Loss and readiness to change substance abuse

Blume, Arthur W.; Schmaling, Karen B.

doi:10.1016/0306-4603(95)00079-8

Cited by 19 publications

(10 citation statements)

References 15 publications

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“…This is particularly true for individuals encountered in and referred from health care settings for whom health concerns may be a primary, but fleeting, motivator. The role of pain, withdrawal, diagnostic uncertainty, perceived loss (Blume & Schmalang, 1996), acuity of comorbid illnesses (Weisner, 1990), and attribution of one's medical condition to substance use (Reich & Gutierres, 1987) can all be very powerful motivators at the outset of an illness and can contribute to the btreatable momentQ of a health care event.…”

Section: Introductionmentioning

confidence: 99%

Physical health as a motivator for substance abuse treatment among medically ill adults: Is it enough to keep them in treatment?

O’Toole

Pollini

Ford

et al. 2006

Journal of Substance Abuse Treatment

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Section: Introductionmentioning

confidence: 99%

Physical health as a motivator for substance abuse treatment among medically ill adults: Is it enough to keep them in treatment?

O’Toole

Pollini

Ford

et al. 2006

Journal of Substance Abuse Treatment

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“…A number of studies report no relationship between alcohol severity and motivation to change (Freyer et al, 2005;Miller and Rollnick, 2003;Vik et al, 2000). Nonetheless, alcohol severity is considered an important predictor of change (Blume and Schmaling, 1996). Greater numbers of adverse consequences such as loss of job, family fi ghts, and loss of child custody have predicted greater motivation to change (Blume and Schmaling, 1996;Blume et al, 2006).…”

mentioning

confidence: 99%

“…Nonetheless, alcohol severity is considered an important predictor of change (Blume and Schmaling, 1996). Greater numbers of adverse consequences such as loss of job, family fi ghts, and loss of child custody have predicted greater motivation to change (Blume and Schmaling, 1996;Blume et al, 2006). For instance, in a cross-sectional study of non-treatment-seeking medical inpatients with unhealthy alcohol use (n = 337, 76% alcohol dependent), Bertholet et al (2009) found that severity of alcohol-related consequences was strongly correlated with problem recognition.…”

mentioning

confidence: 99%

“…For instance, in a cross-sectional study of non-treatment-seeking medical inpatients with unhealthy alcohol use (n = 337, 76% alcohol dependent), Bertholet et al (2009) found that severity of alcohol-related consequences was strongly correlated with problem recognition. In a longitudinal community sample of non-treatment-seeking individuals who misused alcohol (according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [DSM-IV]; American Psychiatric Association, 1994), greater intrapersonal alcohol-related consequences were found to be predictive of higher contemplation stage scores, lower precontemplation scores, and greater contemplation control scores at 3-month follow-up (Blume and Schmaling, 1996). In a study of hospital inpatients screened for alcohol use and classifi ed as being either heavy episodic drinking only, atrisk drinking, or at-risk/heavy episodic drinking, researchers found that individuals with at-risk/heavy episodic drinking had a higher odds ratio of taking action to reduce drinking at baseline (Coder et al, 2009).…”

mentioning

confidence: 99%

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Motivation to Change as a Mediator for the Longitudinal Relationships of Gender and Alcohol Severity With One-Year Drinking Outcome

Small

Ounpraseuth

Curran

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:We examined whether motivation to change mediated the relationships between gender and baseline alcohol severity with drinking outcome at 12-month follow-up in a longitudinal community sample. Method: Data were from baseline and 12-month interviews from the Rural Alcohol Study, a probability sample of rural and urban at-risk drinkers (N = 733) from six southern states. At-risk drinkers were identifi ed through a telephone-screening interview. Measures of motivation (problem recognition and taking action) were the resultant two factors derived from the Stages of Change Readiness and Treatment Eagerness Scale. Items on social consequences of drinking measured alcohol severity. Structural equation models examined relationships between baseline alcohol severity and motivation with drinks per drinking day at 12 months. Results: We identifi ed signifi cant, direct paths between drinking at 12 months and alcohol severity and taking action with an unstandardized estimate of 0.116 (p < .05), alcohol severity and problem recognition (0.423, p < .01), and each of the two "motivation" latent constructs-problem recognition (1.846, p < .01) and taking action (-0.660, p < .01). Finally, the combined direct and negative effect of gender on alcohol consumption at 12-month follow-up was statistically signifi cant, with an unstandardized estimate of -0.970 (p < .01). Conclusions: The current study offers evidence for motivation to change as a viable mechanism through which alcohol severity is associated with subsequent drinking outcomes. More research is needed to further explore the persistence of motivation to change on drinking outcomes over time. (J. Stud. Alcohol Drugs, 73, 504-513, 2012)

