酒精依赖住院患者在改变意愿、洞察力和动机方面的差异。

Discrepancy between readiness to change, insight and motivation in alcohol-dependent inpatients.

作者信息

Slepecky Milos, Stanislav Vladimir, Martinove Maria, Kotianova Antonia, Kotian Michal, Chupacova Michaela, Ryniak Jolanta, Betkovka Korpala Barbara, Zatkova Marta, Latalova Klara, Prasko Jan

机构信息

Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University in Nitra, Slovakia.

OLUP Predna Hora, Muranska Huta, Predna Hora 126, 049 01 Muran, Slovakia.

出版信息

Neuro Endocrinol Lett. 2018 May;39(2):135-142.

PMID:29919989

Abstract

BACKGROUND

Poland, Czech Republic, and the Slovak Republic are countries with high alcohol consumption, and alcohol-induced disorders are in the ten leading causes of Years Lost due to Disability. Therefore it is necessary to study factors as insight, motivation, and readiness to change for the better understanding the variables which are in probably connected with therapeutic effectiveness.

AIM

The purpose of the study was to examine the state of readiness to change at the beginning and the end of inpatient short (six weeks) and long (12 weeks) therapeutic program in the Slovak Republic, Poland, and the Czech Republic, and look for the relationship between readiness to change, insight, and motivation in alcohol-dependent persons.

METHODS

We studied a sample of 380 alcohol-dependent inpatients (282 men and 98 women) by Alcohol Use Disorders Identification Test (AUDIT), The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES), Readiness to Change Questionnaire (RCQ), and Demographic Questionnaire.

RESULTS

The unmarried patients declare a higher severity of alcohol dependence than married or divorced ones in AUDIT questionnaire. At the beginning of the treatment, the majority of patients declared Action (68.5%) or Preparation (26.3%) motivation stage according to RCQ questionnaire. At the end of the treatment, married patients showed higher readiness to change in domain Taking steps of SOCRATES questionnaire. The unmarried patients displayed the decrease of domain Ambivalence. The duration of the completed therapeutic program may not be crucial for improvement in preparedness to change.

CONCLUSIONS

The intention and motivation to alcohol dependence treatment seem to be high at the beginning of the treatment, but recognition of the alcohol problems were low in highly dependent patients. Marital status was connected with an increased active component for readiness to change. The passive component (decreasing the ambivalence) was observed in the unmarried patients.

摘要

背景

波兰、捷克共和国和斯洛伐克共和国是酒精消费量较高的国家，酒精所致障碍位列因残疾导致的寿命损失的十大主要原因之中。因此，有必要研究洞察力、动机和改变意愿等因素，以便更好地理解可能与治疗效果相关的变量。

目的

本研究旨在考察斯洛伐克共和国、波兰和捷克共和国住院短期（六周）和长期（十二周）治疗项目开始和结束时的改变意愿状况，并探寻酒精依赖者的改变意愿、洞察力和动机之间的关系。

方法

我们通过酒精使用障碍识别测试（AUDIT）、改变准备度和治疗渴望阶段量表（SOCRATES）、改变意愿问卷（RCQ）和人口统计学问卷，对380名酒精依赖住院患者（282名男性和98名女性）进行了研究。

结果

在AUDIT问卷中，未婚患者宣称酒精依赖的严重程度高于已婚或离异患者。根据RCQ问卷，在治疗开始时，大多数患者宣称处于行动（68.5%）或准备（26.3%）动机阶段。在治疗结束时，已婚患者在SOCRATES问卷的采取措施方面显示出更高的改变意愿。未婚患者在矛盾心理方面有所下降。完成的治疗项目时长可能对改变准备度的改善并非至关重要。