Publicado feb 20, 2019



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Sefa Bulut http://orcid.org/0000-0002-2622-4390

İlhan Bozkurt https://orcid.org/0000-0002-9939-8121

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Resumen

El propósito principal de este estudio es examinar el efecto de los niveles de motivación al tratamiento en los comportamientos de abuso de sustancias de los pacientes enviados a un programa de tratamiento de dependencia de sustancias basado en la decisión de alta supervisada tomada durante un programa de tratamiento psicoeducativo grupal de seis semanas. La muestra fueron 112 participantes que se presentaron al Ministerio de Salud de Turquía del Hospital de Capacitación e Investigación de la Universidad de Sakarya, Clínica de Psiquiatría entre los años 2012-2014, y fueron seleccionados entre los pacientes que asistieron a un programa de tratamiento de seis semanas. El Cuestionario de Motivación al Tratamiento (TMQ), el Cuestionario de información demográfica y los métodos de entrevista se utilizaron en la recolección de datos. Los pacientes con altos niveles de motivación para el tratamiento presentaron una tasa baja de abuso de sustancias y su adaptación al programa de tratamiento fue alta. Los pacientes que tuvieron altos niveles de motivación al inicio del tratamiento, presentaron bajas tasas de abuso de sustancias al final del mismo, esta tendencia fue confirmada para todos los cuatro sub-tipos de motivación medidos.

Keywords

Treatment motivation, substance abuse, dependence, probation, psycho-educational groupsmotivación al tratamiento, abuso de sustancias, dependencia, periodo de prueba, grupos psicoeducativos

References
Altıntoprak, E. A., Akgür, A. S., Kitapçıoğlu, G., Yüncü, Z., & Coşkunol, H. (2014).
Retrospective analysis of probationers: sociodemographic characteristics, individual and familial history of addiction and crime, and treatment outcomes. Journal of Dependence,15(1), 1-9.

Bates, M. E., Bowden, S. C., & Barry, D. (2002). Neurocognitive impairment associated with alcohol use disorders: Implications for treatment. Experimental and Clinical Psychopharmacology, 10(3), 193-212. http://dx.doi.org/10.1037/1064-1297.10.3.193

Bell, D. C., Atkinson, J. S., Williams, M. L., Nelson, R., & Spence, R. T. (1996). The trajectory of client progress. A longitudinal pilot study. Journal of Substance Abuse Treatment, 13(3),211-218. https://doi.org/10.1016/S0740-5472(96)00046-3

Bozkurt, İ. (2013). The new trend in psychological support practices: Online therapies. International Journal of Human Sciences, 10(2), 130-146.

Broome, K. M., Knight, D. K., Knight, K., Hiller, M. L., & Simpson, D. D. (1997). Peer, family, and motivational influences on drug treatment process and recidivism for probationers. Journal of Clinical Psychology, 53(4), 387-397. https://doi.org/10.1002/(SICI)1097-4679(199706)53:4%3C387::AID-JCLP12%3E3.0.CO;2-C

Bulut, M., Savaş, A. H., Cansel, N., Selek, S., Kap, Ö., Yumru, M., & Virit, O. (2006). Sociodemographic characteristics of patients, applied to substance usage disorders unit of Gaziantep University. Journal of Dependence, 7(2), 65-70.

Bulut, S. (2010). Using bibliotherapy in adult counseling. Turkish Psychological Counseling
and Guidance Journal, 4(33), 46-56.

Cahill, M. A., Adinoff, B., Hosig, H., Muller, K., & Pulliam, C. (2003). Motivation for
treatment preceding and following a substance abuse program. Addictive Behaviors, 28(1), 67-79. https://doi.org/10.1016/S0306-4603(01)00217-9

Çiftçi, G. E., & Uluocak, P. G. (2010). Almanya’da madde bağımlısı çocuk ve gençlere yönelik bir rehabilitasyon modeli. Kriz Dergisi, 18(2), 11-18. Retrieved from http://dergiler.ankara.edu.tr/dergiler/21/1875/19686.pdf

Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York, NY: Plenum.