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“…Along these lines, several studies have found that the greater the recent adverse consequences of alcohol use, such as important losses (Blume & Marlatt, 2000), greater frequency of losses (Blume & Schmaling, 1996), and more symptoms or symptom classes (e.g., withdrawal, job loss) experienced (Blume & Schmaling, 1997), the greater one's motivation to change. In addition, Blume, Schmaling and Marlatt (2006) investigated the relationship between specific categories of negative consequences, as measured by the Drinker Inventory of Consequences (DrInC) instrument (Miller, Tonigan, & Longabaugh, 1995) and motivation to change alcohol use as well as actual alcohol use over time.…”

Section: Pathways To Behavior Changementioning

confidence: 99%

Ascertaining the relationships between the trajectories of specific categories of alcohol-related negative consequences and subsequent drinking behavior.

Davis¹,

Clifford²

2016

Psychology of Addictive Behaviors

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The overwhelming majority of people who drink alcohol do so nonproblematically. Nevertheless, approximately 17.6 million Americans have been diagnosed with an alcohol use disorder (AUD), which can be severely debilitating and contribute to both increased morbidity and premature mortality. Irrespective of treatment approach, drinking behavior modifications are often short-lived and relapse is common.The first year following AUD treatment has been identified as a period of high risk for relapse, and thus an important timeframe for enquiry regarding alcohol-related behavior change and its maintenance. In addition, at least among individuals with a diagnosed AUD, alcohol use and negative consequences have been shown to be related reciprocally.A commonly used measure of alcohol-related negative consequences is the Drinker Inventory of Consequences (DrInC) which has been supported empirically in several studies, although investigations of specific categories of alcohol-related negative consequences and their trajectories have been lacking. Given this background, the purpose of this dissertation was to conduct secondary data analyses to: (1) confirm the previously reported factor structure of the DrInC; (2) follow the course of the five DrInC categories of alcohol-related negative consequences across the first year post AUD iii treatment initiation; (3) investigate whether these trajectories vary by participant gender, age or assigned treatment condition; and (4) examine the relationships between these trajectories and subsequent drinking behavior. Data from the outpatient arm of Project MATCH (n = 952), to date the largest psychosocial alcohol treatment randomized clinical trial, were analyzed for this dissertation.Study results confirmed the DrInC factor structure and the trajectory of each DrInC category was indicative of improved alcohol-related problems across the first year post-treatment initiation period. Specific DrInC categories varied as a function of participant gender, age, and assigned treatment condition and these trajectories were predictive of subsequent drinking behavior. Specifically, higher intercepts during the three-month treatment period were associated with poorer drinking behavior one year later. Alternatively, steeper slopes were associated with improved drinking behavior and some of these relationships were modified by gender, age, and treatment condition. It was concluded that assessing alcohol-related negative consequences during the first year post-treatment initiation can have clinical utility. iv ACKNOWLEDGEMENT and DEDICATION

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Loss and readiness to change substance abuse

Cited by 19 publications

References 15 publications

Physical health as a motivator for substance abuse treatment among medically ill adults: Is it enough to keep them in treatment?

Physical health as a motivator for substance abuse treatment among medically ill adults: Is it enough to keep them in treatment?

Motivation to Change as a Mediator for the Longitudinal Relationships of Gender and Alcohol Severity With One-Year Drinking Outcome

Ascertaining the relationships between the trajectories of specific categories of alcohol-related negative consequences and subsequent drinking behavior.

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