Isenhart C E
Department of Veterans Affairs Medical Center, Minneapolis, MN 55417.
Addict Behav. 1994 Sep-Oct;19(5):463-75. doi: 10.1016/0306-4603(94)90002-7.
Motivational subgroups in a sample of inpatient substance abusers were identified to facilitate future development of treatment interventions aimed at enhancing compliance and involvement. The modified Stages of Change Readiness and Treatment Eagerness Scales from 165 subjects were subject to factor and cluster analyses. Results suggest the instrument assesses three dimensions: determination, action, and contemplation. Using these dimensions, three subgroups were identified: Uninvolved, Ambivalent, and Active. There were no differences on demographic or background variables or Minnesota Multiphasic Personality Inventory 2 (MMPI-2) profiles. The Uninvolved group scored significantly lower than the other two groups on measures of alcohol use and abuse. The Ambivalent and Active groups did not differ on any of the measures of alcohol use and abuse. The Ambivalent group demonstrated a high level of conflict and inaction. The Active group appeared to be aware of their dependence and were ready to change their behavior. The results have implications for treatment matching and enhancing treatment motivation.
在住院药物滥用者样本中确定了动机亚组，以促进未来旨在提高依从性和参与度的治疗干预措施的发展。对165名受试者的修改后的改变准备阶段和治疗渴望量表进行了因子分析和聚类分析。结果表明，该量表评估三个维度：决心、行动和沉思。利用这些维度，确定了三个亚组：无参与组、矛盾组和积极组。在人口统计学或背景变量或明尼苏达多相人格问卷2（MMPI-2）剖面图上没有差异。无参与组在酒精使用和滥用测量方面的得分显著低于其他两组。矛盾组和积极组在任何酒精使用和滥用测量方面均无差异。矛盾组表现出高度的冲突和不作为。积极组似乎意识到了自己的依赖性，并准备好改变行为。这些结果对治疗匹配和提高治疗动机具有启示意义。
