PSYCHIATRIC SEVERITY AND BEHAVIOR CHANGE IN ALCOHOLISM

普罗查斯卡和迪克莱门特的跨理论模型关注的是 确定似乎是 对成瘾行为的修正，提供了概念化的方法 以及衡量客户是否愿意改变他们的酒精使用情况。建议数 研究将考察精神病学各维度之间的关系 浅谈酒精中毒治疗的严重性及几点改变措施 跨理论模型。它还将比较这些变化的“机制” 酗酒或依赖精神疾病水平高的患者 严重程度对酒精滥用/依赖患者低水平 精神疾病的严重性。具体而言，该项目将： 1)确定精神疾病严重程度与 变革的阶段和过程的跨理论模型构建 酒精使用、酒精决定平衡和戒酒自我 150例酒精依赖患者双重诊断的疗效分析 治疗方案。 2)确定这些双重诊断对象的变化阶段是否以及如何 配置文件、更改准备情况、按阶段划分的流程交互、决策 平衡感和自我效能感与样本受试者在 酒精滥用水平相当的酒精中毒治疗计划 或依赖，但在精神严重程度的衡量标准上得分很低。 这项研究将包括两个部分。在第一个组件中，150 来自住宅双重诊断治疗计划的患者，他们是 双重诊断为酗酒或依赖，并同时患有 精神问题，将根据精神严重程度和 跨理论模型构建了变革的阶段、变革的过程、 酒精决定平衡与戒酒自我效能感。这个 研究的这一部分的目的将是确定 精神疾病的严重程度与跨理论的关系 构造。在第二部分中，来自二元组的受试者样本 精神疾病严重程度得分高的诊断样本将被比较 具有匹配的得分较低的项目匹配对象样本 精神疾病的严重性。这两个组之间的比较将在 四种跨理论模型中的每一种结构都用来确定 这两组人在处理行为变化的方式上有所不同。

Prochaska and DiClemente's Transtheoretical Model has focused on identifying the processes of change that appear to underlie the modification of addictive behaviors, providing a way of conceptualizing and measuring clients' readiness to change their alcohol use. The proposed study will examine the relationship between dimensions of psychiatric severity and several change measures for alcoholism treatment from the Transtheoretical Model. It will also compare these change "mechanisms" of alcohol abusing or dependent patients with high levels of psychiatric severity to those of alcohol abusing/dependent patients with low levels of psychiatric severity. Specifically, the project will: 1) Determine the relationship between psychiatric severity and the Transtheoretical Model constructs of stages and processes of change for alcohol use, alcohol decisional balance, and alcohol abstinence self- efficacy in a sample of 150 alcohol dependent patients in a Dual Diagnosis treatment program. 2) Determine if and how these dually diagnosed subjects' stage of change profiles, readiness to change, processes by stage interactions, decisional balance, and self-efficacy differ from those of a sample of subjects in an alcoholism treatment program who have comparable levels of alcohol abuse or dependence, but low scores on a measure of psychiatric severity. There will be two components to this study. In the first component, 150 patients from a residential dual diagnosis treatment program, who are dually diagnosed with alcohol abuse or dependence and a concurrent psychiatric problem, will be measured on psychiatric severity and on the Transtheoretical Model constructs of Stage of Change, Processes of Change, Alcohol Decisional Balance, and Alcohol Abstinence Self-Efficacy. The purpose of this component of the study will be to determine the relationships between psychiatric severity and the Transtheoretical constructs. In the second component, a sample of subjects from the Dual Diagnosis sample with high psychiatric severity scores will be compared with a matched sample of Project MATCH subjects who scored low on psychiatric severity. Comparisons between the two groups will be made on each of the four Transtheoretical Model constructs to determine whether the two groups differ in the way they approach behavior change.