Mechanisms, determinants and processes of change in the modification of drinking behavior
Mechanisms, determinants and processes of change in the modification of drinking behavior
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DOI：
10.1111/j.1530-0277.2007.00489.x
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发表时间：
2007-10-01
影响因子：
3.2
通讯作者：
DiClemente, Carlo C.
中科院分区：
文献类型：
--
作者：
DiClemente, Carlo C.
背景：本文探讨了寻找心理治疗和行为改变方法的改变机制的概念基础。方法：我们研究了历史和最近确定机制的尝试，并讨论了检查饮酒和其他行为改变的研究结果。最后，我们描述了潜在的变化机制，并为未来的研究提供了方向。结果：解决了一系列关键问题。第一个关键问题是，在哪里寻找改变饮酒行为的改变机制的适当位置：人、提供者、干预措施或环境？第二个问题是我们从最近的研究中对变革机制了解多少。第三部分讨论了隔离和理解这些机制的适当方法和设计。最后一个问题是，我们应该如何进一步加深对推动改变饮酒和从酗酒中恢复过程的关键机制的理解？结论：我们提出了一个动态的生命历程和互动的多维视角，重点关注个人的变化机制以及它们如何与促进或阻碍这些变化机制的干预措施、提供者、政策和其他生活环境因素相互作用。
Background: This article explores the conceptual foundations of the search for mechanisms of change in psychotherapy and behavior change approaches.Methods: We examine historical and recent attempts to identify mechanisms and discuss results of research studies that examine the modification of drinking and other behaviors. Finally, we describe potential mechanisms of change and offer direction for the future of research.Results: A series of key questions is addressed. The first critical question is, Where are the appropriate places to look for mechanisms of change in the modification of drinking behavior: person, provider, intervention, or environment? The second questions what we know about change mechanisms from recent research. The third addresses the appropriate methods and designs to isolate and understand these mechanisms. The final question is, How should we proceed to advance our understanding of the critical mechanisms that drive the process of the modifying drinking and recovery from alcoholism?Conclusion: We propose a dynamic, life course and an interactive, multidimensional perspective that focuses on personal mechanisms of change and how they interact with interventions, providers, policies, and other life context factors that facilitate or act as barriers to engaging these mechanisms of change.