Therapeutic success in relapse prevention in alcohol use disorder: the role of treatment motivation and drinking-related treatment goals
Therapeutic success in relapse prevention in alcohol use disorder: the role of treatment motivation and drinking-related treatment goals
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预防酒精使用障碍复发的治疗成功：治疗动机和饮酒相关治疗目标的作用
DOI：
10.1080/10550887.2020.1820810
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发表时间：
2020
影响因子：
2.3
通讯作者：
Rösner
中科院分区：
文献类型：
--
作者：
Odenwald;Sehrig;Haffke;Rockstroh;Pereyra Kröll;Menning;Wieber;Volken;Rösner
背景：改变成瘾行为是一个复杂的过程，对动机有很高的要求。行为改变的跨理论模型提供了一个理论框架，解释和预测的行为变化，虽然其预测值为addiction.Objective：本研究的目的是扩展行为改变的跨理论模型，不仅调查治疗动机，但也预测值的类型饮酒相关的治疗目标。其他预测因子，如物质相关和社会人口学变量，也包括在分析中寻求预测复发预防治疗酒精使用disorder.Methods：在这项观察性研究中，99名住院患者从酒精使用障碍的治疗中心被招募。根据行为改变的跨理论模型，饮酒相关的治疗目标，通过自我报告问卷，物质相关的和社会人口变量，通过临床信息系统的治疗动机进行了评估。潜在的预测因素和协变量之间的关联进行了探讨，使用逐步logistic regression.Results：在治疗过程中，42.6%的参与者至少有一个复发。入院时行动维度得分较高（OR = 0.81，p = 0.04）和被雇用（OR = 0.37，p = 0.02）是治疗期间禁欲的重要预测因素。结论：本研究证实，治疗动机有助于预测治疗结果，即使在控制其他变量时也是如此。在未来的研究中，治疗动机的潜在机制应进一步探讨。
Background:Changing addictive behavior is a complex process with high demands on motivation. The Transtheoretical Model of Behavior Change provides a theoretical framework for explaining and predicting behavioral change, although its predictive value for addiction is somewhat inconsistent.Objective:The aim of the present study is to extend the Transtheoretical Model of Behavior Change by investigating not only treatment motivation but also the predictive value of the type of drinking-related treatment goal. Additional predictors, such as substance-related and sociodemographic variables, are also included in analyses seeking to predict return to drinking during relapse prevention treatment for alcohol use disorder.Methods:In this observational study, 99 inpatients from a treatment center for alcohol use disorder were recruited. Treatment motivation was assessed in accordance with the Transtheoretical Model of Behavior Change, drinking-related treatment goal through a self-report questionnaire, and substance-related and sociodemographic variables via the clinic information system. Associations between the potential predictors and covariates were explored using stepwise logistic regression.Results:During treatment, 42.6% of participants had at least one relapse. Scoring higher on the action dimension at admission (OR =0.81,p= .04) and being employed (OR =0.37,p= .02) were significant predictors of abstinence during treatment.Conclusions:This study confirms that treatment motivation contributes to the prediction of treatment outcome, even when controlling for other variables. In future research, the underlying mechanisms of treatment motivation should be further explored.
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DOI：
--
发表时间：
2011
期刊：
Current Drug Abuse Reviews
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DOI：
--
发表时间：
2006
期刊：
Journal of Addictive Diseases
影响因子：
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作者：
A. Zhang;J. Harmon;J. Werkner;Richard McCormick
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Richard McCormick
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影响因子：
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作者：
Moggi,Franz;Giovanoli,Anna;Strik,Werner;Moos,BerniceS;Moos,RudolfH
通讯作者：
Moos,RudolfH