Readiness to change in a clinical sample of problem drinkers: Relation to alcohol use, self-efficacy, and treatment outcome

被引:60
作者
Demmel, R
Beck, B
Richter, D
Reker, T
机构
[1] Univ Munster, Dept Clin Psychol, DE-48149 Munster, Germany
[2] Westfal Klin Psychiat & Psychotherapie Munster, Munster, Germany
关键词
alcohol dependence; alcohol use; self-efficacy and treatment outcome; alcoholism; outcome; treatment; construct validity; factor analysis; problem drinkers; readiness to change; SOCRATES; reliability; Stages of Change Readiness and Treatment Eagerness Scale - SOCRATES; transtheoretical model; behaviour change;
D O I
10.1159/000077702
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
According to the transtheoretical model of behaviour change, individuals addicted to psychotropic drugs typically cycle through a sequence of five discrete stages (precontemplation, contemplation, preparation, action, and maintenance) before achieving sustained long-term abstinence and moderation, respectively. A number of English-language questionnaires have been developed to assess client motivation in accordance with the stages of change approach. The present study aimed to expand the research on the transtheoretical model by establishing the factor structure of a German-language version of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) in a large sample of alcohol-dependent inpatients (n = 350). Furthermore, the relation of client motivation to alcohol use, self-efficacy and treatment outcome at 3-month follow-up was examined. Exploratory factor analysis revealed three separate dimensions of readiness to change (Taking Steps, Recognition, and Ambivalence). The factorial structure of the German-language SOCRATES corresponded almost exactly to that of the original version. Readiness to change accounted for 9.4% of the variance in treatment outcome. Moreover, readiness to change was positively related to pretreatment self-efficacy. Copyright (C) 2004 S. Karger AG, Basel.
引用
收藏
页码:133 / 138
页数:6
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