Erol, S., & Erdoğan, S. (2007). Application of transtheoretic model for improving and changing health behaviours. Journal of Anatolia Nursing and Health Sciences, 10(2), 86-94.

Evren, C., Dalbudak, E., & Çakmak, D. (2008). Factorial structure and reliability and validity
of Turkish version the stages of change readiness and treatment eagerness scale (SOCRATES) in male alcohol dependent inpatients. Bulletin of Clinical Psychopharmacology, 18(2), 84-91. Retrieved from https://www.researchgate.net/publication/289311280_Factorial_structure_and_reliability_and_validity_of_Turkish_version_the_Stages_of_Change_Readiness_and_Treatment_Eagerness_Scale_SOCRATES_in_male_alcohol_dependent_inpatients

Evren, C., Saatçioğlu, Ö., Dalbudak, E., Danışmant, B. S., Çakmak, D., & Ryan, R. M. (2006). Tedavi motivasyonu anketi (TMA) Türkçe versiyonunun alkol bağımlısı hastalarda faktör yapısı, geçerliği ve güvenirliği. Bağımlılık Dergisi, 7(3), 117-122. [Factorial structure, reliability and validity of a Turkish version Treatment Motivation Questionnaire (TMQ) in alcohol dependents]. Journal of Dependence, 7 (3), 117-122

Fernandez-Montalvo, J., Lopez-Goni, J. J., Arteaga, A., & Cacho, R. (2013). Criminological
profile of patients in addiction treatment. Adicciones, 25(2), 146-155.

Fiorentine, R. (1999). After drug treatment: Are 12-step programs effective in maintaining abstinence? American Journal of Drug and Alcohol Abuse, 25(1), 93-116. https://doi.org/10.1081/ADA-100101848

Freyer, J., Toningan, J. S., Keller, S., Rumpf, H. J., John, U., & Hapke, U. (2005). Readiness for change and readiness for help seeking: A composite assessment of client motivation. Alcohol & Alcoholism, 40(6),540-544. https://doi.org/10.1093/alcalc/agh195

Friedmann, P. D., Green, T. C., Taxman, F. S., Harrington, M., Rhodes, A. G., Katz, E., . . . Fletcher, B. W.(2012). Collaborative behavioral management among parolees: drug use, crime and re-arrest in the step’n out randomized trial. British Journal of Addiction, 107(6), 1099-1108. https://doi.org/10.1111/j.1360-0443.2011.03769.x

Hiller, M. L., Knight, K., Leukefeld, C., & Simpson, D.D. (2002). Motivation as a Predictor of Therapeutic Engagement in Mandated Residential Substance Abuse Treatment. Criminal Justice and Behavior, 29(1), 56–75. https://doi.org/10.1177/0093854802029001004

Joe, G. W., Simpson, D. D., Dansereau, D. F., & Rowan-Szal, G. A. (2001). Relationships between counseling rapport and drug abuse treatment outcomes. Psychiatric Services, 52(9),1223-1229. https://doi.org/10.1176/appi.ps.52.9.1223

Laudet, A. B., & Stanick, V. (2010). Predictors of motivation for abstinence at the end of outpatient substance abuse treatment. Journal of Substance Abuse Treatment, 38(4), 317-327. https://doi.org/10.1016/j.jsat.2010.01.007

Laudet, A. B., Stanick, V. & Sands, B. (2009). What could the program have done differently? A qualitative examination of reasons for leaving outpatient treatment. Journal of Substance Abuse Treatment, 37(2),182-190. https://doi.org/10.1016/j.jsat.2009.01.001

Lo, C. C. (2004). Sociodemographic factors, drug abuse, and other crimes: How they vary among male and female arrestees. Journal of Criminal Justice, 32(5), 399-409. https://doi.org/10.1016/j.jcrimjus.2004.06.002

