Norcross J C, Vangarelli D J
Department of Psychology, University of Scranton, PA 18510.
J Subst Abuse. 1988;1(2):127-34. doi: 10.1016/s0899-3289(88)80016-6.
This study prospectively tracked the self-change attempts of 200 New Year's resolvers over a 2-year period in order to more fully understand the coping determinants of maintenance and the natural history of lapses and relapses. Seventy-seven percent maintained their pledges for 1 week but only 19% for 2 years. Successful resolvers reported employing significantly more stimulus control, reinforcement, and willpower than the unsuccessful over the 2 years; social support and interpersonal strategies failed to predict success before 6 months but did so thereafter. Counterconditioning and fading were retrospectively nominated as the most efficacious coping strategies; paucity of willpower and failure of stimulus control were reported as the most hindering to maintenance. Fifty-three percent of the successful group experienced at least one slip, and the mean number of slips over the 2-year interval was 14. Slips were typically precipitated by a lack of personal control, excessive stress, and negative emotion.
本研究对200名制定新年计划者在两年内的自我改变尝试进行了前瞻性跟踪,以便更全面地了解维持改变的应对决定因素以及失误和复发的自然过程。77%的人坚持了1周的承诺,但只有19%的人坚持了2年。在这两年中,成功坚持计划者报告使用刺激控制、强化和意志力的频率明显高于未成功的人;社会支持和人际策略在6个月前未能预测成功,但在此之后则可以。反条件作用和消退被回顾性地认为是最有效的应对策略;意志力缺乏和刺激控制失败被报告为对维持改变最具阻碍作用的因素。成功组中有53%的人至少经历了一次失误,在两年期间失误的平均次数为14次。失误通常是由个人控制不足、压力过大和负面情绪引发的。