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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Therapeutic success in relapse prevention in alcohol use disorder : the role of treatment motivation and drinking-related treatment goals
Authors: Senn, Smeralda
Odenwald, Michael
Sehrig, Sarah
Haffke, Peter
Rockstroh, Brigitte
Pereyra Kröll, Devi
Menning, Hans
Wieber, Frank
Volken, Thomas
Rösner, Susanne
et. al: No
DOI: 10.1080/10550887.2020.1820810
Published in: Journal of Addictive Diseases
Volume(Issue): 39
Issue: 1
Pages: 88
Pages to: 95
Issue Date: 2020
Publisher / Ed. Institution: Taylor & Francis
ISSN: 1055-0887
Language: English
Subjects: Alcohol use disorder; Treatment motivation; Drinking goal; Transtheoretical model of behavior change
Subject (DDC): 158: Applied psychology
616.8: Neurology, diseases of nervous system
Abstract: Background Changing addictive behavior is a complex process with high demands on motivation. The Transtheoretical Model of Behavior Change provides a theoretical framework for explaining and predicting behavioral change, although its predictive value for addiction is somewhat inconsistent. Objective The aim of the present study is to extend the Transtheoretical Model of Behavior Change by investigating not only treatment motivation but also the predictive value of the type of drinking-related treatment goal. Additional predictors, such as substance-related and sociodemographic variables, are also included in analyses seeking to predict return to drinking during relapse prevention treatment for alcohol use disorder. Methods In this observational study, 99 inpatients from a treatment center for alcohol use disorder were recruited. Treatment motivation was assessed in accordance with the Transtheoretical Model of Behavior Change, drinking-related treatment goal through a self-report questionnaire, and substance-related and sociodemographic variables via the clinic information system. Associations between the potential predictors and covariates were explored using stepwise logistic regression. Results During treatment, 42.6% of participants had at least one relapse. Scoring higher on the action dimension at admission (OR = 0.81, p = .04) and being employed (OR = 0.37, p = .02) were significant predictors of abstinence during treatment. Conclusions This study confirms that treatment motivation contributes to the prediction of treatment outcome, even when controlling for other variables. In future research, the underlying mechanisms of treatment motivation should be further explored.
Further description: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Addictive Diseases on 5. Nov 2020, available online:
Fulltext version: Accepted version
License (according to publishing contract): Licence according to publishing contract
Restricted until: 2021-11-05
Departement: School of Health Sciences
Organisational Unit: Institute of Public Health (IPH)
Appears in collections:Publikationen Gesundheit

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