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The Effectiveness of Continuing Group Psychotherapy for Outpatients with Alcohol Dependence: 77-Month Outcomes

Authors

  • Jee Wook Kim,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Yong Sung Choi,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Kyung Chul Shin,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Ok Hwa Kim,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Dong Young Lee,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Myung Hun Jung,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Boung Chul Lee,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Tae-Cheon Kang,

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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  • Ihn-Geun Choi

    1. From the Department of Neuropsychiatry (JWK, BCL, I-GC), Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea; Department of Neuropsychiatry (YSC, KCS, OHK), St. Andrew’s Neuropsychiatric Hospital, Icheon, Korea; Department of Neuropsychiatry (DYL), Seoul National University Hospital, Seoul, Korea; Department of Neuropsychiatry (MHJ), Hallym University Sacred Heart Hospital, Seoul, Korea; and Department of Anatomy and Neurobiology (T-CK), College of Medicine, Hallym University, Seoul, Korea.
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Reprint requests: Ihn-Geun Choi, MD, PhD, Department of Neuropsychiatry, Hangang Sacred Heart Hospital, Hallym University, 94-200 Yeongdeungpo-dong, Yeongdeungpo-gu, Seoul 150-719, Korea; Tel.: +82-2-2639-5461; Fax: +82-2-2677-9095; E-mail: ihngeun@naver.com

Abstract

Background:  Group psychotherapy (PT) is one of the most common interventions used to treat alcohol dependence (AD), and it is assumed to be effective. Despite its common clinical use, long-term trials that have been conducted to examine the efficacy of group PT in the treatment of outpatients with AD are limited and often lack appropriate comparisons. On that basis, a long-term comparative trial was performed with the main objective of evaluating the effectiveness of continuing group PT for outpatients with AD.

Methods:  Quasi-experimental trial was conducted from January 2004 to May 2010 in 177 AD subjects who had completed an inpatient 10-week alcohol treatment program. Abstinence rates of the combined group (experimental group: outpatient individual PT plus group PT, N = 94) and the standard outpatient individual PT-only group (comparison group, N = 83) were statistically compared using Kaplan–Meier survival analysis. Predictive factors of abstinence rate for alcohol were assessed using Cox regression analysis.

Results:  Abstinence rates of the combined PT group were significantly high relative to those of the outpatient individual PT-only group. Significant predictive factors for the alcohol abstinence rate were outpatient group PT and age. Even after controlling for confounding factors, outpatient group PT was a significant predictive factor for the alcohol abstinence rate.

Conclusions:  Our findings indicate that for AD patients who had completed an inpatient 10-week alcohol treatment, outpatient group PT appears to be an effective form of continuing care or aftercare within the context of an outpatient service delivery system.

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