McCollister, K. E., Scott, C. K., Dennis, M. L., Freitas, D. M., French, M. T., & Funk, R. R. (2014). Economic costs of a post release intervention for incarcerated female substance abusers: Recovery management checkups for women offenders (RMC- WO). Journal of Offender Rehabilitation, 53(7), 543-561. https://doi.org/10.1080/10509674.2014.944739

McKellar, J., Stewart, E., & Humphreys, K. (2003). Alcoholics anonymous involvement and positive alcohol-related outcomes: Cause, consequences, or just a correlate? A prospective 2-year study of 2,319 alcohol dependent men. Journal of Consulting and Clinical Psychology, 71(2), 302-308. https://doi.org/10.1037/0022-006X.71.2.302

McLellan, A. T. (2002). Have we evaluated addiction treatment correctly? Implications from a chronic care perspective. Addiction, 97(3), 249–252. https://doi.org/10.1046/j.1360-0443.2002.00127.x

Meier, P. S., Barrowclough, C., & Donmall, M. C. (2005). The role of the therapeutic alliance in the treatment of substance misuse: A critical review of the literature. Addiction, 100(3), 304-316. http://dx.doi.org/10.1111/j.1360-0443.2004.00935.x

Miller, W. R. (1999). Enhancing motivation for change in substance abuse treatment (TIP Series # 35). Rockville, MD: US. Department of Health and Human Services, Center for Substance Abuse Treatment.

Miller, W. R., Benefield, R. G., & Tonigan, J. S. (1993). Enhancing motivation for change in problem drinking: A controlled comparison of two therapist styles. Journal of Consulting and Clinical Psychology, 61(3), 455-461.

Ögel, K., & Aksoy, A. (2007). Substance use in deliquent adolescents. Journal of Dependence, 8, 11-17.

Ögel, K., Koç, C., Aksoy, A., & Yorohan, R. (2011). SAMBA: Sigara, alkol ve madde bağımlılığı tedavi programı geliştirilme süreci. 7.Ulusal Alkol ve Madde Bağımlılığı Kongresi, poster sunumu, 08-11 Aralık, Antalya.

Ögel, K., Koç, C., Karalar, B., Başabak, A., Aksoy, A., İşmen, M & Yeroham R. (2011). Effectiveness of an addiction treatment program called SAMBA: A pilot study. Bulletin of Clinical Psychopharmacology, 21(2), 150-151.

Ögel, K., Tamar, D., Evren, C., & Çakmak, D. (2000). İstanbul'da lise gençleri arasında
sigara, alkol ve madde kullanım yaygınlığı. Klinik psikiyatri, 3(4), 242-345.

Özdemir, H., & Taşcı, S. (2013). Motivasyonel görüşme tekniği ve hemşirelikte kullanimi- The application of motivational interviewing technique in nursing. ERÜ Sağlık Bilimleri Fakültesi Dergisi, 1(1), 41-47.

Prochaska, J. O., DiClemente, C. C. (1986). Toward a comprehensive model of change. In W. R. Miller, & N. Heather (Eds.), Treating addictive behaviors (pp. 3-27). New York: Plenum.

Prochaska, J. O., DiClemente, C.C. & Norcross. J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102-1114.

Psychiatric Association of Turkey (2008). Supervised Substance Abuse Release Program Group Reports. Retrieved from http://www.psikiyatri.org.tr/upload.aspx?upload=333 on August 14th, 2014.

Reeve, J. (1992). Understanding motivation and emotion. Sixth Eds. John Wiley & Sons Inc., Hoboken, NJ. USA.

