Blume Arthur W, Schmaling Karen B, Marlatt G Alan
University of North Carolina at Charlotte, United States.
Addict Behav. 2006 Feb;31(2):331-8. doi: 10.1016/j.addbeh.2005.05.014. Epub 2005 Jun 24.
Little is known about what type of drinking related consequences may enhance motivation to change or may hinder behavior change over time. In order to examine this research question, 120 adult participants abusing alcohol were administered the Drinker Inventory of Consequences-Recent (DrInC-R), the Brief Readiness to Change Questionnaire (BRTC), and the Steady Pattern Chart (SP). Subscale scores from the DrInC-R and the BRTC; and alcohol consumption as assessed by the SP at baseline and three month follow-up were retained for data analyses. Greater intrapersonal DrInC-R consequences scores significantly predicted greater contemplation stage scores (R2=.37, p<.001), and lower precontemplation stage scores (R2=.32, p<.001), and DrInC-R impulse control and interpersonal consequences scores significantly predicted alcohol consumption at three month follow-up after controlling for baseline consumption (R2=.50, p<.001). Increased awareness of intrapersonal drinking related consequences may motivate change, whereas numbers of impulse control and interpersonal consequences may predict changes in drinking behavior over the short-term.
关于何种饮酒相关后果可能会随着时间推移增强改变的动机或阻碍行为改变,目前所知甚少。为了研究这个问题,对120名酒精滥用的成年参与者进行了近期饮酒后果量表(DrInC-R)、简短改变意愿问卷(BRTC)和稳定模式图表(SP)的测试。保留了DrInC-R和BRTC的分量表得分,以及在基线和三个月随访时通过SP评估的酒精消费量用于数据分析。DrInC-R中更大的个人内部后果得分显著预测了更高的沉思阶段得分(R2 = 0.37,p < 0.001),以及更低的前沉思阶段得分(R2 = 0.32,p < 0.001),并且在控制基线消费量后,DrInC-R的冲动控制和人际后果得分显著预测了三个月随访时的酒精消费量(R2 = 0.50,p < 0.001)。对个人内部饮酒相关后果的认识增加可能会激发改变,而冲动控制和人际后果的数量可能预测短期内饮酒行为的变化。