J Korean Acad Psychiatr Ment Health Nurs.  2013 Sep;22(3):137-146.

Insight, Self-esteem, and Coping Skills among Patients with Alcohol Addiction

• Hyun M
• Woo J
• Kim H

Abstract

PURPOSE
This study was conducted to investigate the related factors of insight, self-esteem, and coping skills and the relationships among them in patients with alcohol addiction.
METHODS
The participants enrolled in this study were 106 patients from two alcohol treatment hospitals in Gyeonggi Province. Data were collected from May, 12 to 20, 2010 using self-report questionnaires. The instruments were the Hanil Alcohol Insight Scale, Rosenberg Self-esteem Scale, and the Ways of Coping Checklist. Data were analyzed using the SPSS-Win 12.0 program.
RESULTS
Among the participants, 24.5% had poor insight, 45.3% fair insight, and 30.2% good insight. Insights of participants who had experienced withdrawal symptoms (t=-3.79, p<.001) and of those not living with family (t=-2.07, p=.041) were higher than those who had not experienced the symptoms and who were not living with family. Self-esteem of participants living with family (F=3.60, p<.001) and of those with better academic backgrounds (F=3.39, p=.021) were higher than those of the other groups. Also, self-esteem showed a positive relation with active coping (r=.34, p<.001).
CONCLUSION
The results of the present study suggest that mental health practitioners need to focus on insight and self-esteem enhancement, coping skill development when treating patients with alcohol addiction.

Keyword

Alcoholics; Insight; Self-esteem; Coping skill

MeSH Terms

Adaptation, Psychological*
Alcoholics*
Checklist
Humans
Mental Health
Surveys and Questionnaires
Substance Withdrawal Syndrome

Reference

1. Chaudhury S, Das SK, Ukil B. Psychological assessment of alcoholism in males. Indian J Psychiatry. 2006; 48:114–117.

2. Choi YJ. Recovery strategies for the person with psychiatric disabilities through community integration. Busan: Pusan National University;2010. Unpublished doctoral dissertation.

3. Chung BY, An HJ, Byun HS, Lee YN, Jeong KS, Kim JY, et al. Recognition of alcohol in alcoholic inpatients. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:11–20.

4. Cooke M, Peters E, Fannon D, Anilkumar AP, Aasen I, Kuipers E, et al. Insight, distress and coping styles in schizophrenia. Schizophr Res. 2007; 94:12–22.

5. Demirbas H, Ilhan IO, Dogan YB. Ways of problem solving as predictors of relapse in alcohol dependent male inpatients. Addict Behav. 2012; 37:131–134.

6. Hah YS, Lee JY. Perceived stress, stress symptoms and ways of coping in Korean college students. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19:457–465.

7. Jang JS. Influence which self-esteem and social support of alcohol dependents have on motivation to change. Seoul: Sookmyung Women's University;2011. Unpublished master's thesis.

8. Jeon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974; 11:107–130.

9. Jung SJ. A comparative study of stressful life events and ways of coping among home-based and inpatient alcoholics. Seoul: Ewha Womans University;2003. Unpublished master's thesis.

10. Keum R, Kim S. Perceived functional health patterns and recovery in people with schizophrenia spectrum disorders. J Korean Acad Psychiatr Ment Health Nurs. 2012; 21:238–249.

11. Kim EH. Drinking-related insight and characteristics of women with alcohol use disorder. Daejeon: Eulji University;2007. Unpublished master's thesis.

12. Kim HS. The relationships among personality type, interpersonal relationships and depression of alcoholics. J Korean Acad Psychiatr Ment Health Nurs. 2004; 13:179–189.

13. Kim JH. Relations of perceived stress, cognitive set, and coping behaviors to depression. Seoul: Seoul National University;1987. Unpublished doctoral dissertation.

14. Kim JS, Kim GJ, Lee HM, Lee CS, Oh JG. HAIS (Hanil Alcohol Insight Scale): Validation of an insight evaluation instrument for practical use in alcoholism. J Stud Alcohol. 1998; 59:52–55.

15. Kim KC, Lee KS, Jung G, Shin SE. The relationship between insight level and defense mechanism in alcoholic patients. J Korean Acad Addict Psychiatry. 2004; 8:115–123.

16. Kim SS, Shin JJ, Whang IB, Chai SH. Relationship between insight level and psychological characteristics in alcoholic patients. J Korean Acad Addict Psychiatry. 2002; 6:49–57.

17. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer Publishing Company;1984.

18. Lee GJ, Kim SY, Kim YH, Yu SJ, Lee SW, Won JS. Psychiatric mental health nursing. Seoul: Soomoonsa;2006.

19. Lee HK. The effects of imago psychotherapy program on self-concept of alcoholic families. J Korean Acad Psychiatr Ment Health Nurs. 2006; 15:281–288.

20. Ministry of Health and Welfare Korea Center for Disease Control and Prevention. Korea health statistics 2011: Korean national health and nutrition examination survey (KNHANES V-2). Seoul: Ministry of Health and Welfare Korea Center for Disease Control and Prevention;2012.

21. Moos RH, Moos BS. Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction. 2006; 101:212–222.

22. Park HN, Yu SJ. Effects of meditation training program on self concept, abstinence self-efficacy, and abstinence in alcoholic patients. J Korean Acad Psychiatr Ment Health Nurs. 2005; 14:304–312.

23. Park AR. Recovery experiences of Korean alcoholics: Being reborn. Seoul: Ewha Womans University;2008. Unpublished doctoral dissertation.

24. Rosenberg M. Society and the adolescent self-image. NJ: Princeton University Press;1965.

25. Saatcioglu O, Erim R, Cakmak D. Role of family in alcohol and substance abuse. Psychiatry Clin Neurosci. 2006; 60:125–132.

26. Seoul National University College of Medicine. The epidemiological survey of mental disorders in Korea 2011. Seoul: Ministry of Health and Welfare;2012.

27. Sung SK, Lee HK, Kim HO, Lee KH. A study of difference between insight in inpatient alcoholic patients and outpatient alcoholic patients. J Korean Acad Addict Psychiatry. 2003; 7:60–68.

28. Witkiewitz K, Marlatt GA. Relapse prevention for alcohol and drug problems. Am Psychol. 2004; 59:224–235.

29. Woo JH. Mediating effects of problem focused and emotion focused coping, drinking anticipation between the female alcoholics traumatic experienced and their warning of relapse. J Korea Contents Assoc. 2013; 13(4):230–238.

30. Yen C, Hsiao RC, Rises R, Liu S, Huang C, Chang Y, et al. Insight into alcohol-related problems and its associations with severity of alcohol consumption, mental health status, race, and level of acculturation in Southern Taiwanese Indigenous people with alcoholism. Am J Drug Alcohol Abuse. 2008; 34:553–561.