改变的动机与酒精成瘾治疗
Motivation for change and alcoholism treatment.
作者信息
DiClemente C C, Bellino L E, Neavins T M
机构信息
Department of Psychology, University of Maryland, Baltimore County, USA.
出版信息
Alcohol Res Health. 1999;23(2):86-92.
Abstract
Motivation plays an important role in alcoholism treatment by influencing patients to seek, complete, and comply with treatment as well as make successful long-term changes in their drinking. Both alcohol-abusing and alcohol-dependent people can be classified into different "stages of change" in terms of their readiness to alter their drinking behavior. Consequently, researchers have had to consider more seriously the role of motivation in the treatment of and recovery from substance abuse and to incorporate motivational enhancement strategies into treatment programs.
摘要
动机在酒精成瘾治疗中起着重要作用，它能影响患者寻求、完成并遵从治疗，以及在饮酒行为上成功做出长期改变。就改变饮酒行为的意愿而言，酗酒者和酒精依赖者都可被归类为不同的“改变阶段”。因此，研究人员不得不更认真地考虑动机在药物滥用治疗及康复过程中的作用，并将动机增强策略纳入治疗方案。
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本文引用的文献
1
Randomized controlled trial of general practitioner intervention in women with excessive alcohol consumption.随机对照试验：全科医生干预过度饮酒女性。
Drug Alcohol Rev. 1991;10(4):313-21. doi: 10.1080/09595239100185371.
2
Alcohol counseling: physicians will do it.酒精咨询：医生会进行此项工作。
J Gen Intern Med. 1998 Oct;13(10):692-8. doi: 10.1046/j.1525-1497.1998.00206.x.
3
Matching alcoholism treatments to client heterogeneity: Project MATCH three-year drinking outcomes.使酒精成瘾治疗方法与个体差异相匹配：匹配项目（Project MATCH）的三年饮酒结果。
Alcohol Clin Exp Res. 1998 Sep;22(6):1300-11. doi: 10.1111/j.1530-0277.1998.tb03912.x.
4
Outcome studies of brief alcohol intervention in general practice: the problem of lost subjects.全科医疗中简短酒精干预的结局研究：失访对象问题
Addiction. 1997 Dec;92(12):1699-704.
5
Stages of change: interactions with treatment compliance and involvement.改变阶段：与治疗依从性和参与度的相互作用。
NIDA Res Monogr. 1997;165:131-56.
6
Meta-analysis of randomized control trials addressing brief interventions in heavy alcohol drinkers.针对重度饮酒者进行简短干预的随机对照试验的荟萃分析。
J Gen Intern Med. 1997 May;12(5):274-83. doi: 10.1046/j.1525-1497.1997.012005274.x.
7
Motivation and readiness for therapeutic community treatment among cocaine and other drug abusers.
Am J Drug Alcohol Abuse. 1997 May;23(2):169-89. doi: 10.3109/00952999709040940.
8
9
Matching Alcoholism Treatments to Client Heterogeneity: Project MATCH posttreatment drinking outcomes.使酒精成瘾治疗方法与客户异质性相匹配：匹配项目（MATCH）的治疗后饮酒结果。
J Stud Alcohol. 1997 Jan;58(1):7-29.
10
Management and treatment efficacy of drug and alcohol problems: what do doctors believe?药物和酒精问题的管理与治疗效果：医生们持何种看法？
Addiction. 1995 Oct;90(10):1357-66. doi: 10.1046/j.1360-0443.1995.901013577.x.
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