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Motivational Subtypes in a Voluntary Inpatient Sample of Alcohol Dependent Individuals

Abstract

Motivational subgroups in a voluntary inpatient sample of alcohol dependent individuals were identified to facilitate future development of treatment interventions aimed at enhancing compliance and outcome. The Korean version of Stages of Change Readiness and Treatment Eagerness Scale(SOCRATES-K) from 90 subjects were subject to cluster analyses and resulted in 4 groups. The Cluster membership was distributed as follows: Precontemplation, 14%(n=13), Contemplation, 42%(n=38), Discouragement, 12%(n=11), Action, 31%(n=28). There were no differences on demographic or alcohol drinking history or Personality Assessment Inventory(PAI) profiles. The Action group appeared to be very aware of their dependence and be changing their drinking behavior, and scored high on measures of Alcohol Abstinence Self-Efficacy Scale(AASE). The Discouragement group appeared to be very aware of their dependence, but appeared to be a low level of action and scored low on measures of AASE. The Contemplation group appeared to be a moderate recognition and action, but still a high level of ambivalence. The Precontemplation group appeared to be a lower recognition and action and scored low on measures of AASE, but a high level of ambivalence. The results suggest that the SOCRATES-K can be used to identify clinically meaningful subtypes of voluntary inpatient alcohol dependent individuals, and have implications for treatment matching and enhancing treatment motivation.

keywords
Stages of Change, motivation, SOCRATES, PAI, self-efficacy, ambivalence, alcohol dependence, voluntary inpatient, Stages of Change, motivation, SOCRATES, PAI, self-efficacy, ambivalence, alcohol dependence, voluntary inpatient, 변화단계, 변화동기, 성격평가, 자기효능감, 양가성, 알코올의존, 자발적 입원.

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