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Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital

CONTEXT: Motivation plays an important role in the treatment of alcohol dependence syndrome (ADS) by influencing the patient to seek and comply with treatment as well as make successful long term changes. AIM: The aim of this study is to study the motivation for change in inpatients with ADS. SETTIN...

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Autores principales: D’Souza, Prima Cheryl, Mathai, P. John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5547859/
https://www.ncbi.nlm.nih.gov/pubmed/28827865
http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_262_15
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author D’Souza, Prima Cheryl
Mathai, P. John
author_facet D’Souza, Prima Cheryl
Mathai, P. John
author_sort D’Souza, Prima Cheryl
collection PubMed
description CONTEXT: Motivation plays an important role in the treatment of alcohol dependence syndrome (ADS) by influencing the patient to seek and comply with treatment as well as make successful long term changes. AIM: The aim of this study is to study the motivation for change in inpatients with ADS. SETTINGS AND DESIGN: One hundred consecutive patients admitted for the treatment of ADS in a medical college hospital were evaluated. MATERIALS AND METHODS: The International Classification of Disease 10(th) Revision - AM symptom checklist for mental disorders screener and appropriate modules were used to establish ADS. The assessment of motivation was done using the University of Rhode Island Change Assessment scale at baseline and after 2 weeks of admission. The Severity of Alcohol Dependence Questionnaire and Kuppuswamy's scale for socioeconomic status were used. STATISTICAL ANALYSIS: Paired and unpaired t-test, Fisher's exact test, and Wilcoxon signed-rank test were used to analyze data. RESULTS: The assessment of motivation showed 60% of patients in precontemplation (PC) stage at baseline, compared to 34% of the patients in PC, 57% in contemplation, and 9% in action stage after 2 weeks of inpatient stay. A highly significant change was seen in the levels of motivation toward contemplation and action stage after 2 weeks of inpatient stay (Z = 5.745, P < 0.001). Motivation to change had a significant association with complications of alcohol use, medical comorbidity, onset and severity of alcohol dependence, socioeconomic status, religion, and mode of referral. CONCLUSIONS: The study concludes that certain patients with ADS may have low pretreatment levels of motivation, with significant improvement in the motivation levels after a short duration of inpatient treatment.
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spelling pubmed-55478592017-08-21 Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital D’Souza, Prima Cheryl Mathai, P. John Indian J Psychiatry Original Article CONTEXT: Motivation plays an important role in the treatment of alcohol dependence syndrome (ADS) by influencing the patient to seek and comply with treatment as well as make successful long term changes. AIM: The aim of this study is to study the motivation for change in inpatients with ADS. SETTINGS AND DESIGN: One hundred consecutive patients admitted for the treatment of ADS in a medical college hospital were evaluated. MATERIALS AND METHODS: The International Classification of Disease 10(th) Revision - AM symptom checklist for mental disorders screener and appropriate modules were used to establish ADS. The assessment of motivation was done using the University of Rhode Island Change Assessment scale at baseline and after 2 weeks of admission. The Severity of Alcohol Dependence Questionnaire and Kuppuswamy's scale for socioeconomic status were used. STATISTICAL ANALYSIS: Paired and unpaired t-test, Fisher's exact test, and Wilcoxon signed-rank test were used to analyze data. RESULTS: The assessment of motivation showed 60% of patients in precontemplation (PC) stage at baseline, compared to 34% of the patients in PC, 57% in contemplation, and 9% in action stage after 2 weeks of inpatient stay. A highly significant change was seen in the levels of motivation toward contemplation and action stage after 2 weeks of inpatient stay (Z = 5.745, P < 0.001). Motivation to change had a significant association with complications of alcohol use, medical comorbidity, onset and severity of alcohol dependence, socioeconomic status, religion, and mode of referral. CONCLUSIONS: The study concludes that certain patients with ADS may have low pretreatment levels of motivation, with significant improvement in the motivation levels after a short duration of inpatient treatment. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5547859/ /pubmed/28827865 http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_262_15 Text en Copyright: © 2017 Indian Journal of Psychiatry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
D’Souza, Prima Cheryl
Mathai, P. John
Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital
title Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital
title_full Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital
title_fullStr Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital
title_full_unstemmed Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital
title_short Motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital
title_sort motivation to change and factors influencing motivation in alcohol dependence syndrome in a tertiary care hospital
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5547859/
https://www.ncbi.nlm.nih.gov/pubmed/28827865
http://dx.doi.org/10.4103/psychiatry.IndianJPsychiatry_262_15
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