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이 연구는 문제성 음주의 의사결정균형이 변화단계에 미치는 영향을 규명함으로써 음주문제 예방 및 조기개입 전략 모색을 위한 기초 자료를 제공하고자 실행된 탐색적 연구이다. 자료수집은 자기 기입식 설문조사를 통해 이루어졌으며, 폭음 경험자로서 알코올의존 고위험군으로 선별되지 않은 20세 이상의 대전지역 성인 300명을 대상으로 분석을 실시했다. 의사결정균형 척도의 타당도를 검증하기 위해 확인적 요인분석을 했으며, 변화단계에 따른 의사결정균형 하위요인의 차이를 검 증하기 위해 일원분산분석을 실행했고, 다항로짓분석을 사용해 의사결정균형이 변화단계에 미치 는 영향을 분석했다. 요인분석을 통해 음주의 개인적 이익과 사회적 이익, 그리고 음주의 손실 등 세 요인이 확인되었고 숙고전단계, 숙고단계, 실행단계 등 세 단계로 범주화한 변화단계에 대한 분석을 실시했다. 분석 결과, 음주의 개인적 이익이 중요하다고 지각할수록 숙고전단계보다 숙고 단계에 속할 가능성이 높아지며, 사회적 이익이 중요하다고 지각할수록 숙고전단계보다 숙고단계 나 실행단계에 속할 가능성이 낮아지는 것으로 나타났다. 한편 음주로 인한 손실의 중요성은 변화 단계에 유의미한 영향을 미치지 않는 것으로 나타나서 문제성 음주의 개입에는 음주의 이익에 초 점을 맞춘 예방적 개입전략이 변화동기 향상에 효과적일 수 있음을 시사했다. 이 같은 연구결과를 바탕으로 사회복지의 실천적 함의를 논의했다.


This study explored the impact of decisional balance on stages of change among adult problem drinkers. Stages of change and decisional balance have been used to understand motivation for change in problem behavior. And the decisional balance, a brief detailing of the pros and cons of behavior, serves as a key component to progress in stages of change. However, the impact of this component is not well understood. This study categorized 3 stages of change including precontemplation stage, contemplation stage, and action stage, and has been able to identify 3 components of decisional balance based on principal component analysis, including personal advantages, social advantages and disadvantages. Analysis of variance and Multinominal logit analysis were employed to analyze survey data collected during June and July, 2006 in Daejeon, Korea. Major findings of this study were as follows. As the perceived personal benefit of drinking increased, the possibility for contemplation also increased, and the possibility for precontemplation decreased. The perceived social benefit for drinking increased the likelihood of precontemplation and decreased the likelihood of contemplation and action. On the other hand, the relation of the perceived cost of drinking to the motivation for change was not found to be statistically significant. These findings suggest that preventive and early interventions focusing on the individual’s personal and social benefit of drinking may be important to enhance the motivation for change among problem drinkers. These results suggest that the decisional balance plays an important role in increasing problem awareness and quitting problem drinking. Based on the result, implications for social work practice were discussed.


This study explored the impact of decisional balance on stages of change among adult problem drinkers. Stages of change and decisional balance have been used to understand motivation for change in problem behavior. And the decisional balance, a brief detailing of the pros and cons of behavior, serves as a key component to progress in stages of change. However, the impact of this component is not well understood. This study categorized 3 stages of change including precontemplation stage, contemplation stage, and action stage, and has been able to identify 3 components of decisional balance based on principal component analysis, including personal advantages, social advantages and disadvantages. Analysis of variance and Multinominal logit analysis were employed to analyze survey data collected during June and July, 2006 in Daejeon, Korea. Major findings of this study were as follows. As the perceived personal benefit of drinking increased, the possibility for contemplation also increased, and the possibility for precontemplation decreased. The perceived social benefit for drinking increased the likelihood of precontemplation and decreased the likelihood of contemplation and action. On the other hand, the relation of the perceived cost of drinking to the motivation for change was not found to be statistically significant. These findings suggest that preventive and early interventions focusing on the individual’s personal and social benefit of drinking may be important to enhance the motivation for change among problem drinkers. These results suggest that the decisional balance plays an important role in increasing problem awareness and quitting problem drinking. Based on the result, implications for social work practice were discussed.