Relationships Between Treatment Expectations and Treatment Outcomes Among Outpatients with Substance Use Problems
Relationships Between Treatment Expectations and Treatment Outcomes Among Outpatients with Substance Use Problems
复制标题
DOI：
10.1007/s11469-011-9358-x
复制
发表时间：
2012-10-01
影响因子：
8
通讯作者：
Kaur, Inderjit
中科院分区：
文献类型：
--
作者：
Raylu, Namrata;Kaur, Inderjit
目前，探索有物质使用问题的个体的治疗期望（TE）与结果之间关系的研究非常缺乏。这很重要，因为该群体的复发率和流失率高于患有其他心理问题的群体。了解 TE 如何影响该群体的治疗结果将为临床医生提供有关干预哪些 TE 以便积极影响治疗结果的信息。因此，这项为期八个月的随访研究调查了 TE，它可以预测 130 名有药物使用问题的门诊患者的治疗结果（即客户的药物使用、情绪状态、接受的治疗次数以及客户对所接受服务的满意度）。使用二元逻辑回归，输入年龄、性别和 TE 作为治疗结果的预测因子。结果显示，那些对承担责任和开放咨询抱有更高期望的人更有可能报告他们主要关注的问题有所改善。此外，那些对咨询的积极结果抱有更高期望的人更有可能改善他们的情绪，尤其是抑郁水平。尽管 TE 无法预测流失，但年轻客户更有可能在没有通知或反对建议的情况下退出治疗，接受的治疗次数较少，并且对所接受的治疗不太满意。对开放咨询和临床医生自我表露抱有更高期望的个人更有可能对他们接受的治疗感到满意。研究结果不仅具有临床意义，而且对于为有药物使用问题的客户制定政策以及在该领域进行进一步研究也有影响。
Currently, studies exploring the relationship between treatment expectations (TE) and outcome among individuals with substance use problems are significantly lacking. This is important as relapse and attrition rates among this group are greater than those with other psychological problems. Understanding how TE impact treatment outcomes among this group would provide information to clinicians about which TE to intervene in order to positively influence treatment outcomes. Thus, this eight-month follow-up study investigated TE that could predict treatment outcomes (i.e., clients' substance use, mood states, number of treatment sessions received and clients' satisfaction with the service they received) among 130 outpatients with substance use problems. Using binary logistic regression, age, gender and TE were entered as predictors of treatment outcomes. Results showed that those that had higher expectations about taking responsibility and being open in counseling were more likely to report improvements in their main substance of concern. Furthermore, those that had higher expectations for a positive outcome from counseling were more likely to improve their mood especially depression levels. Although TE could not predict attrition, younger clients were more likely to leave treatment without notice or against advice, receive less treatment sessions and be less satisfied with the treatment they received. Individuals that had higher expectations of being open in counseling and for clinicians' to self-disclosure were more likely to be satisfied with the treatment they received. The findings not only have clinical implications but also implications in relation to developing policies for clinicians working with clients with substance use problems as well as conducting further research in this area.