Downey L, Rosengren D B, Donovan D M
Alcohol and Drug Abuse Institute, University of Washington, Seattle 98195, USA.
Addict Behav. 2001 Jan-Feb;26(1):79-89. doi: 10.1016/s0306-4603(00)00090-3.
The Reasons for Quitting Questionnaire (RFQ) as modified by McBride and colleagues (C. M. McBride et al., 1994) for use with substance users other than tobacco smokers, was administered to individuals approved for public-sector addiction treatment. Four motivation dimensions, similar to those found by McBride et al., were identified: self-concept issues, health concerns, legal issues, and social influence. A forced two-component solution yielded dimensions interpretable as intrinsic and extrinsic motivation. Self-concept issues provided the highest levels of motivation for abstinence in this sample, with moderate levels provided by health concerns, and the lowest levels provided by legal and social influence components. Intrinsic motivation was higher than extrinsic motivation. Logistic regression models, with adjustment for total motivation, tested the association of successful abstinence during a follow-up period with baseline extrinsic and intrinsic motivation, and with the difference between intrinsic and extrinsic levels. All three associations were significant: intrinsic motivation (positive association), extrinsic motivation (negative association), and the difference score (positive association). The results suggest the usefulness of the 20-item modified RFQ in evaluating motivation for abstinence among treatment seekers exhibiting severe negative consequences of addiction. Testing with samples varying in severity of addiction consequences is recommended.
由麦克布赖德及其同事（C.M.麦克布赖德等人，1994年）修改后的用于非吸烟者的物质使用者的戒烟原因问卷（RFQ），被施用于经批准接受公共部门成瘾治疗的个体。确定了四个动机维度，与麦克布赖德等人发现的维度相似：自我概念问题、健康担忧、法律问题和社会影响。一个强制的两成分解决方案产生了可解释为内在动机和外在动机的维度。在这个样本中，自我概念问题为禁欲提供了最高水平的动机，健康担忧提供了中等水平的动机，法律和社会影响成分提供了最低水平的动机。内在动机高于外在动机。在对总动机进行调整的逻辑回归模型中，测试了随访期间成功禁欲与基线外在和内在动机以及内在和外在水平差异之间的关联。所有这三种关联都是显著的：内在动机（正相关）、外在动机（负相关）和差异分数（正相关）。结果表明，20项修改后的RFQ在评估表现出成瘾严重负面后果的寻求治疗者的禁欲动机方面是有用的。建议对成瘾后果严重程度不同的样本进行测试。
