Goodman Ilana, Henderson Joanna, Peterson-Badali Michele, Goldstein Abby L
Centre for Addiction and Mental Health, 80 Workman Way, Toronto, Ontario M6J 1H4, Canada; Ontario Institute for Studies in Education, University of Toronto, 252 Bloor St. W., Toronto, Ontario M5S 1V6, Canada.
Centre for Addiction and Mental Health, 80 Workman Way, Toronto, Ontario M6J 1H4, Canada; Department of Psychiatry, University of Toronto, 250 College St., Toronto, Ontario M5T 1R8, Canada.
J Subst Abuse Treat. 2015 May;52:58-66. doi: 10.1016/j.jsat.2014.12.004. Epub 2014 Dec 19.
Despite the peak prevalence of substance use and comorbid mental health problems during emerging adulthood little research has focused on understanding behavior change processes during this transitional period. This study extended Arnett's (2004) theory of the psychosocial features of emerging adulthood to explore how they may relate to treatment motivation (e.g., readiness to comply with treatment) and motivation to change (e.g., problem recognition and taking steps towards change). One hundred sixty-four youth presenting to outpatient substance abuse treatment completed questionnaires investigating problematic substance use, mental health, psychosocial features of emerging adulthood and motivation. Results of hierarchical regression analyses indicated that youth who perceived themselves as having greater responsibility towards others were more intrinsically motivated, recognized their substance use as problematic and were taking steps towards change. None of the other dimensions of emerging adulthood accounted for significant variance beyond relevant controls. Limitations, directions for future research and treatment implications are discussed.
尽管在成年初期物质使用和共病心理健康问题的患病率达到峰值,但很少有研究关注于理解这一过渡时期的行为改变过程。本研究扩展了阿内特(2004年)关于成年初期心理社会特征的理论,以探讨这些特征如何与治疗动机(例如,准备好遵守治疗)和改变动机(例如,问题识别和采取改变措施)相关联。164名寻求门诊药物滥用治疗的青少年完成了问卷调查,调查了有问题的物质使用、心理健康、成年初期的心理社会特征和动机。分层回归分析结果表明,那些认为自己对他人负有更大责任的青少年更有内在动力,认识到自己的物质使用存在问题,并正在采取改变措施。成年初期的其他维度在相关控制之外均未解释显著的方差。讨论了研究的局限性、未来研究方向和治疗意义。