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KMID : 0350519930460041771
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Journal of Catholic Medical College
1993 Volume.46 No. 4 p.1771 ~ p.1781
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Effects of Human Potential Seminar on the Ego-Strength, Depression, Anxiety and Serum Cortisol Level for Alcoholic Inpatients
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Abstract
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This study was designed to test effects of human potential seminars(HPS) on the ego-strength, depression, anxiety and serum cortisol level of subjects. This HPS was modified by this researcher in order to make it applicable for alcoholics.
Another
purpose of this study was to motivate alcoholics to participate in Alcoholics Anonymous(AA) after a discharge and adapt themselves to the society.
Thisrty-nine male inpatients by the Diagnostic and Statistical Manual of Mental Disorders-Ⅲ-R April 23rd, 1993 to June 9th, 1993. They were conveniently divided inot two groups. a control jects simultaneously using standardized questionnaires
and
blood
sampling befor and after HPS.
HPS was imployed to the experimental group by the researcher and an assistant researcher who were qualified to administer group therapy. It was carried out 12 times(a total of 30 hours) for 4 weeks by each hospital. The control group didn´t
receive
any
treatment.
The study was on a parallel group design of treatment and control with pretest and posttest. The data were analyzed by paired t-test and Repeated Measures ANOVA.
@ES The results were as follows ;
@EN 1. For the ego-strength score before and after treatment in two groups, it increased significantly after treatment in experimental group(P=0.0001) and there were no significant differences in control group. For the change of ego-strength
score
between two groups, experimental subjects scored significantly higher than control subjects(P=0.0024).
2. The change of depression level following treatment was measured by HDS, SDS, and SCL-90-R(DEP). In the experimental group, depression scores decreased significantly after treatment for all questionnaires(P=0.0006, P=0.0063, P-0.0005,
respectively),
but in the control group, there were no significant differences. The analysis of change of depression level following treatment between two groups revealed that SCL-90-R(DEP) depression scres of experimental group subjects decreased significantly
than
those of control group subjects(P=0.0092).
3. The change of anxiety level following treatment was measured by HAS, STAI, and SCL-90-R(ANX). In experimental group, anxiety scores decreased significantly after treatment for all questionnaires(P=0.0002, P=0.0081, P=0.0078, respectively). In
control group, HAS and SA scores decreased significantly after treatment(P=0.0230, P=0.0040, respectively). The analysis of change of ansiety level following treatment between two groups revealed that SCL-90-R(ANX) anxiety scores of experimental
group
subjects decreased significantly than those of control group subjects(P=0.0151).
4. Serum cortisol level increased significantly after treatment in experimental group(P=0.0005), but it was in normal range. There was no significant difference in control group. The analysis of change of serum cortisol level following treatment
between two groups revealed that it increased significantly in experimental group than that of the control group9P=0.0059).
These results indicate that HPS is effective in increasing the ego-strength and decreasing the levels of depression, anxiety and hostility of alcoholics, and suggest that HPS could be an effective nursing intervention method for alcoholics.
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KEYWORD
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