Soberay Adam David, Grimsley Paul, Faragher J Michael, Barbash Melissa, Berger Ben
Department of Research Methods and Statistics, University of Denver.
Department of Counseling Psychology, University of Denver.
Psychol Addict Behav. 2014 Jun;28(2):414-9. doi: 10.1037/a0035455.
Specific stages of change have been associated with clinical variables before and during the course of addiction treatment. However, few studies have specifically focused on these relationships for problem and pathological gamblers. The present study examined the relationships between pretreatment stages of change and clinical treatment variables in a sample of 71 treatment-seeking problem and pathological gamblers. The participants were administered the following instruments: the University of Rhode Island Change Assessment (URICA), the NORC DSM-IV Screen for Gambling Problems (NODS), and the Outcome Questionnaire 45 (OQ-45). The researchers hypothesized that there would be a relationship among pretreatment stages of change and (a) severity of gambling problems at onset of treatment, (b) severity of psychosocial problems at onset of treatment, (c) retention in treatment, and (d) level of psychosocial improvement through therapy. The results indicate that (a) precontemplation was negatively related to reported gambling problems at outset of treatment, and contemplation and maintenance were positively related to reported gambling problems at the outset of treatment; (b) action was positively associated with level of psychosocial functioning at outset of treatment; (c) action was negatively associated with retention in treatment; and (d) maintenance was negatively associated with level of improvement in psychosocial functioning through therapy. Implications for treatment of this population include the ability to adjust treatment plans and interventions with increased awareness of potential barriers and obstacles unique to pretreatment stages of change.
在成瘾治疗过程之前及期间，特定的改变阶段已与临床变量相关联。然而，很少有研究专门关注问题赌徒和病态赌徒的这些关系。本研究在71名寻求治疗的问题赌徒和病态赌徒样本中，考察了治疗前改变阶段与临床治疗变量之间的关系。研究参与者接受了以下测评工具：罗德岛大学改变评估量表（URICA）、美国国家民意研究中心《精神疾病诊断与统计手册》第四版赌博问题筛查量表（NODS）以及治疗效果问卷45（OQ - 45）。研究人员假设，治疗前改变阶段与以下方面存在关系：（a）治疗开始时赌博问题的严重程度，（b）治疗开始时心理社会问题的严重程度，（c）治疗留存率，以及（d）通过治疗心理社会功能的改善程度。结果表明：（a）前 contemplation 阶段与治疗开始时报告的赌博问题呈负相关，而 contemplation 阶段和维持阶段与治疗开始时报告的赌博问题呈正相关；（b）行动阶段与治疗开始时心理社会功能水平呈正相关；（c）行动阶段与治疗留存率呈负相关；（d）维持阶段与通过治疗心理社会功能的改善程度呈负相关。对这一人群治疗的启示包括，能够在更清楚认识到治疗前改变阶段所特有的潜在障碍的情况下，调整治疗计划和干预措施。
