Isenhart C E, Van Krevelen S
Addictive Disorders Section, Department of Veterans Affairs Medical Center, Minneapolis, MN 55417, USA.
J Subst Abuse. 1998;10(2):175-84. doi: 10.1016/s0899-3289(99)80132-1.
Previous research (Isenhart, 1997) has shown a relationship between pre-treatment stages of change and outcome. The objective of this project was to evaluate whether certain processes of change measures predicted stages of change measures. A stepwise multiple regression model used Contemplation, Determination, and Action scores as dependent variables and process of change scores and measures of alcohol dependence severity and pre-treatment alcohol consumption as independent variables. The only process of change scale consistently correlated with the Contemplation, Determination, and Action scales was Self-reevaluation. Self-reevaluation was negatively correlated with Contemplation and positively correlated with Determination and Action. These results suggest that as patients become more discouraged and frustrated with their alcohol use, they experience less ambivalence, are more likely to acknowledge that a problem exists, and are more willing to take action to address that problem. Implications and limitations of these findings are provided and inconsistencies between previous studies and these results are discussed.
先前的研究(伊森哈特,1997年)表明了改变的预处理阶段与结果之间的关系。本项目的目的是评估某些改变过程的测量指标是否能预测改变阶段的测量指标。一个逐步多元回归模型将沉思、决心和行动得分作为因变量,将改变过程得分、酒精依赖严重程度测量指标和预处理酒精消费量作为自变量。唯一与沉思、决心和行动量表始终相关的改变过程量表是自我重新评估。自我重新评估与沉思呈负相关,与决心和行动呈正相关。这些结果表明,随着患者对自己饮酒行为的失望和沮丧感增加,他们的矛盾心理减少,更有可能承认存在问题,并且更愿意采取行动解决该问题。本文提供了这些发现的意义和局限性,并讨论了先前研究与这些结果之间的不一致之处。