Low Psychological Resilience Predict the Risk for Alcohol Use Disorder in General Population: National Mental Health Survey of Korea 2021
Seung-Hoon Lee, Junhyung Kim, Changsu Han
Department of Psychiatry, Korea University Guro Hospital, College of Medicine, Korea University, Seoul, Korea
Correspondence to: Changsu Han
Department of Psychiatry, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, Korea
E-mail: hancs@korea.ac.kr
ORCID: https://orcid.org/0000-0002-4021-8907
Received: January 31, 2024; Accepted: February 16, 2024; Published online: March 20, 2024.
© The Korean College of Neuropsychopharmacology. All rights reserved.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Objective: Prior research has emphasized psychological resilience as a potential protective factor against alcohol use disorder in diverse populations, with limited exploration of its relationship in the general population. This study investigated the association between the lifetime and one-year prevalence of alcohol use disorder and resilience.
Methods: Data obtained from the National Mental Health Survey of Korea 2021 (5,511 participants; 40.7% response rate) encompassed information on alcohol use disorders, resilience, experiences of psychological trauma, and major mental disorders. The analyses compared demographics, psychological trauma, resilience, and the prevalence of major mental disorders based on alcoholism. The contribution of resilience to alcoholism was assessed utilizing Rao-Scott logistic regression, with adjustments made for confounding variables.
Results: Individuals with both lifetime and 1-year alcohol use disorder and dependence exhibited significantly lower levels of resilience on the Connor-Davidson Resilience Scale. Diminished resilience predicted morbidity and persisted even after adjusting for depressive and anxiety disorders, psychological trauma, nicotine use disorders, age, gender, education, income, marital status, and occupation.
Conclusion: Diminished resilience is a prognostic indicator of increased likelihood of both lifetime and current alcoholism in the general population.
Keywords: Resilience, psychological; Alcoholism; Alcohol dependence; Mental disorders; National Mental Health Survey of Korea

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