Riehman, K. S., Hser, Y., & Zeller, M. (2000). Gender Differences in how intimate partners influence drug treatment motivation. Journal of Drug Issues, 30 (4), 823-838. https://doi.org/10.1177/002204260003000409

Ryan, R. M., Plant, R. W., & O'Malley, S. (1995). Initial motivations for alcohol treatment: Relations with patient characteristics, treatment involvement, and dropout. Addictive Behaviors, 20(3), 279-297. https://doi.org/10.1016/0306-4603(94)00072-7

Sağlık Bakanlığı. (2009). Denetimli serbestlik tedbirleri hizmetleri uygulanan kişilerin tedavileri hakkında genelge. Retrieved from www.saglik.gov.tr/TR/dosya/1-53295/h/genelgeler.doc

Sağlık Bakanlığı. (2015). Denetimli serbestlik tedavi hizmetleri hakkında genelge. Retrieved from http://www.saglik.gov.tr/Hastahaklari/dosya/196339/h/denetimliserbestliktedavihizmetlerigenelge-1.pdf

Savaşan, A. (2010). Bağımlılığı olan hastalarda servis ortamı ve tedavi motivasyonu ilişkisinin incelenmesi. Klinik Psikiyatri, 13, 119-126.

Simoneau, H., & Bergeron, J. (2003). Factors affecting motivation during the first six weeks of treatment. Addictive Behaviors, 28(7), 1219-1241. https://doi.org/10.1016/S0306-4603(02)00257-5

Sobell, M. B., & Sobell, L. C. (2000). Stepped care as a heuristic approach to the treatment of alcohol problems. Journal of Consulting and Clinical Psychology, 68(4), 573-579. https://doi.org/10.1037//0022-006X.68.4.573

Türkcan, A., Yazman, Ü., Özgür, S., Korkut, A., Ertan, N., & Çakmak, D. (2001). Alkol veya madde kullanımına ilişkin sorunlarda telefon ile danışma hattına başvuranların özellikleri ve hattın işlevselliği. Bağımlılık Dergisi, 2(1), 34-37.

Tsemberis, S., Gulcur, L., & Nakae, M. (2004). Housing first, consumer choice and harm reduction for homeless individuals with a dual diagnosis. American Journal of Public Health, 94(4), 651-656. https://doi.org/10.2105/AJPH.94.4.651

VanDeMark, N. R., Burrell, N. R., LaMendola, W. F., Hoich, C. A., Berg, N. P., & Medina, E. (2010). An exploratory study of engagement in a technology-supported substance abuse intervention. Substance Abuse Treatment, Prevention, and Policy, 5(10), 5-10. https://doi.org/10.1186/1747-597X-5-10

Wild, C. T., Cunningham, J. A., & Ryan, R. M. (2006). Social pressure, coercion, and client engagement at treatment entry: A self-determination theory perspective. Addictive Behaviors, 31(10), 1858-1872. https://doi.org/10.1016/j.addbeh.2006.01.002

Yavuz, H. A. (2012). Historical development of probation in the Turkish criminal justice. Union of Turkish Bar Assocations Review, 100(1), 317-342. Retrieved from http://tbbdergisi.barobirlik.org.tr/App_Themes/TumDergiler/100.pdf#page=317

Yıldırım, B., Engin, E., & Yıldırım, S. (2011). Loneliness and effective factors in alcohol and drug dependence. Journal of Psychiatric Nursing, 2(1), 25-30.

Zeldman, A., Ryan, R. M., & Fiscella, K. (2004). Motivation, Autonomy Support, and Entity Beliefs: Their role in methadone maintenance treatment. Journal of Social and Clinical Psychology, 23(5), 675-696. https://doi.org/10.1521/jscp.23.5.675.50744
Cómo citar
Bulut, S., & Bozkurt, İlhan. (2019). Efecto de los niveles de motivación al tratamiento en pacientes enviados a un programa de tratamiento de abuso de sustancias condicional. Universitas Psychologica, 18(1), 1–16. https://doi.org/10.11144/Javeriana.upsy18-1.etml
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