Therapeutic success in relapse prevention in alcohol use disorder : the role of treatment motivation and drinking-related treatment goals

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2021
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Pereyra-Kröll, Devi
Menning, Hans
Volken, Thomas
Rösner, Susanne
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Journal of Addictive Diseases. Taylor & Francis. 2021, 39(1), pp. 88-95. ISSN 1055-0887. eISSN 1545-0848. Available under: doi: 10.1080/10550887.2020.1820810
Zusammenfassung

Background
Changing addictive behavior is a complex process with high demands on motivation. The Transtheoretical Model of Behavior Change provides a theoretical framework for explaining and predicting behavioral change, although its predictive value for addiction is somewhat inconsistent.

Objective
The aim of the present study is to extend the Transtheoretical Model of Behavior Change by investigating not only treatment motivation but also the predictive value of the type of drinking-related treatment goal. Additional predictors, such as substance-related and sociodemographic variables, are also included in analyses seeking to predict return to drinking during relapse prevention treatment for alcohol use disorder.

Methods
In this observational study, 99 inpatients from a treatment center for alcohol use disorder were recruited. Treatment motivation was assessed in accordance with the Transtheoretical Model of Behavior Change, drinking-related treatment goal through a self-report questionnaire, and substance-related and sociodemographic variables via the clinic information system. Associations between the potential predictors and covariates were explored using stepwise logistic regression.

Results
During treatment, 42.6% of participants had at least one relapse. Scoring higher on the action dimension at admission (OR = 0.81, p = .04) and being employed (OR = 0.37, p = .02) were significant predictors of abstinence during treatment.

Conclusions
This study confirms that treatment motivation contributes to the prediction of treatment outcome, even when controlling for other variables. In future research, the underlying mechanisms of treatment motivation should be further explored.

Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
150 Psychologie
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Alcohol use disorder, treatment motivation, drinking goal, transtheoretical model of behavior change
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ISO 690SENN, Smeralda, Michael ODENWALD, Sarah SEHRIG, Peter HAFFKE, Brigitte ROCKSTROH, Devi PEREYRA-KRÖLL, Hans MENNING, Frank WIEBER, Thomas VOLKEN, Susanne RÖSNER, 2021. Therapeutic success in relapse prevention in alcohol use disorder : the role of treatment motivation and drinking-related treatment goals. In: Journal of Addictive Diseases. Taylor & Francis. 2021, 39(1), pp. 88-95. ISSN 1055-0887. eISSN 1545-0848. Available under: doi: 10.1080/10550887.2020.1820810
BibTex
@article{Senn2021Thera-51956,
  year={2021},
  doi={10.1080/10550887.2020.1820810},
  title={Therapeutic success in relapse prevention in alcohol use disorder : the role of treatment motivation and drinking-related treatment goals},
  number={1},
  volume={39},
  issn={1055-0887},
  journal={Journal of Addictive Diseases},
  pages={88--95},
  author={Senn, Smeralda and Odenwald, Michael and Sehrig, Sarah and Haffke, Peter and Rockstroh, Brigitte and Pereyra-Kröll, Devi and Menning, Hans and Wieber, Frank and Volken, Thomas and Rösner, Susanne}
}
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    <dcterms:abstract xml:lang="eng">Background&lt;br /&gt;Changing addictive behavior is a complex process with high demands on motivation. The Transtheoretical Model of Behavior Change provides a theoretical framework for explaining and predicting behavioral change, although its predictive value for addiction is somewhat inconsistent.&lt;br /&gt;&lt;br /&gt;Objective&lt;br /&gt;The aim of the present study is to extend the Transtheoretical Model of Behavior Change by investigating not only treatment motivation but also the predictive value of the type of drinking-related treatment goal. Additional predictors, such as substance-related and sociodemographic variables, are also included in analyses seeking to predict return to drinking during relapse prevention treatment for alcohol use disorder.&lt;br /&gt;&lt;br /&gt;Methods&lt;br /&gt;In this observational study, 99 inpatients from a treatment center for alcohol use disorder were recruited. Treatment motivation was assessed in accordance with the Transtheoretical Model of Behavior Change, drinking-related treatment goal through a self-report questionnaire, and substance-related and sociodemographic variables via the clinic information system. Associations between the potential predictors and covariates were explored using stepwise logistic regression.&lt;br /&gt;&lt;br /&gt;Results&lt;br /&gt;During treatment, 42.6% of participants had at least one relapse. Scoring higher on the action dimension at admission (OR = 0.81, p = .04) and being employed (OR = 0.37, p = .02) were significant predictors of abstinence during treatment.&lt;br /&gt;&lt;br /&gt;Conclusions&lt;br /&gt;This study confirms that treatment motivation contributes to the prediction of treatment outcome, even when controlling for other variables. In future research, the underlying mechanisms of treatment motivation should be further explored.</dcterms:abstract>
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