ENTERING TREATMENT FOR ALCOHOL-ABUSE - A STRESS AND COPING MODEL
ENTERING TREATMENT FOR ALCOHOL-ABUSE - A STRESS AND COPING MODEL
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DOI：
10.1046/j.1360-0443.1995.90912237.x
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发表时间：
1995-09-01
期刊：
影响因子：
6
通讯作者：
MOOS, RH
中科院分区：
文献类型：
--
作者：
FINNEY, JW;MOOS, RH
本研究采用压力与应对模型，考察了515名酗酒者进入治疗的过程，这些人之前没有接受过正式的酒精滥用治疗，他们被招募到酗酒信息/转诊（I&R）和戒毒中心。在1年的随访期间，样本中76%的人接受了某种形式的治疗，包括匿名戒酒会。如果人们认为他们的饮酒问题更严重，有更多的依赖症状，经历了更多的不良后果，有更多的抑郁症状，更多的自我贬低，在过去的一年里经历了更多的负面生活事件，和/或在各个生活领域经历了更多的压力源，那么他们更有可能进入治疗。促进因素也与进入治疗呈正相关：以前曾从非正式治疗来源寻求帮助的人，回忆起被I&R中心转介到治疗项目，和/或在有现场治疗服务的中心接受戒毒治疗的人，也更有可能进入治疗。在多生活域资源丰富的人群中，日中毒依赖症状和压力源对求助的正向作用增强。总的来说，研究结果表明，酗酒问题的严重程度在治疗进入过程中起着核心作用，并调节许多其他个人和环境变量的影响，从而产生寻求治疗的动力或准备。
This study used a stress and coping model to examine the process of entering treatment among 515 problem drinkers without prior formal treatment for alcohol abuse who were recruited at alcoholism information/referral (I&R) and detoxification centers. Over a 1-year follow-up period, 76% of the individuals in the sample entered some form of treatment, including Alcoholics Anonymous. People were more likely to enter treatment if they perceived their drinking problem as more severe, had more dependence symptoms, experienced more adverse consequences as a result of drinking, had more symptoms of depression, were more self-derogating, experienced more negative life events in the past year, and/or experienced more stressors in various life domains. Facilitative factors also related positively to treatment entry: people who had sought help from non-formal treatment sources before, who recalled being referred to treatment programs by an I&R center, and/or who received detoxification at a center that had treatment services available on-site, also were more likely to enter treatment. For people with greater resources in multiple life domains the positive effects of days intoxicated dependence symptoms and stressors on help-seeking were intensified. Overall, the findings suggest that perceived severity of drinking problem plays a central role in the treatment entry process and mediates the effects of many other intrapersonal and environmental variables in generating an impetus or readiness to seek treatment.