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Predictors of motivation for abstinence at the end of outpatient substance abuse treatment
- Source :
- Journal of substance abuse treatment. 38(4)
- Publication Year :
- 2009
-
Abstract
- Commitment to abstinence, a motivational construct, is a strong predictor of reductions in drug and alcohol use. Level of commitment to abstinence at treatment end predicts sustained abstinence, a requirement for recovery. This study sought to identify predictors of commitment to abstinence at treatment end to guide clinical practice and to inform the conceptualization of motivational constructs. Polysubstance users (N = 250) recruited at the start of outpatient treatment were re-interviewed at the end of services. Based on the extant literature, potential predictors were during treatment measures of substance use and related cognitions, psychological functioning, recovery supports, stress, quality of life satisfaction, and treatment experiences. In multivariate analyses, perceived harm of future drug use, abstinence self-efficacy, quality of life satisfaction, and number of network members in 12-step recovery contributed 26.6% of the variance explained in the dependent variable, a total of 49.6% when combined with the control variables (demographics and baseline level of the outcome). Gender subgroup analyses yielded largely similar results. Clinical implications of findings for maximizing commitment to abstinence when clients leave treatment are discussed as are future research directions.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Substance-Related Disorders
media_common.quotation_subject
Medicine (miscellaneous)
Article
Young Adult
Quality of life (healthcare)
Sex Factors
medicine
Ambulatory Care
Secondary Prevention
Humans
Psychiatry
media_common
Self-efficacy
Motivation
Addiction
Data Collection
Abstinence
Middle Aged
medicine.disease
Mental health
Drug Abstinence
Self Efficacy
Substance abuse
Psychiatry and Mental health
Clinical Psychology
Polysubstance dependence
Multivariate Analysis
Quality of Life
Female
Pshychiatric Mental Health
Psychology
Clinical psychology
Subjects
Details
- ISSN :
- 18736483
- Volume :
- 38
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of substance abuse treatment
- Accession number :
- edsair.doi.dedup.....848f464c6397828f850c592f78bb354d