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KMID : 0870519970010010055
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Journal of Korean Academy of Addiction Psychiatry
1997 Volume.1 No. 1 p.55 ~ p.62
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Controlled Dringking as an Alternative Goal of Treatment of Alcohol Dependence
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Choi Yong-Sung
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Abstract
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Alcohol use disorders have a variable course that is frequently characterized by periods of remission and relapse.
Although some individuals with alcohol dependence achieve long-term sobriety without active treatment many need treatment to stop the cycles of remission and relapse. The long-term goals of treatment for patients with alcohol use disorders are abstinence(or reduction in use and effects), relapse prevention, and rehabilitation. There is some controversy in the literature, however, regarding the possible benefits of striving for a reduction in alcohol intake, as opposed to total abstinence. Rosenberg concluded that a lower severity of pretreatment alcohol dependence and the belief that controlled drinking is possible were associated with the achievement of controlled drinking after treatment. Interventions aimed at achieving moderate drinking have also been used with patients in the early stages of alcohol abuse. Controlled drinking may be an acceptable outcome of treatment, for a selected group of patients, when accompanied by substantial improvements in morbidity and psychosocial functioning. For most patients with alcohol dependence or abuse, however, abstinence is the optimal goal. In a context of secondary prevention the behavioral self-management controlled-drinking strategy may help problem drinkers significantly greater improvements in alcohol consumption, mood, and participating in social activities.
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KEYWORD
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Alcohol dependence, Controlled drinking, Abstinence, Behavioral self-management, Secondary prevention
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