Motivation to quit using substances among individuals with schizophrenia: implications for a motivation-based treatment model.
Motivation to quit using substances among individuals with schizophrenia: implications for a motivation-based treatment model.
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精神分裂症患者戒烟的动机：对基于动机的治疗模型的影响。
DOI：
10.1093/schbul/23.2.229
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发表时间：
1997
影响因子：
6.6
通讯作者：
Trudeau,K
中科院分区：
文献类型：
--
作者：
Ziedonis,DM;Trudeau,K
虽然在物质滥用治疗中，戒烟的动机是一个重要的预后和治疗匹配因素，但关于精神分裂症患者戒烟动机的信息有限。本研究采用五阶段变化模式，对497名精神分裂症和情感性精神障碍患者的动机水平进行了评估。药物滥用率，动机水平，以退出每一个特定的物质，并与动机水平进行了评估。在224名受试者（45%）中诊断出至少一种物质使用障碍;然而，门诊部团队的病例量之间存在显着差异。在分诊/急性服务和社区外展队的病人有药物滥用率约为70%。大多数受试者的戒烟动机较低，并且戒烟率因物质而异（阿片类药物为41%，可卡因为60%）。在基于动机的治疗模式中提出了治疗匹配策略。
Although the motivation to quit using substances is an important prognostic and treatment-matching factor in substance abuse treatment, there is limited information on motivation to quit among individuals with schizophrenia. This study used the five-stages-of-change model to evaluate the motivational levels of 497 individuals with schizophrenia or schizoaffective disorder in an outpatient mental health clinic. Rates of substance abuse, motivation levels to quit each specific substance, and correlates to motivational levels were evaluated. At least one substance use disorder was diagnosed in 224 of the subjects (45%); however, there was significant variability among the caseloads of the outpatient division teams. The patients in the triage/acute services and community outreach teams had substance abuse rates of about 70 percent. Most subjects had low motivation to quit substances, and the rates varied according to substance (range of 41% for opiates to 60% for cocaine). Treatment-matching strategies are suggested in the motivation-based treatment model.