Faktorenstruktur und Übereinstimmungsvalidität der SOCRATES bei Alkoholabhängigen in Entzugsbehandlung

Author(s):  
Gerd Weithmann ◽  
Markus Hoffmann ◽  
Markus Göttle

<B>Fragestellung:</B> Die deutsche Version eines Instruments zur Erfassung der Änderungsmotivation (Stages of Change Readiness and Treatment Eagerness Scale; SOCRATES) wurde auf ihre Faktorenstruktur und die Übereinstimmungsvalidität hin untersucht. </P><P> <B>Methodik:</B> Bei 207 Patienten in stationärer Alkoholentzugsbehandlung wurde die Änderungsbereitschaft in Form einer Selbstbeurteilung durch die SOCRATES und die Fremdbeurteilung der Änderungsmotivation durch die Therapeuten mittels der Denial Rating Scale (DRS) erhoben. Von 50 Patienten lagen beide Beurteilungen zu Beginn und am Ende der Behandlung vor. </P><P> <B>Ergebnisse:</B> Konfirmatorische Faktorenanalysen konnten das 3-Faktoren-Modell der SOCRATES nicht bestätigen und die Übereinstimmungsvalidität war gering. </P><P><B>Schlussfolgerungen:</B> Die SOCRATES ist für die individualisierte Therapieplanung in der stationären qualifizierten Entzugsbehandlung Alkoholabhängiger nicht geeignet.

2018 ◽  
Author(s):  
S. G. Klimanova ◽  
A. V. Trusova ◽  
A. S. Kiselev ◽  
V. A. Berntsev ◽  
D. I. Gromyko ◽  
...  

2016 ◽  
Vol 24 (9) ◽  
pp. 1255-1265 ◽  
Author(s):  
L. Flores-García ◽  
E. Ytterstad ◽  
M. B. Lensing ◽  
M. Eisemann

Objective: To explore personality and readiness to change among substance use disorders (SUD) patients with and without ADHD. Method: SUD + ADHD versus SUD − ADHD patients consecutively entering treatment between 2010 and 2012 were compared concerning personality (Temperament and Character Inventory) and readiness to change (Stages of Change Readiness and Treatment Eagerness Scale). Results: Among 103 SUD patients (76 men, age M = 43.3, SD = 11.1), 16 (15.5%) were diagnosed with ADHD. SUD + ADHD patients reported significantly elevated eagerness to effort ( p = .008) compared with SUD − ADHD patients, who reported significantly elevated fear of uncertainty ( p < .000). SUD + ADHD patients reported higher ambition ( p = .025), self-forgetfulness ( p = .029), and lower recognition ( p = .022). They were younger ( p = .019) and showed more often amphetamine addiction ( p = .022) compared with SUD − ADHD patients. Conclusion: The distinct characteristics found in SUD + ADHD and SUD − ADHD patients underline the need for differentiated treatment interventions.


Author(s):  
Lilia Žukauskienė ◽  
Vaidas Viršilas ◽  
Carl Åke Farbring

The paper focuses on the issue of socio-educational assistance to alcohol addicts serving non-custodial sentences in the Probation Department of Klaipėda Regional Probation Service. It comments on the results of the behavioural correction programme Behaviour-Conversation-Change (BCC), applied to the individuals serving non-custodial sentences. The research was based on the qualitative research strategy. The conducting of the research was underpinned by the works of W.R. Miller, S.Rollnick (1991, 2002) and numerous other authors on a motivational interview, as well as on a motivational interview-based programme Behaviour-Conversation-Change to be used by the penal system institutions (Farbring, Berge, 2004).  The participants of the research were individuals with alcohol addicts, serving non-custodial sentences in the Probation Department of Klaipėda Regional Probation Service. In the period 2012 to 2017, 160 respondents took part in the research (accordingly, the sample was 151 respondents).  The changes in the respondents' behaviour were recorded by means of the SOCRATES 8A 19 question- scale (The Stages of Change Readiness and Treatment Eagerness Scale), designed to evaluate three key components: problem recognition, ambivalence, and the steps taken (Miller, Tonigan, 1996). The changes were evaluated at the beginning and at the end of the Behaviour-Conversation-Change programme. As proved by the findings, the impact of the Behaviour-Conversation-Change programme was positive at the recognition and the step taking stages. The results achieved in the application of the Behaviour-Conversation-Change programme meaningfully differed, given the officers approach to the programme.


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