MOTIVATION AS A PREDICTOR OF EARLY DROPOUT FROM DRUG-ABUSE TREATMENT

MOTIVATION AS A PREDICTOR OF EARLY DROPOUT FROM DRUG-ABUSE TREATMENT
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DOI:
10.1037/0033-3204.30.2.357
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发表时间:
1993-06-01
期刊:
影响因子:
2.5
通讯作者:
JOE, GW
JOE, GW
中科院分区:
心理学2区
文献类型:
--
作者:
SIMPSON, DD;JOE, GW

文献摘要

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药物使用的变化和治疗的动机的措施进行了检查,心理测量学特性和预测美沙酮维持(MM)的早期辍学。使用三个量表获得个人评估:药物使用问题,寻求帮助的愿望和治疗准备。每个项目由7至9个项目组成。数据收集自三个独立的门诊治疗机构收治的311名MM客户,其中24%在60天内退出治疗。的规模被认为是可靠的,有效性的证据是基于与其他背景和预处理功能措施的比较。社会稳定性(婚姻状况,就业,以前逮捕较少),以前的治疗经验,减少未来药物使用的期望,较高的美沙酮剂量水平,和更高的动机(渴望帮助)被确定为治疗保留超过60天的重要预测因素。
Measures of motivation for drug use change and treatment were examined with respect to psychometric properties and prediction of early dropouts from methadone maintenance (MM). Three scales were used to obtain personal assessments of: Drug Use Problems, Desire for Help, and Treatment Readiness. Each was composed of 7 to 9 items. Data were collected at intake from 311 MM clients admitted to three separate outpatient treatment agencies, of which 24% dropped out of treatment within 60 days. The scales were found to be reliable, and evidence of validity was based on comparisons with other background and pretreatment functioning measures. Social stability (marital status, employment, and fewer prior arrests), previous treatment experience, expectations for reducing future drug use, higher methadone dose level, and higher motivation (Desire for Help) were identified as significant predictors of treatment retention beyond 60 days.