Department of Psychiatry, School of Medicine, University of Maltepe, Istanbul, Turkey.
University of Health Sciences Erenköy Mental Research and Training Hospital, Istanbul, Turkey.
J Ethn Subst Abuse. 2020 Oct-Dec;19(4):594-609. doi: 10.1080/15332640.2018.1548324. Epub 2019 Jan 24.
Motivation is a significant factor in the treatment of addiction and has been proven to be a predictor of treatment outcomes. The present study investigated the effects of clinical variables, perceived social support, temperament, and personality traits on treatment motivation. This study included 100 patients whose detoxification treatment was completed following hospitalization in Alcohol and Drug Research, Treatment, and Training Center (AMATEM). Treatment motivations were assessed through Motivation for Treatment scale (MfT). Addiction Profile Index (API) was used to evaluate drug use characteristics, craving, and the effects of drug use on life. Temperament and character traits and perceived social support were evaluated by Temperament and Character Inventory (TCI) and Multidimensional Scale of Perceived Social Support (MSPSS), respectively. The number of treatment admissions, presence of a history of previous inpatient treatment, completed inpatient treatment, social support from the family, harm avoidance, substance use characteristics, craving, and the effect of substance on life showed differences while motivations of the patients were compared. Presence of a history of previously completed inpatient treatment, presence of high social support from the family, and significant recognition of the effects of substance on own life were evaluated as the factors predicting high motivation. The present study demonstrated that social support from family, previously completed inpatient treatment, and effect of substance in life had significant impact on motivation. Therefore, the assessment of these factors will aid in better understanding this population and in the design of long-term treatment plans.
动机是治疗成瘾的重要因素,已被证明是治疗结果的预测因素。本研究调查了临床变量、感知社会支持、气质和人格特质对治疗动机的影响。这项研究包括了 100 名在酒精和药物研究、治疗和培训中心(AMATEM)住院后完成戒毒治疗的患者。通过治疗动机量表(MfT)评估治疗动机。使用成瘾特征指数(API)评估药物使用特征、渴求感以及药物对生活的影响。通过气质和性格量表(TCI)和多维度感知社会支持量表(MSPSS)评估气质和性格特征以及感知社会支持。在比较患者的动机时,治疗次数、是否有既往住院治疗史、是否完成住院治疗、家庭社会支持、回避危险、药物使用特征、渴求感以及药物对生活的影响存在差异。既往完成住院治疗史、家庭社会支持高、以及对药物对自身生活影响的认识程度被评估为预测高动机的因素。本研究表明,家庭社会支持、既往完成住院治疗以及药物对生活的影响对动机有显著影响。因此,评估这些因素将有助于更好地了解这一人群,并设计长期治疗计划。