Neal Dan J, Carey Kate B
Center for Health and Behavior, Department of Psychology, Huntington Hall 430, Syracuse University, Syracuse, NY 13244, USA.
Addict Behav. 2004 Feb;29(2):281-97. doi: 10.1016/j.addbeh.2003.08.004.
Efforts to reduce the frequency of high-risk drinking have included the use of motivational interventions. Both the technique used in motivational interventions and an underlying theory of behavior change (i.e., self-regulation theory) invoke the construct of discrepancy development. This study was designed to determine whether techniques purported to develop discrepancy actually do so and to compare methods of developing discrepancy on indices of intention to reduce alcohol use. Male and female college drinkers (N=92) were selected if they reported two or more binge episodes in the last month, or scored 4 or higher on the Rutgers Alcohol Problem Index (RAPI). Participants were randomly assigned by gender to three conditions all conducted in a small group format: attention-control, personalized normative feedback (PNF), and personal strivings assessment (PSA). Personalized normative feedback was designed to develop discrepancy based on behavioral comparisons of self and others. Personal strivings assessment was designed to develop discrepancy between current and ideal self. It was hypothesized that participants who engage in discrepancy building activities would experience discrepancy specific to the activity in which they engaged, and that all participants who developed discrepancy would show higher levels of intention to reduce alcohol use. Results indicated that only the personalized normative feedback increased discrepancy and intention to reduce alcohol use.
减少高风险饮酒频率的努力包括采用动机干预措施。动机干预中使用的技术以及行为改变的一种潜在理论(即自我调节理论)都涉及差异发展这一概念。本研究旨在确定声称能产生差异的技术是否真的能做到这一点,并在减少酒精使用意图指标上比较产生差异的方法。如果男性和女性大学生饮酒者在过去一个月报告有两次或更多次暴饮发作,或者在罗格斯酒精问题指数(RAPI)上得分4分或更高,就会被选中。参与者按性别随机分配到三种均以小组形式进行的条件下:注意力控制组、个性化规范反馈(PNF)组和个人奋斗评估(PSA)组。个性化规范反馈旨在通过自我与他人的行为比较来产生差异。个人奋斗评估旨在产生当前自我与理想自我之间的差异。研究假设是,参与差异构建活动的参与者会体验到与其所参与活动特定相关的差异,并且所有产生差异的参与者都会表现出更高水平的减少酒精使用的意图。结果表明,只有个性化规范反馈增加了差异以及减少酒精使用的意图。