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夫妻门诊酗酒治疗项目中的动机来源。

Sources of motivation in a couples outpatient alcoholism treatment program.

作者信息

Steinberg M L, Epstein E E, McCrady B S, Hirsch L S

机构信息

Center of Alcohol Studies, Rutgers-The State University of New Jersey, Piscataway, USA.

出版信息

Am J Drug Alcohol Abuse. 1997 May;23(2):191-205. doi: 10.3109/00952999709040941.

DOI:10.3109/00952999709040941
PMID:9143633
Abstract

This study examines sources of motivation to seek treatment. Participants were 105 male alcoholics and their non-alcoholic female partners who participated in a study of three different approaches to the conjoint treatment of alcoholism. Participants' sources of motivation were coded from responses to questions at the initial clinical screening interview. Sources of motivation were classified as "internal" or "external." More participants had internal sources of motivation (74%) than external sources. Participants with internal sources of motivation scored higher on the Michigan Alcoholism Screening Test than participants with external sources of motivation, but did not differ on other measures of pretreatment severity of alcohol problems. About half of the participants (53%) cited their partner as a primary source of motivation to seek treatment. Other sources of motivation cited were: increasing problems with alcohol, mental health problems, and physical health problems. There was greater variability among internal sources of motivation than among external sources of motivation. Participants' partners but not the male participants themselves, experienced an increase in marital satisfaction from pre- to within-treatment when the participant was motivated to come to treatment by his partner.

摘要

本研究考察了寻求治疗的动机来源。参与者为105名男性酗酒者及其非酗酒的女性伴侣,他们参与了一项关于酗酒联合治疗三种不同方法的研究。参与者的动机来源根据初始临床筛查访谈中对问题的回答进行编码。动机来源被分为“内部”或“外部”。有内部动机来源的参与者(74%)比有外部动机来源的参与者更多。有内部动机来源的参与者在密歇根酒精ism筛查测试中的得分高于有外部动机来源的参与者,但在酒精问题治疗前严重程度的其他测量指标上没有差异。大约一半的参与者(53%)将其伴侣视为寻求治疗的主要动机来源。其他被提及的动机来源包括:酒精问题增多、心理健康问题和身体健康问题。内部动机来源的变异性大于外部动机来源。当参与者因伴侣的动机而来接受治疗时,参与者的伴侣而非男性参与者自身,从治疗前到治疗期间婚姻满意度有所提高。

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