Locus of Control and Motivation to Change among Male Patients with Alcohol Dependence

男性酒依賴病人的控握信念與改變動機

葉美玉(Mei-Yu Yeh)

《台灣精神醫學》 22卷3期 (2008/09) Pp. 193-201

https://doi.org/10.29478/TJP.200809.0004

摘要

目的：飲酒相關控握信念與改變動機是酒癮治療中常用的成果指標。本研究旨在探討飲酒相關控握傾向的預測因子，及比較內控或外控傾向酒依賴病人的改變動機與酒癮嚴重度的差異。方法：於台灣北部一所精神醫療院所，收集住院治療與門診追蹤男性的酒依賴病人160位（住院病人114位，出院病人46位）。以飲酒相關內外控量表總得分作為依變項，分析控握信念的預測因子；並比較內控與外控酒依賴者的改變動機與依賴嚴重度。結果：採取行動與酒依賴嚴重度能預測控握信念。內控傾向的酒依賴者較願意採取改變行動。比較內控傾向的酒依賴者在採取行動與依賴的嚴重度，與外控傾向的酒依賴者有顯著的差異。結論：飲酒相關控握信念與改變動機是酒癮治療可用的成果指標。建議在酒依賴治療過程，針對處於外控傾向病人，協助他們覺察飲酒問題，降低矛盾心理，提升改變行動可能性；傾向內控的病人，可嘗試增加酒依賴者的可控制感，相信他們能成功適應改變的壓力，提升酒依賴者的內控經驗與自信，才能真正促使改變行動的持續。

關鍵字

酒 ； 改變動機 ； 控握信念

並列摘要

Objective: Drinking related locus of control belief and motivation to change are outcome indicators which are often used in the treatment of patients with alcohol dependence. The purpose of this study was to explore predictors with drinking-related locus of control, and to compare motivation to change and severity level of dependence in alcohol-dependent individuals with internal or external locus of control. Methods: A total of 114 alcohol-dependent inpatients and 46 outpatients were recruited after treatment in a psychiatric hospital in Northern Taiwan. The total scores of drinking-related internal-external locus of control (DRIE) scale served as the independent variable in the analysis to predict factors associated with locus of control. Then, the patients were divided into internal and external control direction groups, and compared for the differences between these two groups in changing motivation and severity level of dependence. Results: Taking action and alcohol dependence severity could predict internal locus of control. Analysis of changing motivation and severity of dependence among patients with internal or external locus of control direction revealed significant differences in taking action and dependence severity. Alcohol-dependent patients with internal direction were more active in change. Conclusion: Drinking-related locus of control belief and motivation to change can be used as outcome indicators in alcohol-dependent treatment. Patients with external locus of control may benefit from therapy designed to enable them to recognize their drinking problem, to decrease their ambivalence, and to increase the likelihood that they will take action. By contrast, patients with internal locus of control may benefit from therapies designed to teach them stress-coping strategies and increase their experience of internal control and confidence.

並列關鍵字

alcohol ； changing motivation ； locus of control belief

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