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[门诊及住院治疗后自我效能感与戒酒之间的关系——两年随访]

[The relationship between self-efficacy and abstinence from alcohol after outpatient and inpatient treatment--a two year follow-up].

作者信息

Zingg Christina, Schmidt Peggy, Küfner Heinrich, Kolb Werner, Zemlin Uwe, Soyka Michael

机构信息

Privatklinik Meiringen, Meiringen, Schweiz.

出版信息

Psychother Psychosom Med Psychol. 2009 Aug;59(8):307-13. doi: 10.1055/s-2008-1067530. Epub 2008 Sep 15.

Abstract

This study examines the relationship between (alcohol specific) self-efficacy expectancies and abstinence from alcohol measured at 3 follow-ups (t1 = 6, t2 = 12 and t3 = 24 months after treatment) in 3 groups of patients with different severity levels of their alcohol dependency. N = 169 patients were included (n = 65 outpatient treatment, n = 51 inpatient short-term and n = 53 inpatient long-term treatment). Self-efficacy was measured using the Alcohol Abstinence Self-Efficacy Scale (AASE). Treatment outcome was defined as complete abstinence from alcohol at time of follow-ups. The AASE differentiates reliably between abstinent and non-abstinent patients in each treatment group at the 3 follow-ups. Abstinent patients had significant higher scores in both of the two subscales confidence and temptation. The strongest relationship between AASE and treatment outcome could be found for subjects in short-term inpatient treatment. The impact of the results for clinical practice is discussed.

摘要

本研究考察了三组酒精依赖严重程度不同的患者中,(特定于酒精的)自我效能期望与在3次随访(治疗后6个月的t1、12个月的t2和24个月的t3)时测量的戒酒情况之间的关系。纳入了169名患者(65名门诊治疗患者、51名住院短期治疗患者和53名住院长期治疗患者)。使用酒精戒断自我效能量表(AASE)测量自我效能。治疗结果定义为随访时完全戒酒。在3次随访中,AASE在每个治疗组的戒酒患者和未戒酒患者之间都能可靠地区分。戒酒患者在信心和诱惑这两个子量表上的得分显著更高。对于短期住院治疗的受试者,可发现AASE与治疗结果之间的最强关系。讨论了研究结果对临床实践的影响。

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