Motivational structure - Relationships with substance use and processes of change
Motivational structure - Relationships with substance use and processes of change
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DOI：
10.1016/s0306-4603(02)00290-3
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发表时间：
2002-11-01
影响因子：
4.4
通讯作者：
Klinger, E
中科院分区：
文献类型：
--
作者：
Cox, WM;Klinger, E
激励模型强调，物质滥用发生在人们从生活其他领域的激励中获得的满足感和挫折感的背景下。因此，重要的是评估物质使用者的动机结构，即他们争取这些激励的模式。本文提出了一种评估动机结构的技术，通过它可以更好地理解人们使用物质的动机。使用该评估的研究结果表明：(A)除非有酒精相关问题的大学生具有适应性的动机结构，否则他们控制饮酒的能力较差。(2)酒精滥用者的动机结构导致其生活满意度低于大学生动机结构。(C)在治疗方面，具有更多适应动机的物质滥用者比那些具有更多适应不良模式的药物滥用者表现出更少的问题否认和更多的改变动机。(D)具有更健康的激励结构的酗酒者比那些不太健康的模式的人对治疗有更好的即时反应和更好的长期结果。(E)系统的动机咨询改善了动机结构，减少了物质使用。这些结果支持激励模型。(C)2002爱思唯尔科学有限公司。保留所有权利。
The motivational model stresses that substance misuse occurs in the context of the satisfactions and frustrations that people derive from incentives in other areas of their lives. Therefore, it is important to assess substance users' motivational structure, that is, the patterns by which they strive for these incentives. This article presents a technique for assessing motivational structure, through which people's motivation to use substances can better be understood. Results of studies using the assessment suggest the following: (a) Unless university students with alcohol-related problems have adaptive motivational structures, they are less able to control their drinking. (b) Alcohol abusers' motivational structure leads them to experience less life satisfaction than does university students' motivational structure. (c) In treatment, substance abusers with more adaptive motivation show less problem denial and more motivation for change than those with a more maladaptive pattern. (d) Alcohol abusers with healthier motivational structures show better immediate responses to treatment and have better long-term outcomes than those with less healthy patterns. (e) Systematic Motivational Counseling (SMC) improves motivational structure and reduces substance use. These results support the motivational model. (C) 2002 Elsevier Science Ltd. All rights reserved.