Belding M A, Iguchi M Y, Lamb R J, Lakin M, Terry R
Department of Psychiatry, Medical College of Pennsylvania, Philadelphia, USA.
Drug Alcohol Depend. 1995 Jul;39(1):45-53. doi: 10.1016/0376-8716(95)01135-l.
We applied the stages-of-change model of Prochaska and DiClemente to the problem of drug use among methadone maintenance patients to examine correlates of different stages of treatment readiness. The 276 subjects were divided into stage categories based on self-reported drug use and questionnaire responses regarding plans to discontinue unauthorized drug use in the future. Confirmatory factor analytic procedures validated four process scales derived from a 60-item questionnaire. Each stage was characterized by a profile of change-process scores largely consistent with predictions, though these scores did not distinguish stages as clearly as has been reported in previous research. Analysis of subject characteristics revealed that those in the Precontemplation stage reported significantly longer treatment tenures than subjects in any other stage besides Maintenance.
我们将普罗查斯卡和迪克莱门特的改变阶段模型应用于美沙酮维持治疗患者的药物使用问题，以研究不同治疗准备阶段的相关因素。根据自我报告的药物使用情况以及关于未来停止未经授权药物使用计划的问卷回答，将276名受试者分为不同的阶段类别。验证性因素分析程序验证了从一份60项问卷中得出的四个过程量表。每个阶段的特征是变化过程得分概况，这在很大程度上与预测一致，尽管这些得分并没有像先前研究所报告的那样清晰地区分各个阶段。对受试者特征的分析表明，处于前 contemplation 阶段的受试者报告的治疗期限明显长于除维持阶段之外的任何其他阶段的受试者。
