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作为酒精中毒治疗中变化的衡量指标和结果预测指标的 repertory 网格。

The repertory grid as a measure of change and predictor of outcome in the treatment of alcoholism.

作者信息

Bailey P E, Sims A C

机构信息

Clinical Research, Sandoz Pharma AG, Basel, Switzerland.

出版信息

Br J Med Psychol. 1991 Sep;64(3):285-93. doi: 10.1111/j.2044-8341.1991.tb01667.x.

DOI:10.1111/j.2044-8341.1991.tb01667.x
PMID:1954192
Abstract

Fifty male in-patients receiving treatment for alcohol dependence were studied on admission using the repertory grid and the grids analysed using the principal component technique (INGRIDA). Three self-elements were examined: self-when-sober, self-when-drunk, and ideal self. Sober-ideal self distance was below average in 90 per cent and drunk-ideal above average in 83 per cent, suggesting unrealistically favourable perceptions of sobriety and unrealistically unfavourable perceptions of drunkenness. The percentage of total variation accounted for by the first two components (VAR1 + VAR2) was generally high, suggesting tightness of construing. The first grid did not predict treatment completion. Twenty-eight subjects completed treatment and were given a second grid test on discharge. Consistent changes in grid measures with treatment were not apparent. Forty-nine subjects were followed up six months after discharge. For the 28 who had completed treatment, tightening of construing during treatment (i.e. a higher value of VAR1 + VAR2 in the second grid than in the first) was associated with drinking at follow-up. Measures derived from the first grid alone or from the second grid alone were not associated with status at follow-up.

摘要

对50名因酒精依赖而接受治疗的男性住院患者在入院时使用 repertory 网格进行研究,并运用主成分技术(INGRIDA)对网格进行分析。研究了三个自我元素:清醒时的自我、醉酒时的自我和理想自我。90% 的患者清醒时自我与理想自我的距离低于平均水平,83% 的患者醉酒时自我与理想自我的距离高于平均水平,这表明对清醒存在不切实际的有利认知,而对醉酒存在不切实际的不利认知。前两个成分(VAR1 + VAR2)所解释的总变异百分比普遍较高,表明构念紧密。第一个网格未能预测治疗完成情况。28名患者完成治疗并在出院时接受了第二次网格测试。网格测量结果随治疗的一致变化并不明显。49名患者在出院后六个月接受随访。对于完成治疗的28名患者,治疗期间构念的收紧(即第二个网格中 VAR1 + VAR2 的值高于第一个网格)与随访时的饮酒情况相关。仅从第一个网格或仅从第二个网格得出的测量结果与随访时的状态无关。

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