducation with mindfulness meditation (PMM) on hazardous drinking (HD) and motivation for change.
Methods
The participants were people who received order of lecture due to drunk driving. A total of 75 subjects participated in 6-session CBT/MET based PMM for 3 weeks as order of lecture program. Age, sex, and alcohol related problems (physical symptoms, occupational problem, economic difficulty, use of mental health service, and family conflict), HD, motivation for change and insight into HD, and depressive symptoms were assessed.
Results
Compared with before the order of lecture program, the portion of those with HD significantly decreased (86.7% to 50.7%, pp=0.002) after its completion. On the other hand, although the severity of depressive symptoms significantly decreased, there were no significant differences in the portion of those with depressive symptoms and insight into HD between pre- and post-order of lecture program. In addition, those with HD reported more economic difficulty due to alcohol use significantly compared to those without HD before the program.
Conclusions
This study demonstrated significant effects of CBT/MET based PMM on HD and motivation for change in drunk drivers. Our findings suggest that integrating approaches from CBT, MET, and mindfulness meditation can contribute to preventing and reducing HD.

Keyword

Hazardous drinking; Cognitive behavioral therapy; Motivational enhancement therapy; Mindfulness meditation; Motivation for change