J Korean Med Sci.  2011 Jan;26(1):11-16. 10.3346/jkms.2011.26.1.11.

Brief Insight-enhancement Intervention among Patients with Alcohol Dependence

Affiliations
  • 1Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine, Daejeon, Korea. josephkim@cnu.ac.kr
  • 2Department of Psychiatry, Hanmaum Alcohol Treatment Center, Daejeon, Korea.
  • 3Department of Family Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Abstract

Patients' insight has a critical role in the recovery from problematic behavior. The aim of this study was to evaluate the effects of a brief intervention to promote insight among alcohol-dependent patients. A total of 41 alcohol-dependent patients (30 males, 11 females) in an insight-deficient state who had been admitted to a community-based alcohol treatment center, were randomized into two groups based on their admission order: an intervention group (IG) (n = 20) and a control group (CG) (n = 21). Patients in both the IG and CG participated in an identical treatment program with one exception: patients in the IG were required to undergo five sessions of brief individual intervention focusing on insight enhancement. Changes in insight state were assessed after the intervention. The IG exhibited significant (P < 0.05) changes in the distribution of insight level, while the CG did not exhibit any significant changes in the distribution of insight level. The insight score after intervention was significantly (P < 0.05) greater for the IG than the CG with adjustment for the baseline characteristics. The results suggest that a brief individual intervention focused on insight enhancement may be an effective tool to improve insight among alcohol-dependent patients.

Keyword

Insight; Brief Intervention; Alcohol Dependence; Individual Counseling; Patient Education

MeSH Terms

Adult
Alcohol-Related Disorders/*therapy
Female
Humans
Interviews as Topic
Male
Middle Aged
Patient Education as Topic

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