When low self-efficacy is efficacious: toward an addicted-self model of cessation of alcohol- and drug-dependent behavior.
When low self-efficacy is efficacious: toward an addicted-self model of cessation of alcohol- and drug-dependent behavior.
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当低自我效能有效时：走向停止酒精和药物依赖行为的成瘾自我模型。
DOI：
10.1080/10550490390226932
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Hillhouse,MaureenP
中科院分区：
文献类型：
--
作者：
Fiorentine,Robert;Hillhouse,MaureenP
本研究探讨自我效能感与酒精及药物依赖行为的戒除之间的关系。证据表明，复发预防方法可能错误地指定了自我效能感和康复之间的关系。而不是高情境应对自我效能，可能是承认失去对酒精和药物使用的控制，或低控制使用自我效能，促进了康复，因为成瘾者接受了终身戒断的需要。一项对356名药物治疗门诊患者的前瞻性研究表明，低控制使用自我效能感预示着更高水平的戒断接受，独立于酒精和药物使用史和治疗史的可能影响。随着时间的推移，控制使用自我效能的降低与戒断接受度的增加有关，戒断接受度高且不断增加的水平预示着戒酒和戒毒。与复发预防方法相反，控制使用自我效能并不能预测那些复发或继续使用酒精和其他药物的人的严重程度或使用水平。这些发现提出了一种新的社会认知康复理论——成瘾自我模型。该模型断言，当成瘾者将对药物和酒精使用的失去控制归因于一种稳定的、永久的自我属性，并接受终身戒断的需要时，酒精和药物依赖行为的停止更有可能发生。（Am J Addict 2003;12:346-364）
The relationship between self-efficacy and the cessation of alcohol- and drug-dependent behavior was examined in this study. Evidence suggests that the Relapse Prevention Approach may incorrectly specify a relationship between self-efficacy and recovery. Instead of high situational coping self-efficacy, it may be that the acknowledgment of a loss of control over alcohol and drug use, or low controlled use self-efficacy, promotes recovery because the addict embraces the need for lifelong abstinence. Findings from a prospective study of 356 drug treatment outpatientsindicatethat low controlled use self-efficacy predicted higher levels of abstinence acceptance independent from the possible influences of alcohol and drug use histories and treatment history. A decrease in controlled use self-efficacy overtimewas associated with an increase in abstinence acceptance, and high and increasing levels of abstinence acceptance predicted alcohol and drug abstinence. Contrary to the Relapse Prevention Approach, controlled use self-efficacy does not predict severity or level of use for those who relapse or continue to use alcohol and other drugs. These findings suggest a new social-cognitive theory of recovery--the Addicted-Self Model. This model asserts that the cessation of alcohol- and drug-dependent behavior is more likely to occur when the addict attributes the loss of control over drug and alcohol use to a stable, permanent property of the self and embraces theneedfor life-long abstinence. (Am J Addict 2003;12:346-364)