고통감내력과 충동성이 알코올 사용장애에 미치는 영향: 충동성의 매개효과와 미래결과고려성향의 조절효과

Abstract

Objectives: The purpose of this study was to investigate the influence of impulsiveness, distress tolerance, and consideration of future consequences on alcohol use disorder, and to examine the mediating or moderating effect of the four variables. Methods: The participants were 792 adult workers (N=792) residing in 12 cities in Gyeonggi province such as Suwon and Seongnam. Data were collected using self-report questionnaires including the World Health Organization’s Alcohol Use Disorder Identification Test (AUDIT), Barratt Impulsiveness Scale, Distress Tolerance Scale, and Consideration of Future Consequences Scale. Data were analyzed with t-tests, correlation analysis of variance, and simple and multiple regression analysis using the SPSS 23.0 program. The Baron and Kenny method was used to analyze mediating effects. Results: Impulsiveness had a mediating effect in the relationship between distress tolerance and alcohol use disorder. Analysis of 230 problem drinkers whose AUDIT score was 13 or higher indicated that consideration of future consequences had a moderating effect in the relationship between impulsiveness and alcohol use disorder. Conclusion: The results of this study suggest that existing alcoholism treatment programs, which tend to enhance the patient’s self-empowerment through comparison with others, should instead be directed toward fostering voluntary changes in behavior by improving the patient’s level of consideration of future consequences.