Palabras clave
abuso de sustancias
dependencia
periodo de prueba
grupos psicoeducativos
Cómo citar
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.
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. et al. (1996). The trajectory of client progress. A longitudinal pilot study. Journal of Substance Abuse Treatment, 13(3),211-218.
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, 387-397.
Bozkurt, İ. (2013). The new trend in psychological support practices: Online therapies. International Journal of Human Sciences, 10(2), 130-146.
Bozkurt, Ö., & Bozkurt, İ. (2008). A field study on job satisfaction effecting internal factors in education sector. Journal of Doğuş University , 9 (1), 1-18.
Bulut, M., Savaş, A. H., Cansel, N., Selek, S., Kap, Ö., Yumru, M., et al. (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 biblioterapy 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. (doi:10.1016/S0306-4603(01)00217-9)
Collins, S. E., Malone, D. K., & Larimer, M. E. (2012). Motivation to change and treatment attendance as predictors of alcohol-use outcomes among project-based housing first residents. Addiction Behavior, 37(8), 931-939. Doi:10.1016/j.addbeh.2012.03.029
Çiftçi, G. E., & Uluocak, P. G. (2010). Almanya’da madde bağımlısı çocuk ve gençlere yönelik bir rehabilitasyon modeli. Kriz Dergisi, 18(2), 11-18.
Deci, E. L., & Ryan, R. M. (1985). Intrinsic motivation and self-determination in human behavior. New York: Plenum.
Ebrinç, S., Evren, C., Başoğlu, C., Çetin, M., Emiz, B. Ü., Yılmaz, V., et al. (2002). Adli gözlem için gelen suçlularda sosyodemografik özellikler kaygı, öfke ifadesi ve benlik saygısının kişilik bozukluğu ile ilişkisinin araştırılması. Düşünen Adam,15(2), 97-103.
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.
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, 117-122. (Factorial structure and reliability and validity of Turkish version treatment motivation questionnaire (TMQ) in alcohol dependents, Journal of Dependence).
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.
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.
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 assesement of client motivation. Alcohol & Alcoholism, 40(6),540-544. Doi:10/1093/alcalc/agh195
Friedmann, P. D., Green, T. C., Taxman, F. S., Harrington, M., Rhodes, A. G., Katz, E., et al.
(2012). Collaborative behavioral management among parolees: drug use, crime and re-arrest in the step’n out randomized trial. Addiction,107(6), 1099-1108. doi: 10.1111/j.1360-0443.2011.03769.x
Harald, K., & Klingemann, H. (1991). The motivation for change from problem alcohol and heroin use. British Journal of Addiction, 86, 727-744.
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. Doi:10.1177/0093854802029001004
Jeo, G. W., Simpson, D. D. et al. (1999). Relationships between counseling rapport and drug abuse treatment outcomes. Psychiatric Services, 52(9),1223-1229.
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. Doi: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, 37,182-190.
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. doi: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. doi:10.1080/10509674.2014.944739
McKay, J. R., McLellan, A. T., Alterman, A. I., Cacciola, J. S., Rutherford, M. J., & O’Brien, C. P. (1998). Predictors of participation in aftercare sessions and self-help groups following completion of intensive outpatient treatment for substance abuse. Journal of Studies on Alcohol, 59, 152-162.
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 alcohlol depandent. Journal of Consulting and Clinical Psychology,71(2),302-308. Doi: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. doi: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, 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), 150-1.
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). Motivational interviewing technique and use of 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 additive behaviors. 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, 1102-1114.
Reeve, J. (1992). Understanding motivation and emotion. Montreal: HBJ Publishers.
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.
Rodrigues, V. S., Riberio, L., Rodrigues, L. A., Irigaray, T. Q, Ribeiro, F. A., & Oliveira, M. S. (2017). Universitas Psychologica, 16(2). http://doi.org/10.11144/Javeriana.upsy16- 2.ccpr
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. doi:10.1016/0306-4603(94)00072-7
Sağlık Bakanlığı. (2015). Denetimli serbestlik tedavi hizmetleri hakkında genelge. Ankara:
http://www.saglik.gov.tr/Hastahaklari/dosya/196339/h/denetimliserbestliktedavihizmetlerigenelge-1.pdf Erişim tarihi:26 Mayıs 2015.
Sağlık Bakanlığı. (2009). Denetimli serbestlik tedbirleri hizmetleri uygulanan kişilerin
tedavileri hakkında genelge. Ankara: www.saglik.gov.tr/TR/dosya/1-53295/h/genelgeler.doc Erişim tarihi: 25 Mayıs 2015.
Savaşan, A. (2010). Bağımlılığı olan hastalarda servis ortamı ve tedavi motivasyonu
ilişkisinin incelenmesi. Klinik Psikiyatri, 13, 119-126. (Investigation of relationship between ward atmosphere and treatment motivation in patients with dependence )
Simoneau, H., & Bergeron, J. (2003). Factors affecting motivation during the first six weeks of treatment. Addictive Behaviors, 28, 1219-1241. Doi:10.1016/S0306-4603(02)00257-5
Sobell, L. C., Cunningham, J. A. & Sobell, M. B. (1996). Recovery from alcohol problems with and without treatment: Prevalence in two population survey. American Journal of Public Health, 86, 966-972.
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. Doi:10.1037//0022-006X.68.4.573
Türkiye Psikiyatri Derneği. (2008). Denetimli Serbestlik Görev Grubu Raporu. Ankara:
http://www.psikiyatri.org.tr/upload.aspx?upload=333 Erişim tarihi:5 Ağustos 2014.
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. (Propertıes of callers who called a telephone informatıon hot line for problems related with alcohol and other drugs and effıciency of the line. Journal of Dependence).
Türkiye Büyük Millet Meclisi. (2004). Ceza Kanununda değişiklik,Madde 191. Ankara: http://www.tbmm.gov.tr/kanunlar/k5237.html Erişim tarihi: 5 Ağustos 2014.
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, 651-656. Doi: 10.2105/AJPH.94.4.651
VanDeMark, R. N., Burrell, N. R., LaMendola, W., 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. doi: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, 1858-1872. Doi: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.
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.
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