Demmel Ralf, Beck Beate, Lammers André
Department of Clinical Psychology, University of Münster, Münster, Germany.
Ger Med Sci. 2003 Oct 15;1:Doc06.
Cognitive processes related to client motivation are important mediators of alcoholism treatment outcome. The present study aimed to expand previous research on client motivation and treatment outcome by establishing the predictive utility of self-efficacy, alcohol expectancies, and readiness to change in a sample of alcohol-dependent inpatients (N = 83). Treatment outcome was assessed three months following discharge. According to self-reported alcohol use, 22 clients were classified as abstainers and 41 clients as relapsers. Twenty participants were lost to follow-up. Readiness to change and anticipated reinforcement from alcohol predicted abstinence at follow-up. Client motivation was unrelated to both frequency and quantity of alcohol use. In accordance with social learning theory, self-efficacy was inversely correlated with alcohol expectancies. The results of the present study suggest that once abstinence has been violated factors other than pretreatment motivation determine drinking behavior.
与患者动机相关的认知过程是酒精成瘾治疗效果的重要调节因素。本研究旨在通过确定自我效能感、饮酒期望以及酒精依赖住院患者样本（N = 83）中改变意愿的预测效用，来扩展先前关于患者动机与治疗效果的研究。出院三个月后评估治疗效果。根据自我报告的饮酒情况，22名患者被归类为戒酒者，41名患者为复发者。20名参与者失访。改变意愿和对饮酒的预期强化预测了随访时的戒酒情况。患者动机与饮酒的频率和量均无关。根据社会学习理论，自我效能感与饮酒期望呈负相关。本研究结果表明，一旦戒酒被打破，治疗前动机以外的因素决定饮酒行为。
